Nursing Program Rankings

Best RN Programs in Texas for 2026

66Programs analyzed
$10,038Median in-state tuition
78%Average graduation rate
$97,550Median RN salary (BLS)

The best RN programs in Texas sit inside one of the most competitive nursing education markets in the country. We analyzed 66 programs to build this ranking, scoring each on graduation rate, selectivity, in-state tuition cost, and registered nurse employment outcomes. The average graduation rate across programs analyzed is 78%. Median in-state tuition is $10,038 per year. Those two numbers together tell you what you're working with before you visit a single campus.

Texas has a lot of nursing schools. That's not a problem until you realize that not all of them graduate students at the same rate, cost the same amount, or carry the same accreditation. This page cuts through the noise by using real IPEDS data and a consistent scoring formula. The Hakia Score rewards programs that get students to graduation at a reasonable cost, not programs with the best marketing budgets or the longest history. Twelve programs earned a score above 80 and appear in the full ranking table above.

What you'll find below: what BSN programs actually cost in Texas, how the NCLEX-RN licensure exam works and what to ask programs about their pass rates, the difference between CCNE and ACEN accreditation and why it matters, an honest comparison of ADN versus BSN paths, online and accelerated options, and the national salary and employment outlook for registered nurses. Every claim in this guide ties to a real number from public data.

Key Takeaways on the Best RN Programs in Texas

  • UT Austin leads all RN programs in Texas with a Hakia Score of 96.1 and an 89% graduation rate, the highest in the ranking.
  • Median in-state tuition across 66 Texas nursing programs analyzed is $10,038 per year; public university RN programs range from $6,672 (Texas Tech HSC) to $11,688 (UT Austin).
  • Private nonprofit schools Baylor ($58,100/yr) and TCU ($61,650/yr) cost 5-6x more than the top public RN programs in Texas.
  • The national median annual wage for registered nurses is $97,550, per BLS OEWS data; this is national context, not a school-specific outcome.
  • Average graduation rate across programs ranked is 78%; the range runs from 65% (University of Houston) to 89% (UT Austin), a 24-point spread that matters when choosing where to enroll.
  • All programs worth considering hold CCNE or ACEN accreditation; without it, your BSN may not qualify you for certain federal aid or graduate school admission.

Programs are ranked using the Hakia Score, a composite index built from graduation rate, admissions selectivity, in-state tuition cost, and registered nurse employment outcomes. Data comes from IPEDS and BLS OEWS. No program pays for placement. Graduation rate carries the heaviest weight because it is the most reliable signal of whether a program delivers on its promise.

The 12 Best RN Programs in Texas, Ranked for 2026

The 12 best RN Programs in Texas, ranked by outcomes
#ProgramTypeIn-state tuitionGrad rateAdmit rateHakia Score
1The University of Texas at AustinAustin, TXPublic$11,68889%27%96.1
2Texas A&M University-College StationCollege Station, TX · online optionPublic$9,09284%57%94.6
3Baylor UniversityWaco, TXnonprofit$58,10080%51%92.8
4Texas Christian UniversityFort Worth, TXnonprofit$61,65086%44%92.1
5Galen College of Nursing-San AntonioSan Antonio, TXfor-profit$16,84881%89.0
6Texas Tech University Health Sciences CenterLubbock, TXPublic$6,67288.7
7University of HoustonHouston, TXPublic$8,68565%74%86.4
8The University of Texas Health Science Center at San AntonioSan Antonio, TXPublic$7,76785.2
9The University of Texas Health Science Center at HoustonHouston, TXPublic$10,03884.9
10Hallmark UniversitySan Antonio, TX · online optionnonprofit66%51%84.6
11The University of Texas Medical Branch at GalvestonGalveston, TXPublic$8,58083.7
12Western Technical CollegeEl Paso, TXfor-profit72%80.8

The Top RN Programs in Texas at a Glance

Each program scores 0 to 100 on the Hakia Score, a composite of graduation rate, cost, selectivity, and outcomes. Longer bars rank higher.

A Closer Look at the Top RN Programs in Texas

#1

The University of Texas at Austin

Austin, TX · Public

96.1Score
$11,688In-state
$44,908Out-of-state
Grad rate89%
Admit rate27%

UT Austin's BSN admits just 27% of applicants, making it the most selective nursing program in Texas ranked in this list.

