MT · Billings · Updated October 15, 2026

Occupational Therapist jobs in Billings, MT

Pay for occupational therapists in the Billings area centers on $39.63 per hour, or about $82,430 a year. The lower quarter earns under $36.84 and the upper quarter over $47.78. That ranks 302nd of 354 U.S. metro areas for occupational therapist pay, and 285th of 327 once local prices are factored in. The CMS hospital directory lists 2 hospitals in Billings. The free report below lists employers near Billings and what they pay.

More open Occupational Therapist roles in Billings

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

Occupational Therapist pay in Billings, MT

The metro median is 2% below the Montana statewide median of $40.60 per hour. Nationally the median is $47.28 per hour. BLS counts about 130 occupational therapists employed in the Billings metro area, 1.4 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.43).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$33.65$69,99029% below U.S. median
Lower quartile$36.84$76,63022% below U.S. median
Median$39.63$82,43016% below U.S. median
Upper quartile$47.78$99,3801% above U.S. median
Top 10%$50.64$105,3307% above U.S. median

How Billings ranks

  • 302nd of 354 U.S. metro areas by median hourly pay
  • 285th of 327 after adjusting for local prices
  • 3rd of 5 Montana 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.

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

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What your pay buys in Billings

  • Overall prices in Billings run 6% below the U.S. average (index 93.5, U.S. = 100).
  • Housing is the biggest driver: 23% below the U.S. average (index 77.4).
  • Adjusted for local prices, a $39.63 median hour buys what $42.37 buys at the national price level, 10% below 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 Billings paycheck

Estimated weekly gross$1,427
  • Per year: $71,334
  • Per month: $5,944

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

Travel assignment per diem in Billings

ItemFederal rate
Lodging per night$110
Meals and incidentals per day$68
Per week (7 nights, 7 days)$1,246
13-week assignment$16,198

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 (this is the standard rate that applies here). 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).

Open Occupational Therapist roles in Montana

Nearest open roles with published pay. Your free report adds roles in Billings as they open.

All Occupational Therapist jobs in Montana

Hospitals in Billings

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

HospitalTypeOwnershipCMS ratingEmergency
Billings Clinic Hospital
Billings, MT
Acute careNonprofit4 of 5Yes
Intermountain Health St Vincent Regional Hospital
Billings, MT
Acute careNonprofit4 of 5Yes

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
Bozeman, MT121 mi$44.68/hr57,894
Great Falls, MT176 mi$37.33/hr60,013
Casper, WY232 mi$39.76/hr58,823
Idaho Falls, ID234 mi$42.54/hr69,523
Missoula, MT272 mi$40.37/hr78,204
Pocatello, ID279 mi$42.54/hr58,231

Occupational Therapist jobs in Montana · Occupational Therapist jobs nationwide

License and tax basics in Montana

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Montana requires for your role with the Montana licensing board and with your recruiter before you commit to a start date.

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

Montana state guide

Other healthcare roles in Billings

Billings city guide: hospitals, employers and licensing

Common questions

How much do occupational therapists make in Billings, MT?

Occupational Therapists in the Billings metro area have a median pay of $39.63 per hour, about $82,430 a year. The middle half earn between $36.84 and $47.78 per hour (BLS, May 2024).

Is Billings a good place for occupational therapists once cost of living is counted?

Billings ranks 285th of 327 metro areas for occupational therapist pay after adjusting for local prices, and 302nd of 354 before adjusting. Overall prices run 6% below the U.S. average.

Where do occupational therapists work in Billings?

CMS lists 2 hospitals in Billings, led by Billings Clinic Hospital. Ask for the free report to see current openings and pay.

Do I need a Montana license to work in Billings as an occupational therapist?

Master’s or doctoral degree in occupational therapy. Credentials are issued state by state, so confirm what Montana requires for your role with the Montana 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 Billings?

The federal per diem benchmark in Billings is $110 a night for lodging and $68 a day for meals and incidentals, about $1,246 a week (GSA, fiscal year 2026). Your actual stipend depends on the assignment and your tax home.

Does Valorem Health place occupational therapists in Billings?

Yes. We place healthcare staff in Billings and across Montana. Tell us your profession and we email the roles open near Billings.

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What do employers near Billings 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.

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    What they are offering now

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

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The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · OT near Billings, MT
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your OT pay reportTop-paying hospitals shown · your Montana list by name comes with the full report

1Pay for your role at other hospitals

  • AmedisysVenice, FL · 5 postings$78.48/ hr$52–$89
  • Montage HealthMonterey, CA · 4 postings$67.73/ hr$54–$83
  • CommonSpirit HealthNORTHRIDGE, CA · 9 postings$64.73/ hr$48–$81
  • Kaweah Delta Health Care DistrictVisalia, CA · 5 postings$62.80/ hr$50–$75

Median posted pay per hour, with the range each employer published. Request your Montana list

2What they are offering now

Low$35Median$48.37High$65

328 OT postings with published pay in the US, 261 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 1 OT roles

  1. Occupational Therapist | Hand Therapy / Certified Hand Therapist | Outpatient TherapyPermanent
    $39.75–$59.50/ hour
    Logan Health · Kalispell, MT · posted 14 days ago

Each one has pay, shift and start date.

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