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Texas / Department of State Health Services / Public Health Nurse IV

Job-title file

Public Health Nurse IV

Provide direct patient care — assess conditions, administer treatment and medication, and coordinate with physicians.

7 employees hold this title in Department of State Health Services. Median total compensation for the role is $96,079, above the department median of $63,400.

Employees
7
Total payroll
$688K
Role median
$96,079
Agency median
$63,400
Comparison
Above

Compared with the local labor market

Public Health Nurse IV pay vs. Texas

Across all employers in Texas, the median wage for Registered Nursesabout 271,380 people is $95,970. Department of State Health Services pays a median base salary of $69,606 for this role, 27% below that figureabout the 13th percentile of local pay for the occupation.

Where Department of State Health Services sits in the local pay range

10th
25th
Median
75th
90th
$67,120
$79,170
$95,970
$105,100
$127,950
Department of State Health Services median · $69,606

The bar is the range of annual wages for Registered Nurses across every employer in Texas, from the 10th to the 90th percentile, with the middle 50% highlighted. The marker shows Department of State Health Services’s median base salary for this role. Both figures are base pay only.

And across the country

Nationwide, the median wage for Registered Nursesabout 3,379,720 people is $97,550. Department of State Health Services’s median base salary is 29% below that national figure, about the 11th percentile of pay for the occupation nationally.

10th
25th
Median
75th
90th
$68,940
$80,330
$97,550
$112,350
$137,470
Department of State Health Services median · $69,606

Local and national wages differ for reasons beyond how well a job pays — cost of living, the mix of employers, and local demand for the occupation all move the Texas range relative to the national one.

Median total compensation for this role at Department of State Health Services is $69,606, which includes overtime and employer-paid benefits. The benchmark above excludes both, so total compensation is deliberately not compared against it.

Benchmark: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025). BLS Occupational Employment and Wage Statistics (OEWS) covers all employers in the area — private, non-profit, and government alike — so this is a comparison against the whole local labor market for the occupation, not against private-sector pay. OEWS wages are straight-time pay and exclude overtime, shift differentials, and employer-paid benefits, so the government figure shown here is base pay on the same basis. Total compensation is not comparable to it. Job titles are matched to the closest standard occupation, so the comparison is between similar work rather than an identical job classification.

Compare departments

This role across Texas

Public Health Nurse IV is held in 2 Texas departments. In Department of State Health Services, the median of $96,079 ranks #1 of 2.

Highest-paying departments for this role

Median total compensation for the Public Health Nurse IV role in other Texasdepartments (highest first). Each bar links to that department’s page for this role.

Compare jurisdictions

Public Health Nurse beyond Texas

This role is reported in 15 jurisdictions. In Texas, the median of $69,720 ranks #9 of 15. See Public Health Nurse across all of Texas

Highest-paying jurisdictions for this role

Los Angeles County
$214,986 · 477
California
$130,745 · 17
City of Chicago
$101,448 · 40
Vermont
$89,336 · 28
City of Cincinnati
$87,525 · 53
New York City
$82,989 · 519

Median total compensation for comparable Public Health Nurse roles in other jurisdictions. Titles are matched by normalized name across sources, not identical job classification, and pay is not cost-of-living adjusted. Each bar links to that jurisdiction’s page for the role.

Record list

Employees with this title

Page 1

Virginia Mcgalin

Public Health Nurse IV/Department of State Health Services

2026 total comp
$111,352
Base pay
$111,352
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$111,352
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1
Middle name
H

Source-specific fields

Class Code
4253
Hire Date
Oct 1, 2018
Monthly Pay
$9,279
State Employee Number
559147

Virginia Mcgalin holds the role of Public Health Nurse IV at Department of State Health Services. Their status is crf - classified regular full-time. In 2026, their total compensation was $111,352.

Christine Murphy

Public Health Nurse IV/Department of State Health Services

2026 total comp
$109,192
Base pay
$109,192
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$109,192
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1

Source-specific fields

Class Code
4253
Hire Date
Feb 14, 2024
Monthly Pay
$9,099
State Employee Number
1693112

Christine Murphy holds the role of Public Health Nurse IV at Department of State Health Services. Their status is crf - classified regular full-time. In 2026, their total compensation was $109,192.

Melba Zambrano

Public Health Nurse IV/Department of State Health Services

2026 total comp
$96,442
Base pay
$96,442
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$96,442
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1
Middle name
L

Source-specific fields

Class Code
4253
Hire Date
Mar 15, 2016
Monthly Pay
$8,037
State Employee Number
968450

Melba Zambrano works as a Public Health Nurse IV for Department of State Health Services. Their status is crf - classified regular full-time. Melba earned $96,442 in 2026.

Cynthia Sayler

Public Health Nurse IV/Department of State Health Services

2026 total comp
$96,079
Base pay
$96,079
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$96,079
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1
Middle name
G

Source-specific fields

Class Code
4253
Hire Date
Oct 30, 2017
Monthly Pay
$8,007
State Employee Number
1086338

At Department of State Health Services, Cynthia Sayler serves as a Public Health Nurse IV. They work crf - classified regular full-time. Their 2026 pay totaled $96,079.

Shelby Hyde

Public Health Nurse IV/Department of State Health Services

2026 total comp
$94,422
Base pay
$94,422
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$94,422
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1

Source-specific fields

Class Code
4253
Hire Date
Aug 30, 2017
Monthly Pay
$7,868
State Employee Number
514969

Shelby Hyde is a Public Health Nurse IV at Department of State Health Services. They work crf - classified regular full-time. 2026 total compensation came to $94,422.

Melanie Lee

Public Health Nurse IV/Department of State Health Services

2026 total comp
$90,909
Base pay
$90,909
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$90,909
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1
Middle name
R

Source-specific fields

Class Code
4253
Hire Date
Nov 1, 2007
Monthly Pay
$7,576
State Employee Number
156937

Melanie Lee holds the role of Public Health Nurse IV at Department of State Health Services. Their status is crf - classified regular full-time. In 2026, their total compensation was $90,909.

Brittani Fisher

Public Health Nurse IV/Department of State Health Services

2026 total comp
$89,610
Base pay
$89,610
Overtime
$0
Other pay
$0
Benefits
$0
Total compensation
$89,610
Employment type
Crf - Classified Regular Full-Time
Full-time equivalent (FTE)
1
Middle name
S

Source-specific fields

Class Code
4253
Hire Date
Jun 1, 2010
Monthly Pay
$7,467
State Employee Number
177860

Brittani Fisher works as a Public Health Nurse IV for Department of State Health Services. Their status is crf - classified regular full-time. Brittani earned $89,610 in 2026.