  • 89% graduation rate
  • 27% admit rate (most selective)
  • $11,688 in-state tuition
  • Hakia Score 96.1

The University of Texas at Austin School of Nursing offers a single, full-time traditional BSN that runs four years with no part-time or distance learning options. The program is direct-entry, meaning no separate application is required before upper-division coursework. Freshmen, internal transfers, and external transfers each follow a distinct admission pathway. External transfer applicants need only three prerequisite courses (Biology, Chemistry, and Statistics) and do not sit for HESI or TEAS. Highly motivated students can apply to the Undergraduate Nursing Honors Program, focused on undergraduate research and scholarship development. Fall is the only entry point for all pathways.

With a 27% admit rate, this is a genuinely competitive program. A 89% graduation rate and a Hakia Score of 96.1 put it first in Texas among the programs reviewed here. In-state tuition is $11,688 per year; out-of-state tuition climbs to $44,908, so residency is a significant cost factor. The program is grounded in clinical judgment, evidence-based practice, health policy, and informatics, with clinical rotations across hospital and community settings. It suits high-achieving applicants, especially Texas residents, who want a rigorous public university BSN with a direct path to the NCLEX-RN.

Registered nurses nationally earn a median of $97,550 per year according to BLS OEWS data. UT Austin graduates enter a wide range of clinical settings, and the program explicitly frames its curriculum as a foundation for graduate study at the master's and doctoral levels.

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#2

Texas A&M University-College Station

College Station, TX · Public · online option

94.6Score
$9,092In-state
$36,169Out-of-state
Grad rate84%
Admit rate57%

At $9,092 in-state tuition, Texas A&M's Traditional BSN is the most affordable program among Texas's top-ranked schools in this list.

  • $9,092 in-state tuition (lowest in group)
  • 84% graduation rate
  • 57% admit rate
  • Hakia Score 94.6

Texas A&M University's College of Nursing offers a Traditional BSN that runs two years (four semesters, 61 credit hours of professional coursework) after applicants complete approximately 59 prerequisite semester credit hours. The program runs at Bryan-College Station and McAllen campuses. Graduating high school students are not eligible; applicants must qualify as transfers under Texas A&M's definition. The College also offers a second-degree BSN in Round Rock for those who already hold a bachelor's degree, though applicants may only apply to one program per cycle. The BSN meets U.S. Army AMEDD Enlisted Commissioning Program requirements, a concrete differentiator for military-affiliated students.

Admission requires a 3.0 GPA in nursing science and prerequisite coursework, plus a 75% HESI score in each section, Kira Talent written and verbal assessments, and a NursingCAS application. With a 57% admit rate, entry is competitive but more accessible than UT Austin. The 84% graduation rate and Hakia Score of 94.6 reflect strong outcomes at scale: Texas A&M enrolls 78,321 students institution-wide. In-state tuition is $9,092 annually versus $36,169 out-of-state. Texas residents get exceptional value here. The program is a strong fit for transfer students who have already built their science prerequisites and want a structured two-year pathway to the NCLEX-RN.

Registered nurses nationally earn a median of $97,550 per year per BLS OEWS. Texas A&M guides students through Texas RN licensure during their final semester, giving graduates a clear, supported path to their license from day one of enrollment.

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#3

Baylor University

Waco, TX · nonprofit

92.8Score
$58,100In-state
$58,100Out-of-state
Grad rate80%
Admit rate51%

Baylor's BSN places students at Baylor University Medical Center in Dallas for upper-division clinicals, one of the most hospital-dense training environments in Texas.

  • Clinicals at Baylor University Medical Center Dallas
  • 80% graduation rate
  • 51% admit rate
  • Hakia Score 92.8

Baylor University's Louise Herrington School of Nursing runs a BSN that splits into two distinct phases. Pre-nursing prerequisites in liberal arts, natural sciences, and behavioral sciences are typically completed on Baylor's Waco campus or at another accredited institution. Students then transfer to the Dallas campus for two years of upper-division professional coursework, located directly on the campus of Baylor University Medical Center at Dallas. The program does not list separate accelerated or RN-to-BSN tracks on its program page; the focus is this traditional pre-nursing-to-upper-division pathway.

