Nursing Assistants salary in St. Louis, MO-IL
Official BLS OEWS May 2025 pay for Nursing Assistants 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 Nursing Assistants in the St. Louis, MO-IL metro area earns $39,110 a year ($18.81 an hour), according to the BLS OEWS May 2025 estimates (full citation in Sources). The middle half of Nursing Assistants in St. Louis, MO-IL earn between $37,180 and $44,630 a year. At the ends of the distribution, the lowest-paid 10 percent earn $35,300 or less and the top 10 percent earn $46,890 or more. BLS estimates 14,620 Nursing Assistants jobs in the St. Louis, MO-IL area — 10.9 of every 1,000 jobs in the area, a location quotient of 1.17 (above the national concentration). That is 1.0% of all Nursing Assistants employment in the United States (1,448,910 jobs nationally). By employment, St. Louis, MO-IL is the #14 largest of the 25 covered metro areas for Nursing Assistants. In aggregate, Nursing Assistants in St. Louis, MO-IL earn about $0.60 billion a year (BLS employment multiplied by the mean wage). At the mean wage, the engine's take-home is $33,954.02 a year, so the aggregate take-home of St. Louis, MO-IL Nursing Assistants is about $0.50 billion. BLS reports a relative standard error of 1.6% for this employment estimate. Ranked by median pay, St. Louis, MO-IL stands #19 of the 25 metro areas covered on this site for Nursing Assistants. By employment, Nursing Assistants is the #15 largest of the 30 covered occupations in St. Louis, MO-IL. Placed against the national distribution for Nursing Assistants, the St. Louis, MO-IL median of $39,110 falls between the national 25th percentile ($37,260) and the national median ($42,260). Across all occupations, the St. Louis, MO-IL median is $49,990 a year — Nursing Assistants pay is 21.8% below the area's overall median.
Wages in detail
| Wage level | Hourly | Annual |
|---|---|---|
| Mean | $19.58 | $40,720 |
| 10th percentile | $16.97 | $35,300 |
| 25th percentile | $17.88 | $37,180 |
| Median (50th percentile) | $18.81 | $39,110 |
| 75th percentile | $21.46 | $44,630 |
| 90th percentile | $22.54 | $46,890 |
What the wage distribution says
The top 10 percent of Nursing Assistants in St. Louis, MO-IL earn 1.3 times what the bottom 10 percent earn ($46,890 against $35,300). The middle half spans $7,450 — from $37,180 to $44,630. Hourly, the 90th percentile ($22.54) is 1.33 times the 10th ($16.97). In the upper half of the St. Louis, MO-IL distribution, the 75th percentile wage of $44,630 takes home $36,917.10 and the 90th percentile wage of $46,890 takes home $38,630.32 — $1,713.22 more net for $2,260 more gross. Against the median take-home of $32,733.76, the top decile keeps 1.18 times as much. The mean wage of $40,720 sits 4.1% above the median: higher-paid Nursing Assistants pull the average up in St. Louis, MO-IL. Among the 30 covered occupations in St. Louis, MO-IL, Nursing Assistants ranks #21 by median pay. In the St. Louis, MO-IL wage ladder of covered occupations, Nursing Assistants sits between Laborers and Freight, Stock, and Material Movers, Hand at $41,780 and First-Line Supervisors of Food Preparation and Serving Workers at $38,520. Nursing Assistants accounts for 1.1% of all employment in the St. Louis, MO-IL metro area. The average covered metro employs 21,090 Nursing Assistants; St. Louis, MO-IL employs 0.7 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) | $39,110.00 |
|---|---|
| Federal income tax | $2,513.20 |
| Social Security (FICA) | $2,424.82 |
| Medicare (FICA) | $567.10 |
| Missouri income tax | $871.31 |
| Total deductions | $6,376.24 |
| Net pay (annual) | $32,733.76 |
| Net pay per biweekly paycheck | $1,258.99 |
| Total deduction rate | 16.30% of gross |
At the median, $32,733.76 of the $39,110 gross is kept ($1,258.99 per paycheck) — a deduction rate of 16.30%. The deduction rate moves with pay: 15.45% at the 10th percentile, 15.89% at the 25th percentile, 17.28% at the 75th percentile, 17.62% at the 90th percentile. Between the 25th and 75th percentile wages, annual take-home rises by $5,646.38 on a gross rise of $7,450.
