MO · St. Charles · Updated October 15, 2026

Occupational Therapist jobs in St. Charles, MO

The median occupational therapist pay in the St. Charles area is $45.05 per hour ($93,710 a year), with the typical range running from $38.79 to $49.32. 1 open role with published pay is listed for St. Charles and its metro area. The CMS hospital directory lists 2 hospitals in St. Charles. Tell us your role and we email current openings near St. Charles.

Open Occupational Therapist roles near St. Charles

Roles in other cities of the St. Louis area.

More open Occupational Therapist roles in St. Charles

1 more open role from employers in St. Charles. Each employer’s range arrives with your free pay report.

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Named employers near St. Charles, what they pay and the roles open now. Free for candidates, email only.

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Occupational Therapist pay in St. Charles, MO

The metro median is in line with the Missouri statewide median of $45.00 per hour. Nationally the median is $47.28 per hour. BLS counts about 1,790 occupational therapists employed in the St. Louis metro area, 1.3 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.35).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$32.24$67,06032% below U.S. median
Lower quartile$38.79$80,68018% below U.S. median
Median$45.05$93,7105% below U.S. median
Upper quartile$49.32$102,5904% above U.S. median
Top 10%$54.33$113,01015% above U.S. median

How St. Charles ranks

  • 193rd of 354 U.S. metro areas by median hourly pay
  • 168th of 327 after adjusting for local prices
  • 4th of 8 Missouri metro areas

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Occupational Therapists (SOC 29-1122), all industries. This is what employers report paying, not an offer for a specific role.

What your pay buys in St. Charles

  • 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 $45.05 median hour buys what $47.38 buys at the national price level, in line with 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. Charles paycheck

Estimated weekly gross$1,622
  • Per year: $81,090
  • Per month: $6,758

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. Charles

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 occupational therapist 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. Charles

CMS lists 2 hospitals in St. Charles, 0 of the 1 rated ones with 4 or 5 stars. Hospitals are a major employer of occupational therapists.

HospitalTypeOwnershipCMS ratingEmergency
Ssm St Joseph Health Center
Saint Charles, MO
Acute careNonprofit3 of 5Yes
Centerpointe Hospital
Saint Charles, MO
PsychiatricFor-profitNot ratedNo

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

Occupational Therapist pay in nearby cities

CityDistanceMedian payPopulation
St. Peters, MO5 mi$45.05/hr61,398
Florissant, MO10 mi$45.05/hr51,290
Springfield, IL83 mi$42.41/hr112,949
Columbia, MO98 mi$44.59/hr130,900
Decatur, IL112 mi$47.55/hr68,763
Bloomington, IL142 mi$46.61/hr79,232

Occupational Therapist jobs in Missouri · Occupational Therapist jobs nationwide

License and tax basics in Missouri

Master’s or doctoral degree in occupational therapy. 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. Charles

St. Charles city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in St. Charles, MO?

Occupational Therapists in the St. Louis metro area have a median pay of $45.05 per hour, about $93,710 a year. The middle half earn between $38.79 and $49.32 per hour (BLS, May 2024).

Is St. Charles a good place for occupational therapists once cost of living is counted?

St. Louis ranks 168th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 193rd of 354 before adjusting. Overall prices run 5% below the U.S. average.

Who is hiring occupational therapists in St. Charles?

We list 1 open role with published pay from 1 employer in the St. Louis area. Your free report adds named employers and pay near St. Charles.

Do I need a Missouri license to work in St. Charles as an occupational therapist?

Master’s or doctoral degree in occupational therapy. 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.

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

The federal per diem benchmark in St. Charles 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 occupational therapists in St. Charles?

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

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What do employers near St. Charles pay occupational therapists? Get the report.

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

  3. 3
    Roles open for you right now

    Every current opening near you with pay, shift and start date. Reply with one click.

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

Your OT pay reportSt. Charles, MO · employer-reported wage offers in federal filings, July 2025 – June 2026

1Pay for your role at other employers

  • School District of Kansas City 33Kansas City, MO · 1 wage offer$31.43/ hr$31–$31
  • Grandison Management, Inc.Missouri · 2 wage offers$27.34/ hr$25–$30
  • Grandison Management, Inc.Perryville, MO · 1 wage offer$24.91/ hr$25–$25

Median pay per hour, with the range each employer reported in federal filings.

2What they are offering now

Low$25Median$27.34High$31

4 employer-reported wage offers for OT in federal filings in Missouri, July 2025 – June 2026. Month-by-month history by employer comes with your full report.

3Open now: 2 OT roles

  1. Occupational Therapist (Holistic Health and Fitness)Permanent
    $90k–$116k/ year
    U.S. Army Training and Doctrine Command · Fort Leonard Wood, MO · posted today
  2. Occupational TherapistPermanent
    $75k–$85k/ year
    Select Medical · Kansas City, MO · posted 7 days ago

Each one has pay, shift and start date.

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