Baylor is private and nonprofit, so tuition is the same regardless of residency: $58,100 per year. That is a significant commitment. The tradeoff is a 51% admit rate (more accessible than UT Austin) and an 80% graduation rate, alongside a Hakia Score of 92.8. The Dallas Medical Center location means clinical exposure happens inside a nationally recognized teaching and research hospital, not a community affiliate. For students who want hospital-floor experience from day one of upper-division study and can absorb private-school tuition, Baylor makes a direct case. Financial aid and scholarship availability should be a primary question for any applicant weighing this cost against a public alternative.

Registered nurses earn a national median of $97,550 per year according to BLS OEWS. Baylor's program page notes that most graduates receive employment offers in Dallas or their chosen market, consistent with the demand picture for BSN-prepared nurses nationally per BLS Occupational Outlook.

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#4

Texas Christian University

Fort Worth, TX · nonprofit

92.1Score
$61,650In-state
$61,650Out-of-state
Grad rate86%
Admit rate44%

TCU's BSN posts an 86% graduation rate, the highest among the four top Texas programs in this ranking, despite being the smallest school in the group.

  • 86% graduation rate (highest in group)
  • $61,650 flat tuition (private)
  • 44% admit rate
  • Hakia Score 92.1

Texas Christian University's Harris College of Nursing and Health Sciences offers a traditional BSN at its Fort Worth campus. The program page highlights its Health Professions Learning Center (HPLC) as a core differentiator: dedicated simulation staff and what TCU describes as cutting-edge technology for clinical reasoning and simulation practice before students enter hospital settings. Sample coursework includes Anatomy and Physiology, Pharmacotherapeutics, and Clinical Reasoning and Simulation, as well as a Research and Evidence Based Practice Community. TCU accepts applications from both first-year and transfer students; admission carries special requirements for the nursing program beyond the university's general process.

At 12,938 total enrollment, TCU is the smallest institution in this group, which translates to smaller cohort sizes and closer faculty-to-student ratios in practice. The 86% graduation rate is the highest of the four programs here. Admit rate is 44%, sitting between Baylor and UT Austin in selectivity. The cost, however, is the highest in the group: $61,650 per year with no in-state/out-of-state distinction, as a private university. A Hakia Score of 92.1 reflects strong program quality. TCU is the right choice for students who prioritize simulation-heavy preparation and a tighter campus community, and who can manage private-school costs or secure institutional aid.

The national median wage for registered nurses is $97,550 per year per BLS OEWS. RN employment is projected to grow 6% through 2033 per the BLS Occupational Outlook, making nursing one of the more durable career bets in healthcare for graduates of any of these programs.

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#5

Galen College of Nursing-San Antonio

San Antonio, TX · for-profit

89.0Score
$16,848In-state
$16,848Out-of-state
Grad rate81%

Galen's 3-year BSN gets you licensed as an RN a full year faster than a traditional program, with no prerequisites required to apply.

  • 81% graduation rate
  • $16,848 flat tuition (no residency differential)
  • Hakia Score 89
  • 3-year accelerated BSN, 4 start dates per year

Galen College of Nursing's San Antonio campus offers a focused, year-round 3-Year Bachelor of Science in Nursing for students who are new to nursing and want to start directly at the bachelor's level. The program runs four start times per year, requires no prerequisites at the point of application, and delivers all instruction on campus through a blend of classroom work, simulation labs, and clinical rotations. There is no separate accelerated track or RN-to-BSN pathway at this location; the 3-year model is the pathway, condensing what traditional programs stretch across four years into a continuous, structured curriculum.

Galen San Antonio earns a Hakia Score of 89 in the 2026 Texas rankings. The program posts an 81% graduation rate, a strong outcome for a private, open-access school that enrolls students who elsewhere might not clear a competitive admissions bar. Tuition runs $16,848 per year regardless of residency, since Galen is a private institution. That is the full stated rate with no in-state discount. Prospective students should weigh that cost against the one-year time-to-degree advantage over a four-year public program: paying more per year for fewer years may pencil out, especially for career changers who want to reach the workforce faster. Registered nurses nationally earn a median of $97,550 per year according to BLS OEWS data.

Enrollment across the San Antonio campus stands at 2,953 students. The admissions process is deliberately low-friction: a free, essay-free application, a required entrance assessment such as the TEAS (a bachelor's degree can substitute), and an admissions appointment before final enrollment. That accessibility is the program's deliberate design, not a gap in rigor. Support structures include personalized academic resources and faculty mentorship from day one.

