OT Assistant Salary

Cape Girardeau vs St. Louis: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Cape Girardeau, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Cape Girardeau, MO
$63,752
$30.65/hr
St. Louis, MO
$69,345
$33.34/hr

Side-by-Side Comparison

MetricCape Girardeau, MOSt. Louis, MO
Median Salary$63,752$69,345
Hourly Rate$30.65$33.34
Entry Level (P10)$58,118$52,423
25th Percentile$63,321$62,951
75th Percentile$75,164$76,306
Top Earner (P90)$76,244$86,463
Total Employed60780
Side-by-side bar chart comparing Cape Girardeau ($63,752) and St. Louis ($69,345) occupational therapy assistant salaries.Cape GirardeauSt. LouisMedian Salary$63,752$69,345Entry Level (P10)$58,118$52,423Top Earner (P90)$76,244$86,463US Median $74,332

Verdict

St. Louis, MO offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Cape Girardeau.

The salary gap between Cape Girardeau and St. Louis is $5,593 (8.77%). St. Louis's median is -6.71% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Cape Girardeau spans $18,126,St. Louis spans $34,040. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Cape Girardeau
P10 (Entry)$58,118
P25$63,321
Median$63,752
P75$75,164
P90 (Top)$76,244
St. Louis
P10 (Entry)$52,423
P25$62,951
Median$69,345
P75$76,306
P90 (Top)$86,463

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Cape Girardeau ($74,063 effective) pays 1.56% more than St. Louis ($72,927 effective).

Cape Girardeau
Nominal: $63,752
CoL Index: 86.078
Adjusted: $74,063
St. Louis
Nominal: $69,345
CoL Index: 95.088
Adjusted: $72,927

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Cape Girardeau if…

  • Better purchasing power (CoL-adjusted: $74,063)
  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($69,345/year)
  • Better top-earner potential ($86,463)
  • Larger job market (780 employed)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Cape Girardeau grew 15.1% from 2024 to 2025, compared to 18.7% growth in St. Louis over the same period.

Cape Girardeau, MO

+15.1%

$53,892 (2024) → $62,010 (2025)

St. Louis, MO

+18.7%

$56,840 (2019) → $67,450 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Cape Girardeau or St. Louis?

St. Louis has a higher median occupational therapy assistant salary at $69,345/year, compared to Cape Girardeau at $63,752/year — a difference of $5,593 (8.77%).

What is the hourly rate difference between Cape Girardeau and St. Louis?

Cape Girardeau occupational therapy assistants earn $30.65/hr while St. Louis hygienists earn $33.34/hr (2026 est.).

Should I relocate from Cape Girardeau to St. Louis as a occupational therapy assistant?

Consider more than just salary when comparing Cape Girardeau and St. Louis. Factor in cost of living (CoL-adjusted: Cape Girardeau = $74,063, St. Louis = $72,927), job availability (60 vs 780 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Cape Girardeau vs St. Louis?

Entry-level (10th percentile) occupational therapy assistants earn $58,118 in Cape Girardeau and $52,423 in St. Louis. The Cape Girardeau area offers higher starting salaries.

Related Comparisons

JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov