OT Assistant Salary

Sacramento vs San Bernardino: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between Sacramento, CA and San Bernardino, CA. All figures are 2026 estimates projected from BLS 2025 data.

Sacramento, CA
$97,855
$47.05/hr
San Bernardino, CA
$82,422
$39.62/hr

Side-by-Side Comparison

MetricSacramento, CASan Bernardino, CA
Median Salary$97,855$82,422
Hourly Rate$47.05$39.62
Entry Level (P10)$79,328$53,205
25th Percentile$87,327$70,804
75th Percentile$103,478$91,235
Top Earner (P90)$110,757$109,772
Total Employed17033
Side-by-side bar chart comparing Sacramento ($97,855) and San Bernardino ($82,422) occupational therapy assistant salaries.SacramentoSan BernardinoMedian Salary$97,855$82,422Entry Level (P10)$79,328$53,205Top Earner (P90)$110,757$109,772US Median $74,332

Verdict

Sacramento, CA offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to San Bernardino.

The salary gap between Sacramento and San Bernardino is $15,433 (18.72%). Sacramento's median is +31.65% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Sacramento spans $31,429,San Bernardino spans $56,567. San Bernardino has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapy assistants.

Sacramento
P10 (Entry)$79,328
P25$87,327
Median$97,855
P75$103,478
P90 (Top)$110,757
San Bernardino
P10 (Entry)$53,205
P25$70,804
Median$82,422
P75$91,235
P90 (Top)$109,772

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Sacramento ($91,736 effective) pays 25.88% more than San Bernardino ($72,875 effective).

Sacramento
Nominal: $97,855
CoL Index: 106.67
Adjusted: $91,736
San Bernardino
Nominal: $82,422
CoL Index: 113.1
Adjusted: $72,875

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

Which City Is Right for You?

Choose Sacramento if…

  • Higher median salary ($97,855/year)
  • Better top-earner potential ($110,757)
  • Larger job market (170 employed)
  • Better purchasing power (CoL-adjusted: $91,736)
  • You prefer the California area and lifestyle

Choose San Bernardino if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in Sacramento grew 5.9% from 2019 to 2025, compared to -14.1% growth in San Bernardino over the same period.

Sacramento, CA

+5.9%

$89,910 (2019) → $95,180 (2025)

San Bernardino, CA

+-14.1%

$93,310 (2024) → $80,169 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: Sacramento or San Bernardino?

Sacramento has a higher median occupational therapy assistant salary at $97,855/year, compared to San Bernardino at $82,422/year — a difference of $15,433 (18.72%).

What is the hourly rate difference between Sacramento and San Bernardino?

Sacramento occupational therapy assistants earn $47.05/hr while San Bernardino hygienists earn $39.62/hr (2026 est.).

Should I relocate from Sacramento to San Bernardino as a occupational therapy assistant?

Consider more than just salary when comparing Sacramento and San Bernardino. Factor in cost of living (CoL-adjusted: Sacramento = $91,736, San Bernardino = $72,875), job availability (170 vs 33 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in Sacramento vs San Bernardino?

Entry-level (10th percentile) occupational therapy assistants earn $79,328 in Sacramento and $53,205 in San Bernardino. The Sacramento 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