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#6

Texas Tech University Health Sciences Center

Lubbock, TX · Public

88.7Score
$6,672In-state
$18,972Out-of-state

TTUHSC's Traditional BSN costs in-state students just $6,672 per year and carries CCNE accreditation plus an NLN Center of Excellence designation.

  • $6,672 in-state tuition
  • CCNE accredited + NLN Center of Excellence
  • Hakia Score 88.7
  • 5 Texas campus locations

Texas Tech University Health Sciences Center offers a Traditional Bachelor of Science in Nursing designed for students who are not yet registered nurses. The program completes in four consecutive semesters of nursing coursework after prerequisite completion, and TTUHSC runs it across five Texas sites: Abilene, Amarillo, Lubbock, Odessa, and Mansfield. The Mansfield location operates as a distance education site. The curriculum combines classroom instruction, patient simulators, and hospital clinical rotations. The school's page notes it has been ranked the number-one nursing school in Texas for three consecutive years, and the program holds CCNE accreditation. The National League for Nursing has also designated TTUHSC School of Nursing as a Center of Excellence in Nursing Education.

TTUHSC earns a Hakia Score of 88.7. For Texas residents, tuition is $6,672 per year, making this one of the most affordable BSN options in the state. Out-of-state students pay $18,972 per year, a meaningful jump that tips the cost calculus firmly toward in-state applicants. The program sets a preferred minimum cumulative GPA of 3.0 and a preferred science GPA of 3.0, and applicants must complete at least 14 of 19 required non-nursing prerequisite courses before the deadline, including at least four of the five required sciences. That prerequisite load reflects a selective, academically rigorous pipeline even if it is not described in terms of an admit rate.

The institution enrolls 5,098 students. Faculty maintain open-door communication policies, and students have access to a 24/7 online Student Resource Center covering writing tools, tech support, and English language learner resources. The multi-site footprint across West Texas gives the program unusual geographic reach for a health sciences university, which matters for students who want to stay close to home while attending a well-regarded public program.

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#7

University of Houston

Houston, TX · Public

86.4Score
$8,685In-state
$21,515Out-of-state
Grad rate65%
Admit rate74%

The University of Houston's Traditional BSN feeds into a flagship research university with 47,980 enrolled students and in-state tuition under $9,000 per year.

  • $8,685 in-state tuition
  • 74% institutional admit rate
  • Hakia Score 86.4
  • Large research university network (47,980 enrolled)

The Andy and Barbara Gessner College of Nursing at the University of Houston offers a Traditional BSN Track built for freshmen who enter UH and plan to apply to the nursing program. The first two years of prerequisite and general education coursework happen on the main Houston campus; after gaining admission to the nursing program, the junior and senior clinical years move to the University of Houston Katy Campus. The program emphasizes synthesis across biological sciences, social sciences, behavioral sciences, and humanities, with explicit goals around culturally sensitive care, interprofessional collaboration, research application, and critical thinking. There is no accelerated or RN-to-BSN track listed on this page; the traditional four-year pathway is the program described.

UH's BSN earns a Hakia Score of 86.4. The graduation rate stands at 65%, the lowest among these four programs, which matters for students weighing selectivity against outcomes. The university admits 74% of applicants at the institutional level, making entry to UH itself accessible, though nursing program admission after the first two years is a separate, competitive step. In-state tuition is $8,685 per year; out-of-state students pay $21,515 per year. For Texas residents, UH offers research-university resources at a public price point. Registered nurses nationally earn a median of $97,550 per year per BLS OEWS, and Houston's large medical center presence creates a dense local job market for new graduates.

Total enrollment at UH is 47,980, giving nursing students access to the full breadth of a major research institution including career services, interprofessional health programs, and an established alumni network. The two-campus structure (main campus for prerequisites, Katy for clinical years) requires planning for students without reliable transportation between sites. That tradeoff is worth naming early in the decision process.

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#8

The University of Texas Health Science Center at San Antonio

San Antonio, TX · Public

85.2Score
$7,767In-state
$24,552Out-of-state

UT Health San Antonio's Traditional BSN completes the nursing portion in just 22 months, and eligible students may have tuition and mandatory fees fully covered through the Bold Promise Program.

