Occupational Therapist Pay

Oakland vs San Francisco: Occupational Therapist Salary (2026)

Compare occupational therapist salaries between Oakland, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

Oakland, CA
$144,163
$69.31/hr
San Francisco, CA
$140,955
$67.77/hr

Side-by-Side Comparison

MetricOakland, CASan Francisco, CA
Median Salary$144,163$140,955
Hourly Rate$69.31$67.77
Entry Level (P10)$98,114$99,195
25th Percentile$114,654$127,331
75th Percentile$173,208$159,774
Top Earner (P90)$200,398$176,707
Total Employed781,560
Side-by-side bar chart comparing Oakland ($144,163) and San Francisco ($140,955) occupational therapist salaries.OaklandSan FranciscoMedian Salary$144,163$140,955Entry Level (P10)$98,114$99,195Top Earner (P90)$200,398$176,707US Median $103,400

Verdict

Oakland, CA offers better overall compensation for occupational therapists, winning 3 out of 4 metrics compared to San Francisco.

The salary gap between Oakland and San Francisco is $3,208 (2.28%). Oakland's median is +39.42% compared to the US national median of $103,400.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Oakland spans $102,284,San Francisco spans $77,512. Oakland has a wider pay range, meaning more potential for high earners but also more variation.

Oakland
P10 (Entry)$98,114
P25$114,654
Median$144,163
P75$173,208
P90 (Top)$200,398
San Francisco
P10 (Entry)$99,195
P25$127,331
Median$140,955
P75$159,774
P90 (Top)$176,707

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Oakland ($127,465 effective) pays 4.55% more than San Francisco ($121,920 effective).

Oakland
Nominal: $144,163
CoL Index: 113.1
Adjusted: $127,465
San Francisco
Nominal: $140,955
CoL Index: 115.613
Adjusted: $121,920

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

Which City Is Right for You?

Choose Oakland if…

  • Higher median salary ($144,163/year)
  • Better top-earner potential ($200,398)
  • Better purchasing power (CoL-adjusted: $127,465)
  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Larger job market (1,560 employed)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, occupational therapist salaries in Oakland grew 3.8% from 2024 to 2025, compared to 28.4% growth in San Francisco over the same period.

Oakland, CA

+3.8%

$134,818 (2024) → $139,883 (2025)

San Francisco, CA

+28.4%

$106,520 (2019) → $136,770 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapists more: Oakland or San Francisco?

Oakland has a higher median occupational therapist salary at $144,163/year, compared to San Francisco at $140,955/year — a difference of $3,208 (2.28%).

What is the hourly rate difference between Oakland and San Francisco?

Oakland occupational therapists earn $69.31/hr while San Francisco hygienists earn $67.77/hr (2026 est.).

Should I relocate from Oakland to San Francisco as a occupational therapist?

Consider more than just salary when comparing Oakland and San Francisco. Factor in cost of living (CoL-adjusted: Oakland = $127,465, San Francisco = $121,920), job availability (78 vs 1,560 employed), commute, and career growth potential.

What do entry-level occupational therapists earn in Oakland vs San Francisco?

Entry-level (10th percentile) occupational therapists earn $98,114 in Oakland and $99,195 in San Francisco. The San Francisco 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