MO · St. Louis · Updated October 15, 2026

Certified Nursing Assistant jobs in St. Louis, MO

Pay for certified nursing assistants in the St. Louis area centers on $18.66 per hour, or about $38,820 a year. The lower quarter earns under $17.56 and the upper quarter over $20.94. The CMS hospital directory lists 11 hospitals in St. Louis. That ranks 165th of 380 U.S. metro areas for certified nursing assistant pay, and 178th of 341 once local prices are factored in. Your free pay report adds named employers and the roles open near St. Louis.

Open Certified Nursing Assistant roles in St. Louis

More open Certified Nursing Assistant roles in St. Louis

5 more open roles from employers in St. Louis. Each employer’s range arrives with your free pay report.

PermanentPosted 2 days ago

Patient Care Technician

American Renal Associates · St. Louis, MO

Pay range with your report
  • Full-Time
  • Req P-103134
New this week
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Certified Nursing Assistant pay in St. Louis, MO

The metro median is 4% above the Missouri statewide median of $17.87 per hour. Nationally the median is $19.01 per hour. BLS counts about 14,360 nursing assistants employed in the St. Louis metro area, 10.7 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.19).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$15.16$31,53020% below U.S. median
Lower quartile$17.56$36,5208% below U.S. median
Median$18.66$38,8202% below U.S. median
Upper quartile$20.94$43,56010% above U.S. median
Top 10%$22.12$46,01016% above U.S. median

How St. Louis ranks

  • 165th of 380 U.S. metro areas by median hourly pay
  • 178th of 341 after adjusting for local prices
  • 3rd of 8 Missouri metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Nursing Assistants (SOC 31-1131), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in St. Louis

  • Overall prices in St. Louis run 5% below the U.S. average (index 95.1, U.S. = 100).
  • Housing is the biggest driver: 21% below the U.S. average (index 79.0).
  • Adjusted for local prices, a $18.66 median hour buys what $19.62 buys at the national price level, 3% above the national median.

Source: U.S. Bureau of Economic Analysis, Regional Price Parities by metropolitan area, 2024. Prices are for the metro area, not for a single neighborhood.

Estimate your St. Louis paycheck

Estimated weekly gross$672
  • Per year: $33,588
  • Per month: $2,799

Gross pay before taxes and benefits, from BLS pay levels for the St. Louis metro area. For take-home pay use the take-home pay calculator.

Travel assignment per diem in St. Louis

ItemFederal rate
Lodging per night$150
Meals and incidentals per day$86
Per week (7 nights, 7 days)$1,652
13-week assignment$21,476

Travel certified nursing assistant assignments commonly pay housing and meals stipends. The GSA per diem is the federal benchmark for what those stipends can be tax-free. Whether a stipend is tax-free for you depends on keeping a valid tax home, so confirm with your recruiter and a tax professional. Compare with your offer in the travel pay calculator.

Source: U.S. General Services Administration per diem rates, fiscal year 2026 (average across months).

Hospitals in St. Louis

CMS lists 11 hospitals in St. Louis, 5 of the 8 rated ones with 4 or 5 stars. Hospitals are a major employer of certified nursing assistants.

HospitalTypeOwnershipCMS ratingEmergency
Missouri Baptist Medical Center
Saint Louis, MO
Acute careNonprofit5 of 5Yes
St Louis-John Cochran Va Medical Center
St. Louis, MO
Acute Care - Veterans AdministrationGovernment and federal5 of 5Yes
Barnes Jewish Hospital
Saint Louis, MO
Acute careNonprofit4 of 5Yes
Christian Hospital Northeast
Saint Louis, MO
Acute careNonprofit4 of 5Yes
Mercy Hospital St Louis
Saint Louis, MO
Acute careNonprofit4 of 5Yes
Ssm Health St Mary's Hospital - St Louis
Saint Louis, MO
Acute careNonprofit3 of 5Yes
Mercy Hospital South
Saint Louis, MO
Acute careNonprofit2 of 5Yes
Ssm Health Saint Louis University Hospital
Saint Louis, MO
Acute careNonprofit1 of 5Yes
Shriners Hospitals For Children
Saint Louis, MO
Children'sNonprofitNot ratedNo
St Louis Childrens Hospital
Saint Louis, MO
Children'sNonprofitNot ratedYes

Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.

