Occupational Therapist Pay

Bethesda vs Hagerstown: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Bethesda, MD and Hagerstown, MD. All figures are 2026 estimates projected from BLS 2025 data.

Bethesda, MD
$109,161
$52.48/hr
Hagerstown, MD
$105,987
$50.95/hr

Side-by-Side Comparison

MetricBethesda, MDHagerstown, MD
Median Salary$109,161$105,987
Hourly Rate$52.48$50.95
Entry Level (P10)$78,063$66,958
25th Percentile$89,338$81,335
75th Percentile$128,369$111,789
Top Earner (P90)$145,145$122,033
Total Employed18130
Side-by-side bar chart comparing Bethesda ($109,161) and Hagerstown ($105,987) occupational therapist salaries.BethesdaHagerstownMedian Salary$109,161$105,987Entry Level (P10)$78,063$66,958Top Earner (P90)$145,145$122,033US Median $103,400

Verdict

Bethesda, MD offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to Hagerstown.

The salary gap between Bethesda and Hagerstown is $3,174 (2.99%). Bethesda's median is +5.57% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Bethesda spans $67,082,Hagerstown spans $55,075. Bethesda has a wider pay range, meaning more potential for high earners but also more variation.

Bethesda
P10 (Entry)$78,063
P25$89,338
Median$109,161
P75$128,369
P90 (Top)$145,145
Hagerstown
P10 (Entry)$66,958
P25$81,335
Median$105,987
P75$111,789
P90 (Top)$122,033

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Hagerstown ($112,547 effective) pays 12.69% more than Bethesda ($99,873 effective).

Bethesda
Nominal: $109,161
CoL Index: 109.3
Adjusted: $99,873
Hagerstown
Nominal: $105,987
CoL Index: 94.171
Adjusted: $112,547

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

Which City Is Right for You?

Choose Bethesda if…

  • Higher median salary ($109,161/year)
  • Better top-earner potential ($145,145)
  • You prefer the Maryland area and lifestyle

Choose Hagerstown if…

  • Larger job market (130 employed)
  • Better purchasing power (CoL-adjusted: $112,547)
  • You prefer the Maryland area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Bethesda grew 5.6% from 2024 to 2025, compared to 14.4% growth in Hagerstown over the same period.

Bethesda, MD

+5.6%

$100,293 (2024) → $105,920 (2025)

Hagerstown, MD

+14.4%

$89,910 (2019) → $102,840 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Bethesda or Hagerstown?

Bethesda has a higher median occupational therapist salary at $109,161/year, compared to Hagerstown at $105,987/year — a difference of $3,174 (2.99%).

What is the hourly rate difference between Bethesda and Hagerstown?

Bethesda occupational therapists earn $52.48/hr while Hagerstown hygienists earn $50.95/hr (2026 est.).

Should I relocate from Bethesda to Hagerstown as a occupational therapist?

Consider more than just salary when comparing Bethesda and Hagerstown. Factor in cost of living (CoL-adjusted: Bethesda = $99,873, Hagerstown = $112,547), job availability (18 vs 130 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Bethesda vs Hagerstown?

Entry-level (10th percentile) occupational therapists earn $78,063 in Bethesda and $66,958 in Hagerstown. The Bethesda area offers higher starting salaries.
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