Home Health and Personal Care Aides salary in St. Louis, MO-IL
Official BLS OEWS May 2025 pay for Home Health and Personal Care Aides in the St. Louis, MO-IL metro area — and the estimated take-home pay on the median wage under 2026 Missouri tax rules.
The figures
The median Home Health and Personal Care Aides in the St. Louis, MO-IL metro area earns $34,490 a year ($16.58 an hour), according to the BLS OEWS May 2025 estimates (full citation in Sources). The middle half of Home Health and Personal Care Aides in St. Louis, MO-IL earn between $28,600 and $37,910 a year. At the ends of the distribution, the lowest-paid 10 percent earn $28,600 or less and the top 10 percent earn $42,720 or more. BLS estimates 44,200 Home Health and Personal Care Aides jobs in the St. Louis, MO-IL area — 32.951 of every 1,000 jobs in the area, a location quotient of 1.19 (above the national concentration). That is 1.0% of all Home Health and Personal Care Aides employment in the United States (4,305,810 jobs nationally). By employment, St. Louis, MO-IL is the #16 largest of the 25 covered metro areas for Home Health and Personal Care Aides. In aggregate, Home Health and Personal Care Aides in St. Louis, MO-IL earn about $1.52 billion a year (BLS employment multiplied by the mean wage). At the mean wage, the engine's take-home is $29,186.58 a year, so the aggregate take-home of St. Louis, MO-IL Home Health and Personal Care Aides is about $1.29 billion. BLS reports a relative standard error of 1.5% for this employment estimate. Ranked by median pay, St. Louis, MO-IL stands #14 of the 25 metro areas covered on this site for Home Health and Personal Care Aides. By employment, Home Health and Personal Care Aides is the #2 largest of the 30 covered occupations in St. Louis, MO-IL. Placed against the national distribution for Home Health and Personal Care Aides, the St. Louis, MO-IL median of $34,490 falls between the national 25th percentile ($31,920) and the national median ($35,800). Across all occupations, the St. Louis, MO-IL median is $49,990 a year — Home Health and Personal Care Aides pay is 31.0% below the area's overall median.
Wages in detail
| Wage level | Hourly | Annual |
|---|---|---|
| Mean | $16.55 | $34,430 |
| 10th percentile | $13.75 | $28,600 |
| 25th percentile | $13.75 | $28,600 |
| Median (50th percentile) | $16.58 | $34,490 |
| 75th percentile | $18.23 | $37,910 |
| 90th percentile | $20.54 | $42,720 |
What the wage distribution says
The top 10 percent of Home Health and Personal Care Aides in St. Louis, MO-IL earn 1.5 times what the bottom 10 percent earn ($42,720 against $28,600). The middle half spans $9,310 — from $28,600 to $37,910. Hourly, the 90th percentile ($20.54) is 1.49 times the 10th ($13.75). In the upper half of the St. Louis, MO-IL distribution, the 75th percentile wage of $37,910 takes home $31,824.18 and the 90th percentile wage of $42,720 takes home $35,469.90 — $3,645.72 more net for $4,810 more gross. Against the median take-home of $29,232.02, the top decile keeps 1.21 times as much. The mean wage of $34,430 sits 0.2% below the median: the average is held down by the lower end of the distribution in St. Louis, MO-IL. Among the 30 covered occupations in St. Louis, MO-IL, Home Health and Personal Care Aides ranks #26 by median pay. In the St. Louis, MO-IL wage ladder of covered occupations, Home Health and Personal Care Aides sits between Janitors and Cleaners, Except Maids and Housekeeping Cleaners at $36,620 and Retail Salespersons at $33,820. Home Health and Personal Care Aides accounts for 3.3% of all employment in the St. Louis, MO-IL metro area. The average covered metro employs 91,965 Home Health and Personal Care Aides; St. Louis, MO-IL employs 0.5 times that.
Take-home pay on the median wage in Missouri
Single filer, no dependents, no pre-tax contributions, paid biweekly, a full year of W-2 wages in Missouri; city and local taxes are not included:
| Gross pay (annual) | $34,490.00 |
|---|---|
| Federal income tax | $1,958.80 |
| Social Security (FICA) | $2,138.38 |
| Medicare (FICA) | $500.10 |
| Missouri income tax | $660.68 |
| Total deductions | $5,257.98 |
| Net pay (annual) | $29,232.02 |
| Net pay per biweekly paycheck | $1,124.31 |
| Total deduction rate | 15.24% of gross |
At the median, $29,232.02 of the $34,490 gross is kept ($1,124.31 per paycheck) — a deduction rate of 15.24%. The deduction rate moves with pay: 13.40% at the 10th percentile, 13.40% at the 25th percentile, 16.05% at the 75th percentile, 16.97% at the 90th percentile. Between the 25th and 75th percentile wages, annual take-home rises by $7,056.06 on a gross rise of $9,310.
