Occupational Therapist Pay

Chesterfield vs St. Louis: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Chesterfield, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Chesterfield, MO
$98,549
$47.38/hr
St. Louis, MO
$98,701
$47.45/hr

Side-by-Side Comparison

MetricChesterfield, MOSt. Louis, MO
Median Salary$98,549$98,701
Hourly Rate$47.38$47.45
Entry Level (P10)$72,433$75,976
25th Percentile$81,419$83,716
75th Percentile$113,832$108,141
Top Earner (P90)$122,623$121,054
Total Employed101,860
Side-by-side bar chart comparing Chesterfield ($98,549) and St. Louis ($98,701) occupational therapist salaries.ChesterfieldSt. LouisMedian Salary$98,549$98,701Entry Level (P10)$72,433$75,976Top Earner (P90)$122,623$121,054US Median $103,400

Verdict

St. Louis, MO offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Chesterfield.

The salary gap between Chesterfield and St. Louis is $152 (0.15%). St. Louis's median is -4.54% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Chesterfield spans $50,190,St. Louis spans $45,078. Chesterfield has a wider pay range, meaning more potential for high earners but also more variation.

Chesterfield
P10 (Entry)$72,433
P25$81,419
Median$98,549
P75$113,832
P90 (Top)$122,623
St. Louis
P10 (Entry)$75,976
P25$83,716
Median$98,701
P75$108,141
P90 (Top)$121,054

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Chesterfield ($109,988 effective) pays 5.96% more than St. Louis ($103,800 effective).

Chesterfield
Nominal: $98,549
CoL Index: 89.6
Adjusted: $109,988
St. Louis
Nominal: $98,701
CoL Index: 95.088
Adjusted: $103,800

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Chesterfield if…

  • Better top-earner potential ($122,623)
  • Better purchasing power (CoL-adjusted: $109,988)
  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($98,701/year)
  • Larger job market (1,860 employed)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Chesterfield grew 25.2% from 2024 to 2025, compared to 25.8% growth in St. Louis over the same period.

Chesterfield, MO

+25.2%

$76,368 (2024) → $95,623 (2025)

St. Louis, MO

+25.8%

$76,140 (2019) → $95,770 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Chesterfield or St. Louis?

St. Louis has a higher median occupational therapist salary at $98,701/year, compared to Chesterfield at $98,549/year — a difference of $152 (0.15%).

What is the hourly rate difference between Chesterfield and St. Louis?

Chesterfield occupational therapists earn $47.38/hr while St. Louis hygienists earn $47.45/hr (2026 est.).

Should I relocate from Chesterfield to St. Louis as a occupational therapist?

Consider more than just salary when comparing Chesterfield and St. Louis. Factor in cost of living (CoL-adjusted: Chesterfield = $109,988, St. Louis = $103,800), job availability (10 vs 1,860 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Chesterfield vs St. Louis?

Entry-level (10th percentile) occupational therapists earn $72,433 in Chesterfield and $75,976 in St. Louis. The St. Louis area offers higher starting salaries.

Related Comparisons

JM

Written by Jordan Miller, OTR/L

Career Analyst

Jordan has 10 years of experience in occupational therapy. They specialize in pediatrics and work in a rehabilitation clinic.

Clinically reviewed by Sofia Chen, OTR/LData verified by Luis Garcia, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.06% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jordan Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov