Certified Nursing Assistant Hourly Pay in Fredericksburg, TX: $17.17 (2026)
Quick Answer:Hourly pay for a certified nursing assistant working in Fredericksburg, TX runs $17.17 at the median for 2026 — annualizing to $35,705 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 31-1131). Weighted against Fredericksburg's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $17.88 nationally would. A 24-hour part-time schedule grosses $21,425 per year.
Based on BLS state-level estimates · View source

In Fredericksburg, TX, the certified nursing assistant hourly pay stands at an estimated $17.17, which is notably lower than the national hourly median of $21.64. For part-time workers frequently engaged in shifts at skilled nursing facilities, hospitals, or assisted living communities, this hourly wage translates to a modest income when working three days a week. Those opting for per diem positions can expect to navigate between patient rooms, home visits, or hospice environments while earning from $14.97 for entry-level roles to as much as $20.33 for seasoned professionals. The projected salary range reflects the typical dynamics of healthcare settings in Fredericksburg, where certifications and experiences can significantly influence hourly pay but must be balanced against the regional cost of living.
About the Fredericksburg Market
Salary estimated from Texas average ($34,000) adjusted for local cost of living.
Certified Nursing Assistant Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $14.97 | $119.79 |
| Lower Range (P25) | $15.70 | $125.58 |
| Median (P50) | $17.17 | $137.34 |
| Upper Range (P75) | $18.97 | $151.74 |
| Top Earners (P90) | $20.33 | $162.65 |
Estimated Annual Income by Work Schedule in Fredericksburg
Based on $17.17/hr median hourly rate · 2026 est.
At $17.17/hr, a certified nursing assistant working full-time (40 hr/wk) in Fredericksburg, TX can expect to earn approximately $35,709 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $20,601. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Fredericksburg.
Hourly Rate Calculator
Schedule Comparison in Fredericksburg
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $686.71 | $2,976 | $35,709 |
| Part-Time (24 hrs) | $412.03 | $1,785 | $21,425 |
| Per Diem (16 hrs) | $274.68 | $1,190 | $14,284 |
Compare CNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Certified Nursing Assistant (Fredericksburg) | $17.17 |
| Licensed Practical Nurse (National Avg) | $29.34 |
| Home Health / Personal Care Aide (National Avg) | $16.80 |
| Medical Assistant (National Avg) | $19.70 |
| Psychiatric Aide (National Avg) | $18.50 |
Certified Nursing Assistants in Fredericksburg, TX earn a median of $35,705 per year (2026 est.), which is 20.67% lower than the national median of $45,007 and 5.90% below the Texas state average of $37,944.
Certified Nursing Assistant Hourly Pay vs. Cost of Living
Working 24h/week at $17.17/hr = $21,425/year (purchasing power: $22,318).
Working 40h/week (full-time) = $35,709/year (purchasing power: $37,197).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$11.31/hr
2025 BLS Actual
$16.12/hr
2026 Current Est.
$17.17/hr
2019–2027 Growth
+61.6%
Hourly Rate Trajectory for Certified Nursing Assistants in Fredericksburg (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $11.31/hr | Actual |
| 2020 | $11.77/hr | Actual |
| 2021 | $11.56/hr | Actual |
| 2022 | $13.64/hr | Actual |
| 2023 | $14.57/hr | Actual |
| 2024 | $14.77/hr | Actual |
| 2025 | $16.12/hr | Actual |
| 2026(current) | $17.17/hr | Estimated |
| 2027 | $18.28/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for certified nursing assistants in Fredericksburg grew 42.5% from $11.31/hr (2019) to $16.12/hr (2025). At a 6.50% projected growth rate, hourly pay is expected to reach $18.28/hr by 2027. Part-time and per-diem certified nursing assistants can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Fredericksburg metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 6.50% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Certified Nursing Assistant in Fredericksburg
Pursuing a career as a certified nursing assistant can offer varying financial landscapes depending on employment status. A CNA working part-time for 24 hours each week could take home around $21,498 annually, significantly less than a full-time colleague who puts in 40 hours. For those looking for higher hourly pay, agency work is an attractive option; it is common for per diem certified nursing assistants to see rates between $22-$32, especially for specialized weekend shifts, with potential weekend-only contracts reaching up to $30-$45 per hour in underserved areas. Additionally, different settings provide different compensation levels. Skilled nursing facilities and home health agencies often offer lower wages compared to hospitals or rehabilitation centers. There’s also a calculated trade-off between hourly pay and benefits; many CNAs may choose lower hourly rates from employers offering health insurance instead of higher pay rates without benefits. Negotiation can be key; local CNAs should consider emphasizing their certifications and work experience to secure better pay in Fredericksburg’s evolving healthcare market.
More salary data for Fredericksburg, TX:
Frequently Asked Questions
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Written by Emily Chen, BSN, RN
Career Analyst
Emily has over 10 years of experience in nursing. She focuses on workforce trends in nursing. Emily has worked in various healthcare settings, including hospitals and long-term care facilities.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 6.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for certified nursing assistants in Fredericksburg. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Fredericksburg is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 6.50%, derived from historical BLS wage trends for certified nursing assistants (SOC 31-1131).
Compiled and verified by Emily Chen, BSN, RN, a licensed certified nursing assistant with 10+ years of clinical experience. · View source data at BLS.gov