Occupational Therapist Salary in League City, TX: $105,106 (2026)
Quick Answer:A full-time occupational therapist in League City, TX earns a median $105,106/year (≈ $50.53/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1122). Once you factor in League City's price level (4% below national, BEA RPP 96.0), that paycheck buys what $109,485 would nationally. Nominal pay sits 0.4% below the Texas state average.
Based on BLS state-level estimates · View source
In 2026, occupational therapists in League City, TX are projected to earn a median annual salary of $105,106, which is slightly higher than the national median of $103,400. The salary range for these professionals varies significantly, starting from $75,443 at the lower end (10th percentile) and reaching up to $140,918 at the higher end (90th percentile). These figures reflect estimates based on 2025 BLS data, adjusted for regional cost considerations and the local impact of Medicare cuts on compensation in skilled nursing facilities (SNFs) and outpatient settings post-2022. Given the anticipated job growth rate of 3.06% annually, aspiring therapists can find hopeful prospects within the local job market despite the evolving dynamics of healthcare reimbursement.
About the League City Market
Salary estimated from Texas average ($98,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $75,443 | $36.27 |
| Lower Range (P25) | $86,500 | $41.58 |
| Median (P50)(typical) | $105,106 | $50.53 |
| Upper Range (P75) | $123,863 | $59.55 |
| Top Earners (P90) | $140,918 | $67.75 |
Median Salary Position
1.65% above the national average
2026 Salary Percentile Distribution in League City
In League City, TX, the occupational therapist salary spread from the 10th to 90th percentile is $65,475 (2026 est.). At $105,106, the local median is 1.65% above the national median of $103,400.
Salary Calculator
At 40 hours/week in League City: You'd be in the lower-middle range
How League City Occupational Therapist Pay Compares
League City median: $105,106/year (2026)
| Compared To | Median Salary | League City Pays |
|---|---|---|
| Texas Average | $105,528 | -0.40% less |
| National Average | $103,400 | +1.65% more |
Occupational Therapists in League City, TX earn a median of $105,106 per year (2026 est.), which is 1.65% higher than the national median of $103,400 and 0.40% below the Texas state average of $105,528.
Cost-of-Living Adjusted Salary
League City has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
League City, TX has a cost-of-living index of 96 (below the national average of 100). A occupational therapist earning $105,106 nominally has purchasing power equivalent to $109,485 in an average-cost city — an effective 4.17% boost.
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2019 BLS Actual
$86,351
2025 BLS Actual
$101,985
2026 Current Est.
$105,106
2019–2027 Growth
+25.4%
Salary Trajectory for Occupational Therapists in League City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.06% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $86,351 | Actual |
| 2020 | $87,703 | Actual |
| 2021 | $86,982 | Actual |
| 2022 | $94,717 | Actual |
| 2023 | $97,960 | Actual |
| 2024 | $93,717 | Actual |
| 2025 | $101,985 | Actual |
| 2026(current) | $105,106 | Estimated |
| 2027 | $108,322 | Projected |
Based on 7 years of BLS OEWS data for the League City metropolitan area, the median occupational therapist salary grew 18.1% from $86,351 (2019) to $101,985 (2025). At a 3.06% compound annual growth rate, salaries are projected to reach $108,322 by 2027 — a total increase of $21,971 (25.44%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the League City metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.06% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $75,443 – $86,500 |
| 3-5 years (Mid Career) | $86,500 – $105,106 |
| 5+ years (Experienced) | $105,106 – $123,863 |
| 10+ years (Top Earner) | $123,863 – $140,918 |
OT, OTR salary ranges estimated from BLS percentile data. Individual occupational therapist compensation varies by employer, certifications, and specialization.
Occupational Therapist Job Market in League City
With 22 occupational therapists currently employed in the area, League City presents a competitive yet evolving job market. The cost of living index in League City is 96, indicating that living expenses are below the national average, which enhances the purchasing power of practitioners residing there. Employers offering the best compensation typically include hospital inpatient rehabilitation facilities and outpatient hand therapy clinics. The disparity in salaries arises from various factors, such as work setting; hospital roles generally offer higher pay than school contracts, while the addition of specialty certifications, such as the Certified Hand Therapist (CHT), can lead to higher earnings. Strategies to maximize occupational therapist pay in League City TX include pursuing additional certifications, understanding Medicare reimbursement changes, and seeking employment opportunities in higher-paying settings versus traditional roles in schools or SNFs. Overall, the outlook for occupational therapist salary in League City appears favorable, especially for those who adapt to the market's shifting demands and requirements.
More salary data for League City, TX:
Frequently Asked Questions
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Can occupational therapists make $100K in League City?
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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.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $101,985 for occupational therapistsin the League City metropolitan area. A 3.06% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for League City is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.06%, derived from historical BLS wage trends for occupational therapists (SOC 29-1122).
Compiled and verified by Jordan Miller, OTR/L, a licensed occupational therapist with 10+ years of clinical experience. · View source data at BLS.gov