Medical and Health Services Manager Salary in St. Louis, MO
Medical and Health Services Managers in the St. Louis, MO-IL metro area earn a median $106,200 a year — 14% less than the national median. After 2026 taxes, that is $79,488 take-home, or $6,624 a month.
Take-home pay calculator
Pre-filled with the median medical and health services manager salary in St. Louis, MO. Enter your own offer to see your paycheck.
- Federal income tax$14,534
- Social Security (6.2%)$6,584
- Medicare (1.45%)$1,540
- Missouri income tax$4,054
- Take-home pay$79,488
Marginal rate: 22% federal + 4.70% state
Living in St. Louis? City residents also pay St. Louis’s Earnings Tax — about $1,062 a year on this salary — which lowers take-home pay to $78,426 ($6,535 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 →
Medical and Health Services Manager pay by experience in St. Louis, MO
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $67,990 | $32.69 | $54,403 | $4,534 |
| 25th percentile | $85,820 | $41.26 | $66,108 | $5,509 |
| Median (50th) | $106,200 | $51.06 | $79,488 | $6,624 |
| 75th percentile | $138,170 | $66.43 | $100,149 | $8,346 |
| 90th percentile (top earners) | $200,900 | $96.59 | $141,085 | $11,757 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Missouri resident, 2026 tax rules.
What $106,200 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 medical and health services manager's $79,488 take-home pay has the buying power of $83,594 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Medical and Health Services Manager jobs are about as common in St. Louis, MO as in the U.S. overall (location quotient 0.97).
Best-paying cities for medical and health services managers, adjusted for cost of living
St. Louis, MO ranks #41 of 44 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Seattle, WA | $160,100 | $120,694 | $108,604 |
| 2 | New York, NY | $167,580 | $116,960 | $103,906 |
| 3 | San Jose, CA | $171,210 | $114,369 | $103,574 |
| 4 | Sacramento, CA | $159,350 | $107,520 | $100,797 |
| 5 | Austin, TX | $126,110 | $97,462 | $99,384 |
| 6 | Kansas City, MO | $124,990 | $91,759 | $99,153 |
| 7 | Cleveland, OH | $122,770 | $92,585 | $98,576 |
| 8 | Atlanta, GA | $137,260 | $98,582 | $98,525 |
| 41 | St. Louis, MO | $106,200 | $79,488 | $83,594 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 44 metros →
About the job: medical and health services managers
Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations.
- Typical education
- Bachelor's degree
- Work experience
- Less than 5 years
- On-the-job training
- None
- Job outlook, 2025–35
- +24.2% (much faster than average)
Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.
Medical and Health Services Manager salaries elsewhere in Missouri
- Kansas City, MO — $124,990
Frequently asked questions
How much does a medical and health services manager make in St. Louis, MO?
The median medical and health services manager salary in the St. Louis, MO-IL metro area is $106,200 a year, or about $51.06 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $85,820 and $138,170.
What is a medical and health services manager’s take-home pay in St. Louis, MO?
On the median $106,200 salary, a single filer living in Missouri takes home about $79,488 a year ($6,624 a month) after federal tax, Social Security, Medicare and $4,054 in Missouri taxes in 2026.
Is St. Louis, MO a good place to work as a medical and health services manager?
Pay here is 14% below the national median of $123,860. Local prices are 4.9% below the U.S. average, so the take-home pay buys what $83,594 would in a typical U.S. city. St. Louis, MO ranks #41 of 44 metro areas for cost-of-living-adjusted pay in this job.
Can a medical and health services manager 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) — 15% of a median medical and health services manager’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in St. Louis, MO
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