The same engine at the other published points of the St. Louis, MO-IL wage distribution:
| Wage point | Net per year | Net per paycheck | Deduction rate |
|---|---|---|---|
| 10th percentile ($28,600) | $24,768.12 | $952.62 | 13.40% |
| 25th percentile ($28,600) | $24,768.12 | $952.62 | 13.40% |
| Median ($34,490) | $29,232.02 | $1,124.31 | 15.24% |
| 75th percentile ($37,910) | $31,824.18 | $1,224.01 | 16.05% |
| 90th percentile ($42,720) | $35,469.90 | $1,364.23 | 16.97% |
Across the published distribution, take-home pay runs from $24,768.12 a year at the 10th percentile to $35,469.90 at the 90th — a spread of $10,701.78 of net pay inside one occupation and one metro area.
For scale: across all occupations, the St. Louis, MO-IL median wage of $49,990 takes home $40,979.44 a year ($1,576.13 per paycheck, deduction rate 18.02%). The Home Health and Personal Care Aides median take-home of $29,232.02 sits $11,747.42 (below that area-wide figure.
Multi-state metro area. St. Louis, MO-IL also covers parts of Illinois. The take-home estimate above uses Missouri rules — the metro area's primary state. If the job is based in another part of the metro area, the state tax changes: see the Illinois paycheck calculator.
Run your own numbers
Your own withholding depends on your Form W-4, your benefits and your other income — run your exact figures through the calculator:
Against the national median
Nationally, the median Home Health and Personal Care Aides earns $35,800 a year ($17.21 an hour). The St. Louis, MO-IL median of $34,490 is $1,310 (3.7%) below the national median.
The means rank the area the same way: $34,430 a year in St. Louis, MO-IL against $36,120 nationally, a gap of $1,690 (4.7%).
Set against the whole local market, the Home Health and Personal Care Aides 90th percentile of $42,720 is 37% of the St. Louis, MO-IL all-occupations 90th percentile ($115,090), and its 10th percentile of $28,600 is 92% of the area-wide 10th ($31,200).
| Median annual | Median hourly | Mean annual | |
|---|---|---|---|
| St. Louis, MO-IL | $34,490 | $16.58 | $34,430 |
| United States | $35,800 | $17.21 | $36,120 |
Frequently asked questions
What is the median salary for Home Health and Personal Care Aides in St. Louis, MO-IL?
$34,490 a year ($16.58 an hour), per the BLS OEWS May 2025 estimates. The mean is $34,430 a year. Ranked by median pay, St. Louis, MO-IL stands #14 of the 25 covered metro areas for this occupation.
What is the take-home pay on $34,490 in Missouri?
About $29,232.02 a year ($1,124.31 per biweekly paycheck) for a single filer with no dependents and no pre-tax contributions, under 2026 rules — a total deduction rate of 15.24% of gross. At the 75th percentile wage of $37,910, take-home is $31,824.18.
How does pay in St. Louis, MO-IL compare with the national median for Home Health and Personal Care Aides?
The St. Louis, MO-IL median of $34,490 is $1,310 (3.7%) below the national median of $35,800 a year. At the top of the distribution, the local 90th percentile is $42,720, against a national 90th percentile of $45,040.
How much do the top 10% of Home Health and Personal Care Aides earn in St. Louis, MO-IL?
$42,720 a year or more ($20.54 an hour or more), per the BLS OEWS May 2025 estimates.
What is the take-home pay at the 90th percentile for Home Health and Personal Care Aides in St. Louis, MO-IL?
On $42,720 a year, the engine gives a take-home of $35,469.90 a year ($1,364.23 per biweekly paycheck) in Missouri under the same assumptions — a deduction rate of 16.97%.
How many Home Health and Personal Care Aides jobs are there in St. Louis, MO-IL?
BLS estimates 44,200 Home Health and Personal Care Aides jobs in the St. Louis, MO-IL metro area — 32.951 of every 1,000 jobs in the area.
How concentrated are Home Health and Personal Care Aides jobs in St. Louis, MO-IL?
The location quotient is 1.19 — above the national concentration. A quotient of 1.0 means the occupation's share of local employment equals its national share.
How much does take-home pay vary for Home Health and Personal Care Aides in St. Louis, MO-IL?
From $24,768.12 a year at the 10th percentile wage ($28,600) to $35,469.90 at the 90th ($42,720), under the same single-filer assumptions in Missouri.
What is the total wage bill for Home Health and Personal Care Aides in St. Louis, MO-IL?
About $1.52 billion a year — the BLS employment estimate of 44,200 multiplied by the mean wage of $34,430.
Sources and method
Wage data: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates (released May 15, 2026), retrieved October 27, 2026 — bls.gov/oes. OEWS figures are survey estimates for May 2025, not job offers. Take-home pay is computed by this site's paycheck engine with 2026 federal and state rules; the method, and what the engine does not model, is documented in the paycheck methodology guide. Estimates only — not tax advice.