Home Health and Personal Care Aide Salary in St. Louis, MO
Home Health and Personal Care Aides in the St. Louis, MO-IL metro area earn a median $34,490 a year — 4% less than the national median. After 2026 taxes, that is $29,209 take-home, or $2,434 a month.
Take-home pay calculator
Pre-filled with the median home health and personal care aide salary in St. Louis, MO. Enter your own offer to see your paycheck.
- Federal income tax$1,959
- Social Security (6.2%)$2,138
- Medicare (1.45%)$500
- Missouri income tax$684
- Take-home pay$29,209
Marginal rate: 12% federal + 4.70% state
Living in St. Louis? City residents also pay St. Louis’s Earnings Tax — about $345 a year on this salary — which lowers take-home pay to $28,864 ($2,405 a month). Choose “St. Louis” under City income tax in the calculator. Suburban residents usually don’t pay it.
The St. Louis, MO-IL metro spans Missouri, Illinois. Pick the state you live in — state income tax follows your residence.
Got an offer somewhere else? Compare it with this one after taxes and rent →
Home Health and Personal Care Aide pay by experience in St. Louis, MO
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $28,600 | $13.75 | $24,753 | $2,063 |
| 25th percentile | $28,600 | $13.75 | $24,753 | $2,063 |
| Median (50th) | $34,490 | $16.58 | $29,209 | $2,434 |
| 75th percentile | $37,910 | $18.23 | $31,796 | $2,650 |
| 90th percentile (top earners) | $42,720 | $20.54 | $35,435 | $2,953 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Missouri resident, 2026 tax rules.
What $34,490 buys in St. Louis, MO
Prices in St. Louis, MO are 4.9% lower than the U.S. average (housing costs are 21% below the national average). Adjusted for local prices, a median home health and personal care aide's $29,209 take-home pay has the buying power of $30,718 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Home Health and Personal Care Aide jobs are about as common in St. Louis, MO as in the U.S. overall (location quotient 1.19).
Best-paying cities for home health and personal care aides, adjusted for cost of living
St. Louis, MO ranks #69 of 180 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Grants Pass, OR | $53,120 | $41,044 | $41,984 |
| 2 | Kennewick, WA | $47,810 | $40,595 | $40,563 |
| 3 | Spokane, WA | $47,410 | $40,274 | $40,135 |
| 4 | Yakima, WA | $44,490 | $37,928 | $39,696 |
| 5 | Seattle, WA | $48,210 | $40,917 | $36,818 |
| 6 | Bellingham, WA | $44,080 | $37,598 | $36,385 |
| 7 | Olympia, WA | $44,060 | $37,582 | $36,252 |
| 8 | Fargo, ND | $37,910 | $32,641 | $35,920 |
| 69 | St. Louis, MO | $34,490 | $29,209 | $30,718 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 180 metros →
About the job: home health and personal care aides
- Typical education
- High school diploma or equivalent
- Work experience
- None required
- On-the-job training
- Short-term on-the-job training
- Job outlook, 2025–35
- +18.1% (much faster than average)
Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.
Home Health and Personal Care Aide salaries elsewhere in Missouri
- Columbia, MO — $36,860
- Springfield, MO — $32,190
- Kansas City, MO — $32,780
Frequently asked questions
How much does a home health and personal care aide make in St. Louis, MO?
The median home health and personal care aide salary in the St. Louis, MO-IL metro area is $34,490 a year, or about $16.58 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $28,600 and $37,910.
What is a home health and personal care aide’s take-home pay in St. Louis, MO?
On the median $34,490 salary, a single filer living in Missouri takes home about $29,209 a year ($2,434 a month) after federal tax, Social Security, Medicare and $684 in Missouri taxes in 2026.
Is St. Louis, MO a good place to work as a home health and personal care aide?
Pay here is 4% below the national median of $35,800. Local prices are 4.9% below the U.S. average, so the take-home pay buys what $30,718 would in a typical U.S. city. St. Louis, MO ranks #69 of 180 metro areas for cost-of-living-adjusted pay in this job.
Can a home health and personal care aide afford rent in St. Louis, MO?
HUD’s fair market rent for a one-bedroom in St. Louis, MO is $989 a month ($1,211 for two bedrooms) — 41% of a median home health and personal care aide’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in St. Louis, MO
- Dental Assistant — $48,120
- Medical Assistant — $44,710
- Nursing Assistant — $39,110