St. Louis vs St. Joseph: Occupational Therapy Assistant Salary (2026)
Compare occupational therapy assistant salaries between St. Louis, MO and St. Joseph, MO. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | St. Louis, MO | St. Joseph, MO |
|---|---|---|
| Median Salary | $69,345▲ | $64,760 |
| Hourly Rate | $33.34▲ | $31.13 |
| Entry Level (P10) | $52,423▲ | $45,047 |
| 25th Percentile | $62,951▲ | $54,034 |
| 75th Percentile | $76,306▲ | $69,403 |
| Top Earner (P90) | $86,463▲ | $77,190 |
| Total Employed | 780▲ | 18 |
Verdict
St. Louis, MO offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to St. Joseph.
The salary gap between St. Louis and St. Joseph is $4,585 (7.08%). 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 St. Louis spans $34,040,St. Joseph spans $32,143. St. Louis has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, St. Louis ($72,927 effective) pays 0.90% more than St. Joseph ($72,277 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose St. Louis if…
- ✓Higher median salary ($69,345/year)
- ✓Better top-earner potential ($86,463)
- ✓Larger job market (780 employed)
- ✓Better purchasing power (CoL-adjusted: $72,927)
- ✓You prefer the Missouri area and lifestyle
Choose St. Joseph if…
- ✓You prefer the Missouri area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, occupational therapy assistant salaries in St. Louis grew 18.7% from 2019 to 2025, compared to 13.1% growth in St. Joseph over the same period.
St. Louis, MO
$56,840 (2019) → $67,450 (2025)
St. Joseph, MO
$55,711 (2024) → $62,990 (2025)
View Full Salary Data
St. Louis, MO
St. Joseph, MO
Frequently Asked Questions
Which city pays occupational therapy assistants more: St. Louis or St. Joseph?
What is the hourly rate difference between St. Louis and St. Joseph?
Should I relocate from St. Louis to St. Joseph as a occupational therapy assistant?
What do entry-level occupational therapy assistants earn in St. Louis vs St. Joseph?
Related Comparisons
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.
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