Primary care shortage areas in St. Louis city

HRSA lists 5 active primary care shortage designations that include St. Louis city (2 population-group, 3 facility). The highest-scoring one rates 24 on a 0 to 25 scale, where a higher score means a greater shortage.

Shortage areas are where demand for nurses, nurse practitioners, physician assistants and other clinicians is greatest. Federal loan repayment programs such as the NHSC and Nurse Corps cover some clinicians who work at eligible shortage-area sites. Eligibility is set by each program and by the site, so ask your recruiter before you plan around it.

Source: HRSA Health Professional Shortage Areas data warehouse, designated areas only. A designation can cover part of a county.

Certified Nursing Assistant pay in nearby cities

CityDistanceMedian payPopulation
Florissant, MO12 mi$18.66/hr51,290
St. Charles, MO18 mi$18.66/hr72,458
Springfield, IL86 mi$19.75/hr112,949
Decatur, IL110 mi$19.62/hr68,763
Columbia, MO114 mi$19.29/hr130,900
Bloomington, IL144 mi$19.12/hr79,232

Certified Nursing Assistant jobs in Missouri · Certified Nursing Assistant jobs nationwide

License and tax basics in Missouri

State-approved CNA training and active state registry listing. Credentials are issued state by state, so confirm what Missouri requires for your role with the Missouri licensing board and with your recruiter before you commit to a start date.

Missouri taxes wage income. Use your own rates in the take-home pay calculator.

Missouri state guide

Other healthcare roles in St. Louis

St. Louis city guide: hospitals, employers and licensing

Common questions

How much do certified nursing assistants make in St. Louis, MO?

Certified Nursing Assistants in the St. Louis metro area have a median pay of $18.66 per hour, about $38,820 a year. The middle half earn between $17.56 and $20.94 per hour (BLS, May 2024).

Is St. Louis a good place for certified nursing assistants once cost of living is counted?

St. Louis ranks 178th of 341 metro areas for certified nursing assistant pay after adjusting for local prices, and 165th of 380 before adjusting. Overall prices run 5% below the U.S. average.

Who is hiring certified nursing assistants in St. Louis?

We list 2 open roles with published pay from 1 employer in St. Louis. Your free report adds named employers and pay near St. Louis.

Do I need a Missouri license to work in St. Louis as a certified nursing assistant?

State-approved CNA training and active state registry listing. Credentials are issued state by state, so confirm what Missouri requires for your role with the Missouri licensing board and with your recruiter before you commit to a start date. Confirm with the board before you accept a role.

Is St. Louis in a shortage area?

HRSA lists 5 active primary care shortage designations that include St. Louis city. Shortage areas often have more openings, and some loan repayment programs cover clinicians who work at eligible sites.

What is the per diem for a travel assignment in St. Louis?

The federal per diem benchmark in St. Louis is $150 a night for lodging and $86 a day for meals and incidentals, about $1,652 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place certified nursing assistants in St. Louis?

Yes. We place healthcare staff in St. Louis and across Missouri. Tell us your profession and we email the roles open near St. Louis.

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Pay report · CNA near St. Louis, MO
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your CNA pay reportTop-paying employers shown · your Missouri list by name comes with the full report

1Pay for your role at other employers

  • Select MedicalSaint Charles, MO · 5 postings$21.09/ hr$17–$25
  • National Healthcare CorporationSt. Charles, MO · 1 wage offer$17.48/ hr$17–$17
  • CommonSpirit HealthBURIEN, WA · 7 postings$31.52/ hr$23–$41
  • Emanate HealthCovina, CA · 6 postings$28.75/ hr$21–$34

Median pay per hour, with the range each employer published or reported in federal filings. Request your Missouri list

2What they are offering now

Low$17Median$21.09High$25

6 CNA postings with published pay in Missouri, 6 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 6 CNA roles

  1. Nursing Assistant (NA)Permanent
    $20.00–$25.37/ hour
    Select Medical · Lake Saint Louis, MO · posted 6 days ago
  2. Nursing Assistant (NA) DayPermanent
    $19.00–$24.10/ hour
    Select Medical · St. Louis, MO · posted 6 days ago

+ 4 more in your report. Each one has pay, shift and start date.

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