  • $7,767 in-state tuition
  • 22-month nursing curriculum after prerequisites
  • Bold Promise full-tuition scholarship for eligible students
  • Hakia Score 85.2

The School of Nursing at The University of Texas Health Science Center at San Antonio offers a Traditional BSN track for students who are not registered nurses. After four semesters of prerequisite coursework, accepted students complete the nursing curriculum across four additional semesters (semesters 5 through 8 of the full four-year degree), amounting to 22 months of full-time nursing study. The program targets generalist pre-licensure competencies and offers students the opportunity to earn distinction in research and in clinical service. Courses are designed around high-impact practices intended to build clinical reasoning. There is no separate accelerated or RN-to-BSN track described on this page.

UT Health San Antonio earns a Hakia Score of 85.2. In-state tuition is $7,767 per year; out-of-state tuition is $24,552 per year, a gap that makes residency status a primary financial variable. The school lists more than 40 scholarship opportunities, and the Bold Promise Program fully covers tuition and mandatory fees for eligible students, a meaningful backstop for cost-sensitive applicants. Admission requires a TEAS score of at least 65, a 3.0 prerequisite GPA, and completion of at least 51 of 60 required prerequisite hours (including all math and science courses) by the application deadline. Those thresholds set a clear academic floor. The institution enrolls 3,786 students, a focused health sciences environment rather than a large comprehensive university.

The San Antonio location places students inside one of Texas's largest healthcare ecosystems, with clinical training opportunities across a dense network of hospitals and specialty facilities. The compact, health-sciences-only campus means students interact primarily with future clinicians across medicine, dentistry, and allied health rather than a general undergraduate population. For prospective nurses who want an immersive clinical training environment with strong scholarship access, this is a program worth pricing out carefully using IPEDS net-price data against the published tuition figures.

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#9

The University of Texas Health Science Center at Houston

Houston, TX · Public

84.9Score
$10,038In-state
$37,422Out-of-state

UTHealth Houston's Cizik School of Nursing offers a 15-month accelerated BSN with free tuition for qualifying students earning under $100,000 annually.

  • $10,038 in-state tuition
  • 15-month Pacesetter Accelerated BSN track
  • Free tuition available for income-qualifying students
  • Hakia Score 84.9

Cizik School of Nursing at UTHealth Houston offers two BSN pathways: the Pacesetter Accelerated BSN, a 15-month entry-to-practice option for students seeking a direct route to RN licensure, and a flexible hybrid RN-to-BSN for working nurses advancing from an associate degree. The program is housed inside the Texas Medical Center, the largest medical complex in the world, and maintains clinical affiliations with more than 200 healthcare institutions in the Greater Houston area. The program is accredited by the Commission on Collegiate Nursing Education (CCNE) and approved by the Texas Board of Nursing.

Cost is a genuine differentiator here. In-state tuition runs $10,038 per year, and the UTHealth Houston Future Nurses Fund can reduce tuition and required fees to zero for full-time BSN students with a gross adjusted income under $100,000. Out-of-state tuition climbs to $37,422, so residency status matters. With a Hakia Score of 84.9 and an enrollment of 4,938, this is a large, research-connected health science center program built for students who want accelerated entry into practice without sacrificing clinical depth. National median salary for registered nurses is $97,550 per year according to the BLS OEWS.

The Simulation and Clinical Performance Laboratory gives students hands-on skills training before they enter affiliate hospital floors. Faculty are described as practicing nurses, meaning instruction is tied to current clinical realities. The school also offers need-based and academic scholarships beyond the Future Nurses Fund, making it one of the few public health science programs where cost can realistically approach zero for income-qualifying students.

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#10

Hallmark University

San Antonio, TX · nonprofit · online option

84.6Score
In-state
Out-of-state
Grad rate66%
Admit rate51%

Hallmark University's 32-month BSN lets San Antonio students finish in nearly half the time of a traditional four-year program at $550 per credit hour.

  • 32-month accelerated BSN completion
  • 66% graduation rate
  • $550 per credit hour tuition
  • Hakia Score 84.6

Hallmark University in San Antonio offers a Bachelor of Science in Nursing designed for completion in 32 months, running on 8-week terms with six terms per year so students can start without waiting for a traditional semester cycle. The program prepares graduates to sit for the NCLEX-RN and is approved by the Texas Board of Nursing. Prerequisite courses are accepted but not required for admission. The curriculum blends simulation laboratories with hybrid learning, emphasizing case study analysis, critical thinking, and problem-based learning through virtual labs.

