PermanentPosted 14 days ago
OT / Occupational Therapist - Home Health - $10k Sign On
BrightSpring Health Services · O Fallon, IL
$70.00–$106.00/ hour
Top 25% pay
Occupational Therapist jobs in St. Louis, MO
Pay for occupational therapists in the St. Louis area centers on $45.05 per hour, or about $93,710 a year. The lower quarter earns under $38.79 and the upper quarter over $49.32. The CMS hospital directory lists 11 hospitals in St. Louis. That ranks 193rd of 354 U.S. metro areas for occupational therapist pay, and 168th of 327 once local prices are factored in. Tell us your role and we email current openings near St. Louis.
- $45.05median pay per hour, St. Louis
- $39–$49typical range per hour
- 1,790occupational therapists employed in the metro area
- 1open roles with published pay in the metro area
Open Occupational Therapist roles near St. Louis
Roles in other cities of the St. Louis area.
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15+ more Occupational Therapist roles for you in St. Louis, MO
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More open Occupational Therapist roles in St. Louis
4 more open roles from employers in St. Louis. Each employer’s range arrives with your free pay report.
PermanentPosted 2 days ago
Occupational Therapist
SSM Health · Saint Louis, MO
Pay range with your report
New this week
PermanentPosted 8 days ago
Occupational Therapist - Day Institute
Select Medical · Saint Louis, MO
Pay range with your report
Per diemPosted 10 days ago
Occupational Therapist (OT) PRN
Select Medical · St. Louis, MO
Pay range with your report
PermanentPosted 15 days ago
Occupational Therapist (OT)
LifePoint Health · St Louis, MO
Pay range with your report
Get the St. Louis Occupational Therapist pay report
Named employers near St. Louis, what they pay and the roles open now. Free for candidates, email only.
Get my free pay reportOccupational Therapist pay in St. Louis, 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).
| Level | Per hour | Per year | Compared with U.S. |
|---|---|---|---|
| Lowest 10% | $32.24 | $67,060 | 32% below U.S. median |
| Lower quartile | $38.79 | $80,680 | 18% below U.S. median |
| Median | $45.05 | $93,710 | 5% below U.S. median |
| Upper quartile | $49.32 | $102,590 | 4% above U.S. median |
| Top 10% | $54.33 | $113,010 | 15% above U.S. median |
How St. Louis 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. 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 $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. Louis 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. Louis
| Item | Federal 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. 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 occupational therapists.
| Hospital | Type | Ownership | CMS rating | Emergency |
|---|---|---|---|---|
| Missouri Baptist Medical Center Saint Louis, MO | Acute care | Nonprofit | 5 of 5 | Yes |
| St Louis-John Cochran Va Medical Center St. Louis, MO | Acute Care - Veterans Administration | Government and federal | 5 of 5 | Yes |
| Barnes Jewish Hospital Saint Louis, MO | Acute care | Nonprofit | 4 of 5 | Yes |
| Christian Hospital Northeast Saint Louis, MO | Acute care | Nonprofit | 4 of 5 | Yes |
| Mercy Hospital St Louis Saint Louis, MO | Acute care | Nonprofit | 4 of 5 | Yes |
| Ssm Health St Mary's Hospital - St Louis Saint Louis, MO | Acute care | Nonprofit | 3 of 5 | Yes |
| Mercy Hospital South Saint Louis, MO | Acute care | Nonprofit | 2 of 5 | Yes |
| Ssm Health Saint Louis University Hospital Saint Louis, MO | Acute care | Nonprofit | 1 of 5 | Yes |
| Shriners Hospitals For Children Saint Louis, MO | Children's | Nonprofit | Not rated | No |
| St Louis Childrens Hospital Saint Louis, MO | Children's | Nonprofit | Not rated | Yes |
Source: CMS Hospital General Information, public data. A directory of hospitals, not a list of our clients.
Occupational Therapist pay in nearby cities
| City | Distance | Median pay | Population |
|---|---|---|---|
| Florissant, MO | 12 mi | $45.05/hr | 51,290 |
| St. Charles, MO | 18 mi | $45.05/hr | 72,458 |
| Springfield, IL | 86 mi | $42.41/hr | 112,949 |
| Decatur, IL | 110 mi | $47.55/hr | 68,763 |
| Columbia, MO | 114 mi | $44.59/hr | 130,900 |
| Bloomington, IL | 144 mi | $46.61/hr | 79,232 |
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.
Other healthcare roles in St. Louis
St. Louis city guide: hospitals, employers and licensing
Common questions
How much do occupational therapists make in St. Louis, 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. Louis 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. Louis?
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. Louis.
Do I need a Missouri license to work in St. Louis 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. 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 occupational therapists 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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What do employers near St. Louis 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.
- 1Pay for your role at other hospitals
The hourly pay at named employers near you, so you see who pays most.
- 2What they are offering now
The pay range and median across current postings, and how many were posted this month.
- 3Roles open for you right now
Every current opening near you with pay, shift and start date. Reply with one click.
Get your free pay report
50+ Occupational Therapist roles in Missouri, sent free by email
Tell us who you are and what you do. We email the report within 24 hours on business days.
Valorem Health Shift ReportFrom your recruiting team · [email protected]
Your OT pay reportSt. Louis, 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
- Occupational Therapist (Holistic Health and Fitness)Permanent$90k–$116k/ year
- Occupational TherapistPermanent$75k–$85k/ year
Each one has pay, shift and start date.
I'm interestedOne click. A recruiter writes only after you reply.