Occupational Therapist Pay

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

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

Belton, MO
$94,013
$45.20/hr
St. Louis, MO
$98,701
$47.45/hr

Side-by-Side Comparison

MetricBelton, MOSt. Louis, MO
Median Salary$94,013$98,701
Hourly Rate$45.20$47.45
Entry Level (P10)$68,756$75,976
25th Percentile$77,050$83,716
75th Percentile$105,158$108,141
Top Earner (P90)$113,771$121,054
Total Employed61,860
Side-by-side bar chart comparing Belton ($94,013) and St. Louis ($98,701) occupational therapist salaries.BeltonSt. LouisMedian Salary$94,013$98,701Entry Level (P10)$68,756$75,976Top Earner (P90)$113,771$121,054US Median $103,400

Verdict

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

The salary gap between Belton and St. Louis is $4,688 (4.99%). 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 Belton spans $45,015,St. Louis spans $45,078. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced occupational therapists.

Belton
P10 (Entry)$68,756
P25$77,050
Median$94,013
P75$105,158
P90 (Top)$113,771
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, Belton ($104,925 effective) pays 1.08% more than St. Louis ($103,800 effective).

Belton
Nominal: $94,013
CoL Index: 89.6
Adjusted: $104,925
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 Belton if…

  • Better purchasing power (CoL-adjusted: $104,925)
  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($98,701/year)
  • Better top-earner potential ($121,054)
  • 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 Belton grew 25.2% from 2024 to 2025, compared to 25.8% growth in St. Louis over the same period.

Belton, MO

+25.2%

$72,853 (2024) → $91,222 (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: Belton or St. Louis?

St. Louis has a higher median occupational therapist salary at $98,701/year, compared to Belton at $94,013/year — a difference of $4,688 (4.99%).

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

Belton occupational therapists earn $45.20/hr while St. Louis hygienists earn $47.45/hr (2026 est.).

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

Consider more than just salary when comparing Belton and St. Louis. Factor in cost of living (CoL-adjusted: Belton = $104,925, St. Louis = $103,800), job availability (6 vs 1,860 employed), commute, and career growth potential.

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

Entry-level (10th percentile) occupational therapists earn $68,756 in Belton 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