Accreditation is in process: as of March 12, 2025, the nursing program holds candidate status for initial accreditation from the Accreditation Commission for Education in Nursing (ACEN), with candidacy expiring March 12, 2027. The institution itself is accredited through ACCSC. Students choosing this program should weigh that provisional accreditation status carefully. The program carries a Hakia Score of 84.6, a 66% graduation rate, and a 51% admit rate, placing it in a moderately selective tier. Enrollment stands at 836, making this a significantly smaller cohort than large public health science programs. National RN median pay is $97,550 per year per the BLS OEWS.

Tuition is $550 per credit hour across 120 total credit hours, with additional lab and technology fees per term. The school emphasizes affordability and speed: Hallmark frames the 32-month timeline as saving students roughly $175,000 compared to the national average of 58 months to complete a bachelor's degree when lost wages and tuition are combined. Federal financial aid, scholarships, and veterans benefits are all available. This program suits students who prioritize calendar speed and lower cost over attending a research-intensive institution, and who are comfortable with a program still working toward full ACEN accreditation.

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What RN Programs in Texas Actually Cost

Public university RN programs in Texas are genuinely affordable by national standards. In-state tuition at the ranked public schools runs from $6,672 per year at Texas Tech University Health Sciences Center to $11,688 at UT Austin. The median across all 66 programs analyzed is $10,038. That's tuition only; fees, books, clinical supplies, and living costs add to the total, but the tuition baseline gives you a real comparison point before you start filling out applications.

Private nonprofit programs are a different conversation. Baylor University comes in at $58,100 per year in tuition; Texas Christian University is $61,650. Both earn Hakia Scores above 92, so the outcomes justify scrutiny, but you're looking at a 5-to-6x tuition gap compared to the top public programs. Whether that gap closes because of financial aid, prestige in a specific job market, or personal preference is a calculation each student has to run for themselves. The numbers here give you the starting point.

The return-on-investment frame that nursing schools love to use goes like this: registered nurses earn a national median of $97,550 per year, per BLS OEWS data. That salary is the same regardless of where you earned your BSN. What differs between programs is how much debt you carry when you start earning it. A public-school BSN at $10,000 per year in tuition over four years costs roughly $40,000 before aid. A private-school BSN at $60,000 per year costs $240,000 before aid. The salary outcome is identical. The debt load is not.

Texas also has nursing-specific scholarship and loan forgiveness programs tied to rural and underserved area practice. If you're open to working outside a major metro after graduation, those programs can further reduce net cost. Factor that in alongside the tuition figures when comparing RN programs.

The NCLEX-RN and What Licensure Requires

Completing a BSN is not the same as becoming a registered nurse. After graduation, you must pass the NCLEX-RN, the national licensure exam administered by the National Council of State Boards of Nursing. Every state in the country, including Texas, requires passage before you can practice as an RN. The exam tests clinical judgment across a range of patient care scenarios, not memorized facts.

The national first-attempt pass rate for the NCLEX-RN sits near 80%. That means roughly one in five candidates who sit for the exam on their first attempt does not pass. When you're comparing RN programs in Texas, the NCLEX pass rate of each program's graduates is one of the most important data points you can ask for. Programs accredited by CCNE or ACEN are required to monitor and report this figure. If a program is reluctant to share it, that tells you something.

Texas uses the national licensure standard administered through the Texas Board of Nursing. After passing the NCLEX, you apply for a Texas RN license through the state board. If you plan to practice in another state, Texas participates in the Nurse Licensure Compact, which means your Texas license is valid in other compact states without a separate application. That compact membership matters if you're considering travel nursing or relocating after graduation.

CCNE vs ACEN: Why Nursing Program Accreditation Matters

There are two national accrediting bodies for nursing programs in the United States. CCNE, the Commission on Collegiate Nursing Education, is affiliated with the American Association of Colleges of Nursing and accredits baccalaureate and graduate-level programs. ACEN, the Accreditation Commission for Education in Nursing, accredits programs across all degree levels including ADN programs. Details on each are at AACN (CCNE) and ACEN.

Both accreditations are legitimate. Both require programs to meet curriculum, faculty, and outcome standards. The practical reason accreditation matters: some federal financial aid programs, employer tuition reimbursement plans, and graduate nursing schools require that your BSN come from a CCNE- or ACEN-accredited program. If you graduate from a nursing program without one of those accreditations, you may find doors closed that you didn't expect.

When you're evaluating RN programs in Texas, accreditation status is a baseline filter, not a differentiator. Every program worth considering should have it. If a program you're looking at does not hold current CCNE or ACEN accreditation, move on. Regional institutional accreditation alone is not a substitute for programmatic nursing accreditation. Confirm accreditation status directly with the program and cross-check it on the CCNE or ACEN directories, not just the school's website.

ADN vs BSN: An Honest Comparison for Texas RN Programs

Both the ADN and the BSN qualify you to sit for the NCLEX-RN and practice as a registered nurse. The ADN typically takes two years at a community college; tuition is lower and the path to licensure is faster. If your priority is getting to work as an RN as quickly as possible, the ADN gets you there. This ranking focuses on BSN programs, not because the ADN is a lesser choice, but because the BSN is increasingly the baseline expectation in Texas hospital systems.

The pressure toward BSN-level preparation has been building for over a decade. Many large hospital systems in Texas, particularly Magnet-designated facilities in Houston, Dallas, and San Antonio, either require a BSN for hire or set it as the standard for advancement. If your long-term plan includes a management role, a specialty certification, or a graduate nursing program, the BSN is the cleaner starting point. An ADN gets you licensed; the BSN gets you licensed with more career runway.

The middle path is the RN-to-BSN program, designed for nurses who already hold an ADN and an active RN license. Programs like those at Texas Tech University Health Sciences Center and UT Health institutions offer structured pathways that let working nurses complete a BSN at their own pace, often in 12 to 24 months. If you're already working as an RN with an ADN, an RN-to-BSN completion program is often more efficient than going back to a traditional four-year track. The nursing programs in this ranking include institutions that offer both traditional BSN and RN-to-BSN tracks.

Online RN Programs and Accelerated BSN Options in Texas

Online RN programs, specifically online BSN completion and RN-to-BSN tracks, are a practical option for working nurses in Texas who need scheduling flexibility. The clinical component of any BSN still requires in-person hours, so no nursing program is fully online. What's delivered online is the didactic coursework: nursing theory, pharmacology, leadership, public health. The clinical hours happen in your local area, coordinated through the program's placement network.

For career changers with a non-nursing bachelor's degree, the accelerated BSN (ABSN) is worth serious consideration. ABSN programs compress the standard four-year curriculum into 12 to 18 months of intensive full-time study. The tradeoff is demanding: you are essentially doing two to three years of nursing school content in half the time. Programs like Galen College of Nursing in San Antonio offer accelerated tracks and earned a Hakia Score of 89.0 in this ranking, with an 81% graduation rate. That graduation rate matters: if an ABSN program is too accelerated to keep students on track, the graduation rate reflects it.

Before enrolling in any online or accelerated RN program, verify two things. First, confirm the program is CCNE- or ACEN-accredited. Second, confirm the program has established clinical placement partnerships in your geographic area. Some online nursing programs place the burden of finding clinical sites entirely on the student, which is a real obstacle in markets where clinical sites are already oversubscribed. Ask the program coordinator directly how clinical placements are handled and what the average wait time is before starting rotations.

RN Salary and Job Outlook: What the Numbers Say

The national median annual wage for registered nurses is $97,550, according to BLS data. That figure is the same regardless of which Texas nursing program you attend. Where you end up in the salary distribution depends on specialty, setting, experience, and geography, not which school is on your diploma. The top 10% of registered nurses nationally earn over $130,000 per year. Entry-level RNs in most Texas markets start between $55,000 and $70,000.

The BLS projects registered nurse employment to grow 6% through 2034, faster than average for all occupations. Texas is among the states driving that demand. Population growth, an expanding network of healthcare facilities, and retirements among the current RN workforce are all contributing factors. The Texas Department of State Health Services has flagged rural nursing shortages as a persistent concern, which is part of why loan forgiveness programs tied to rural practice exist in the state.

Specialty matters as much as geography for salary. RNs in critical care, perioperative, and anesthesia-support roles earn more than floor nurses in general medical-surgical units. Most specialty pathways require additional certification after licensure, but they start with the same BSN and NCLEX credential. The nursing programs in this ranking all provide the foundation. Where you take that foundation depends on your clinical interests and career trajectory. One more note: the $97,550 median is a national figure from BLS OEWS data. It reflects the full workforce, not just new graduates. Build your expectations around the entry-level range in your target market, then use the median as a 10-year benchmark.