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 ($35,300) | $29,845.72 | $1,147.91 | 15.45% |
| 25th percentile ($37,180) | $31,270.72 | $1,202.72 | 15.89% |
| Median ($39,110) | $32,733.76 | $1,258.99 | 16.30% |
| 75th percentile ($44,630) | $36,917.10 | $1,419.89 | 17.28% |
| 90th percentile ($46,890) | $38,630.32 | $1,485.78 | 17.62% |
Across the published distribution, take-home pay runs from $29,845.72 a year at the 10th percentile to $38,630.32 at the 90th — a spread of $8,784.60 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 Nursing Assistants median take-home of $32,733.76 sits $8,245.68 (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 Nursing Assistants earns $42,260 a year ($20.32 an hour). The St. Louis, MO-IL median of $39,110 is $3,150 (7.5%) below the national median.
The means rank the area the same way: $40,720 a year in St. Louis, MO-IL against $42,700 nationally, a gap of $1,980 (4.6%).
Set against the whole local market, the Nursing Assistants 90th percentile of $46,890 is 41% of the St. Louis, MO-IL all-occupations 90th percentile ($115,090), and its 10th percentile of $35,300 is 113% of the area-wide 10th ($31,200).
| Median annual | Median hourly | Mean annual | |
|---|---|---|---|
| St. Louis, MO-IL | $39,110 | $18.81 | $40,720 |
| United States | $42,260 | $20.32 | $42,700 |
Frequently asked questions
What is the median salary for Nursing Assistants in St. Louis, MO-IL?
$39,110 a year ($18.81 an hour), per the BLS OEWS May 2025 estimates. The mean is $40,720 a year. Ranked by median pay, St. Louis, MO-IL stands #19 of the 25 covered metro areas for this occupation.
What is the take-home pay on $39,110 in Missouri?
About $32,733.76 a year ($1,258.99 per biweekly paycheck) for a single filer with no dependents and no pre-tax contributions, under 2026 rules — a total deduction rate of 16.30% of gross. At the 75th percentile wage of $44,630, take-home is $36,917.10.
How does pay in St. Louis, MO-IL compare with the national median for Nursing Assistants?
The St. Louis, MO-IL median of $39,110 is $3,150 (7.5%) below the national median of $42,260 a year. At the top of the distribution, the local 90th percentile is $46,890, against a national 90th percentile of $51,980.
How much do the top 10% of Nursing Assistants earn in St. Louis, MO-IL?
$46,890 a year or more ($22.54 an hour or more), per the BLS OEWS May 2025 estimates.
What is the take-home pay at the 90th percentile for Nursing Assistants in St. Louis, MO-IL?
On $46,890 a year, the engine gives a take-home of $38,630.32 a year ($1,485.78 per biweekly paycheck) in Missouri under the same assumptions — a deduction rate of 17.62%.
How many Nursing Assistants jobs are there in St. Louis, MO-IL?
BLS estimates 14,620 Nursing Assistants jobs in the St. Louis, MO-IL metro area — 10.9 of every 1,000 jobs in the area.
How concentrated are Nursing Assistants jobs in St. Louis, MO-IL?
The location quotient is 1.17 — 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 Nursing Assistants in St. Louis, MO-IL?
From $29,845.72 a year at the 10th percentile wage ($35,300) to $38,630.32 at the 90th ($46,890), under the same single-filer assumptions in Missouri.
What is the total wage bill for Nursing Assistants in St. Louis, MO-IL?
About $0.60 billion a year — the BLS employment estimate of 14,620 multiplied by the mean wage of $40,720.
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.