Total streamflow across the Medina River was last observed at 112 cfs, and is expected to yield approximately 221 acre-ft of water today; about 169% of normal. River levels are high. Average streamflow for this time of year is 66 cfs, with recent peaks last observed on 2024-01-23 when daily discharge volume was observed at 2,154 cfs.

Maximum discharge along the river is currently at the Medina Rv At San Antonio reporting a streamflow rate of 102 cfs. However, the streamgauge with the highest stage along the river is the Medina Rv Nr Von Ormy with a gauge stage of 5.92 ft. This river is monitored from 4 different streamgauging stations along the Medina River, the highest being situated at an altitude of 1,194 ft, the Medina Rv At Bandera.