RN Programs in Texas: Your Questions, Answered

How long does it take to complete a BSN program in Texas?
Most traditional BSN programs run four years. If you already hold a non-nursing bachelor's degree, an accelerated BSN (ABSN) can get you to graduation in 12 to 18 months of intensive coursework. RN-to-BSN programs for licensed ADN nurses typically run 12 to 24 months part-time. Your timeline depends on which entry point you're starting from.
What NCLEX pass rate should I look for in a nursing program?
The national first-attempt pass rate for the NCLEX-RN sits near 80%. Programs consistently above that threshold are performing well. Before you enroll, ask any school for its most recent first-attempt NCLEX pass rate by cohort, not a rolling average. Programs accredited by CCNE or ACEN are required to monitor and report this data. You can read more about the exam at the NCSBN website: https://www.ncsbn.org/exams/nclex.page
Is an online BSN degree respected by employers?
Yes, if it carries regional accreditation and programmatic accreditation from CCNE or ACEN. Employers verify licensure, not the delivery format. Where online programs differ is in clinical placement: you still complete hundreds of hours of supervised clinical rotations in person. Confirm a program has a clinical placement infrastructure in your area before you enroll.
What is the difference between an ADN and a BSN for RN programs?
Both the ADN and BSN qualify you to sit for the NCLEX-RN and become a licensed registered nurse. The ADN takes roughly two years; the BSN takes four. The gap that matters is career trajectory. Many hospitals, especially Magnet-designated facilities, require or strongly prefer BSN nurses for hire and promotion. The BSN also opens the door to graduate nursing programs without an additional bridge step.
How much do RN programs in Texas cost?
In-state tuition at public universities in this ranking ranges from $6,672 at Texas Tech University Health Sciences Center to $11,688 at UT Austin. Private nonprofit schools like Baylor and TCU run $58,100 to $61,650 per year. The median in-state tuition across the 66 programs analyzed is $10,038. Financial aid, scholarships, and Texas-specific loan forgiveness programs can significantly reduce out-of-pocket costs.
Do RN programs in Texas require specific prerequisites?
Yes. Most BSN programs require prerequisite science courses including anatomy, physiology, microbiology, and chemistry, typically completed with a minimum GPA of 2.5 to 3.0. Competitive programs like UT Austin and Texas A&M often see average admitted GPAs well above that minimum. Check each program's nursing school application directly, since prerequisites vary and some require completion before applying.
What accreditation should a Texas nursing program have?
Look for programmatic accreditation from either CCNE (Commission on Collegiate Nursing Education) or ACEN (Accreditation Commission for Education in Nursing). Regional institutional accreditation alone is not enough for nursing programs. CCNE and ACEN accreditation signals the curriculum meets national standards and is required for eligibility for certain federal financial aid and graduate school admission. Details at https://www.aacnnursing.org/ccne-accreditation and https://www.acenursing.org/
What is the job outlook for registered nurses in Texas?
Nationally, the BLS projects registered nurse employment to grow 6% through 2034, faster than average for all occupations. Texas is one of the states driving that demand, with a large and growing population and significant hospital system expansion. The national median annual wage for registered nurses is $97,550, per BLS data. Texas metro markets including Houston, Dallas, and San Antonio consistently rank among the highest-volume RN hiring markets in the country.

How the RN Programs in Texas Are Scored

Every program earns a Hakia Score from 0 to 100, built only from federal data (IPEDS, the U.S. Department of Education, and BLS) and scored against its true peers: programs in the same field at the same degree level. No reputation surveys, no pay-to-play. Here is how the score is weighted:

  • Outcomes44%

    Graduation rate (26%) and real per-school graduate earnings (18%). Does the program get students to the finish line, and where do they land?

  • Selectivity & academics38%

    Admissions selectivity (24%) and the academic profile of admitted students (14%).

  • Scale & value18%

    Enrollment (7%), cost-to-earnings value (6%), and the number of graduates a program produces (5%).

Weights renormalize over the data each program actually reports, so a school missing a metric (many community colleges do not publish entrance scores or earnings) is never penalized for it. Scores are percentiles within the peer group, curved to a 0-to-100 scale. What the score does not measure: clinical placement quality, NCLEX pass rates, or campus culture. Verify those directly with the program.

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Data sources