MO · St. Louis · Updated October 15, 2026

Utilization Review Nurse jobs in St. Louis, MO

Pay for utilization review nurses in the St. Louis area centers on $39.69 per hour, or about $82,560 a year. The lower quarter earns under $33.06 and the upper quarter over $46.53. That ranks 181st of 379 U.S. metro areas for utilization review nurse pay, and 220th of 335 once local prices are factored in. The CMS hospital directory lists 11 hospitals in St. Louis. The free report below lists employers near St. Louis and what they pay.

Utilization Review Nurse pay in St. Louis, MO

The metro median is 3% above the Missouri statewide median of $38.35 per hour. Nationally the median is $45.00 per hour. BLS counts about 33,660 registered nurses employed in the St. Louis metro area, 25.1 per 1,000 jobs. Employment is more concentrated here than in the country as a whole (location quotient 1.18).

LevelPer hourPer yearCompared with U.S.
Lowest 10%$29.80$61,98034% below U.S. median
Lower quartile$33.06$68,76027% below U.S. median
Median$39.69$82,56012% below U.S. median
Upper quartile$46.53$96,7803% above U.S. median
Top 10%$50.79$105,64013% above U.S. median

How St. Louis ranks

  • 181st of 379 U.S. metro areas by median hourly pay
  • 220th of 335 after adjusting for local prices
  • 2nd of 8 Missouri metro areas

BLS does not publish a separate figure for utilization review nurse. These numbers are for the broader category it belongs to, Registered Nurses.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024, Registered Nurses (SOC 29-1141), 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 $39.69 median hour buys what $41.74 buys at the national price level, 7% 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.

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

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Estimate your St. Louis paycheck

Estimated weekly gross$1,429
  • Per year: $71,442
  • Per month: $5,954

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.

Hospitals in St. Louis

CMS lists 11 hospitals in St. Louis.

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.

Utilization Review Nurse pay in nearby cities

CityDistanceMedian payPopulation
Florissant, MO12 mi$39.69/hr51,290
St. Charles, MO18 mi$39.69/hr72,458
Springfield, IL86 mi$39.27/hr112,949
Decatur, IL110 mi$40.44/hr68,763
Columbia, MO114 mi$39.12/hr130,900
Bloomington, IL144 mi$38.49/hr79,232

Utilization Review Nurse jobs in Missouri · Utilization Review Nurse jobs nationwide

What employers ask for, and tax basics in Missouri

Utilization review nurses assess admissions and services for medical necessity and coordinate with payers.

  • Active RN license
  • Clinical experience in acute care
  • InterQual or MCG experience

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

Missouri state guide · Nurse Licensure Compact guide

Other healthcare roles in St. Louis

St. Louis city guide: hospitals, employers and licensing

Common questions

How much do utilization review nurses make in St. Louis, MO?

Utilization Review Nurses in the St. Louis metro area have a median pay of $39.69 per hour, about $82,560 a year. The middle half earn between $33.06 and $46.53 per hour (BLS, May 2024).

Is St. Louis a good place for utilization review nurses once cost of living is counted?

St. Louis ranks 220th of 335 metro areas for utilization review nurse pay after adjusting for local prices, and 181st of 379 before adjusting. Overall prices run 5% below the U.S. average.

Where do utilization review nurses work in St. Louis?

CMS lists 11 hospitals in St. Louis, led by Missouri Baptist Medical Center. Ask for the free report to see current openings and pay.

Do I need a Missouri license to work in St. Louis as an utilization review nurse?

Missouri is in the Nurse Licensure Compact, so an RN or LPN/LVN with a multistate license from another compact state can work here without a new license. Nurses whose home state is not in the compact apply for a Missouri license by endorsement. Confirm with the board before you accept a role.

Does Valorem Health place utilization review nurses 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 utilization review nurses? Get the report.

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Pay report · UR Nurse near St. Louis, MO
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Your UR Nurse pay reportTop-paying hospitals shown · your Missouri list by name comes with the full report

1Pay for your role at other hospitals

  • Emanate HealthCovina, CA · 1 posting$66.34/ hr$52–$81
  • Veterans Health AdministrationPhiladelphia, PA · 1 posting$56.65/ hr$39–$74
  • MaineGeneral HealthAugusta, ME · 1 posting$53.62/ hr$39–$68
  • Trinity HealthConnecticut · 1 posting$48.05/ hr$36–$60

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

2What they are offering now

Low$36Median$45.44High$66

11 UR Nurse postings with published pay in the US, 10 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open UR Nurse roles

Open UR Nurse roles near St. Louis, MO, each with pay, shift and start date, arrive with your report.

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