SOC 11-9111

Medical and Health Services Managers Salary in St. Louis, MO-IL

Data updated · Sources: BLS OEWS May 2025, HUD FY 2027 Fair Market Rents, EPI 2026 Family Budget, 2026 tax tables · Methodology

Tax Tables: 2026 Fed + MO + Municipal
COL Index: 102.33 (+2.3% vs US)
Net Compensation Yield 69.5% Realized
$73,848 / net annual direct deposit
Gross Adjusted $106,200 $51.06/hr
Effective Tax Drag 24.46% Combined Jurisdictions
Marginal Top Bracket 22% Federal Statutory
Total Withheld -$25,980 $999.25/check
Category 1 of 6

Wage Benchmarking & After-Tax Paycheck Engine

Dynamic statutory tax calculations based on IRS Publication 15-T and state statutory schedules.

$
2,080 annual statutory base hours $51.06 / hour
0 hrs/wk (+$0/yr)
0 hrs (Standard) 10 hrs OT 20 hrs OT 25 hrs Max
6% (-$6,372/yr)
0% Tax Shield: ~$1,402/yr 15% (IRS limit: $24,500)
Itemized Statutory Withholdings Ledger
Federal Income Tax (IRS)
Progressive 10%–37%
-$13,132
Social Security (FICA OASDI)
Statutory 6.20% (Cap $184,500)
-$6,584
Medicare Hospital Insurance
Statutory 1.45%
-$1,540
Missouri Individual Income Tax
State Marginal Bracket
-$3,662
St. Louis earnings tax
1.00%
-$1,062
Net Take-Home Annual Realized
$73,848 ($2,840.29 / check)
Category 2 of 6

St. Louis, MO-IL Medical and Health Services Managers Wage Distribution

Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) Percentiles & Career Ladders

Your Salary: $106,200
MIDDLE 50% (IQR RANGE) 10th $68.0k 25th $85.8k Median: $106,200 50th (Median) $106k 75th $138k 90th $201k You: $106,200
10th (Entry) $67,990 $32.69/hr
25th (Junior) $85,820 $41.26/hr
50th (Median) $106,200 $51.06/hr
75th (Senior) $138,170 $66.43/hr
90th (Lead/Master) $200,900 $96.59/hr
Career Progression & Licensing Milestones for Medical and Health Services Managers in St. Louis, MO-IL
1
Department SupervisorBachelor's degree (most common O*NET requirement); entry into the field
$62,935$30.26/hr · 0-2 Years
2
Assistant AdministratorDemonstrated results in role; works independently on core responsibilities; FACHE or equivalent
$81,198$39.04/hr · 2-5 Years
3
Medical & Health Services ManagerFull professional competence; leads projects or a small team
$106,234$51.07/hr · 5-9 Years
4
Senior Director of OperationsOwns budget, hiring and outcomes for a department or large program
$142,417$68.47/hr · 9-14 Years
5
Hospital Administrator / COOExecutive or principal scope; sets strategy across the organization or profession
$192,319$92.46/hr · 14+ Years
Adjacent Career Pivots & National Pay Differences
Computer Systems Analysts-$18,010/yr
National median: $105,850
Skill overlap: 88%
Social and Community Service Managers-$43,470/yr
National median: $80,390
Skill overlap: 88%View Salary
Health Education Specialists-$59,790/yr
National median: $64,070
Skill overlap: 85%
Registered Nurses-$26,310/yr
National median: $97,550
Skill overlap: 81%View Salary
Category 3 of 6

HUD Fair Market Rent & EPI Living Wage Affordability Index

Evaluating housing affordability vs. net take-home pay in St. Louis, MO-IL under the HUD 30% housing cost guideline.

Rent-to-Take-Home Ratio (HUD 30% Standard)
18% of Net Income
✓ Passes 30% Housing Affordability Standard
HUD Fair Market Rent (1-Bedroom) $1,104/month Requires minimum annual gross of $44,160
HUD Fair Market Rent (2-Bedroom) $1,349/month Requires minimum annual gross of $53,960
Hourly Living Wage Benchmark (EPI model)
1 Adult Earner: $22.63/hr
Per adult, 2 working adults + 1 child: $21.07/hr
Category 4 of 6

Hourly Wage to Annual & Overtime Matrix

Translating base hourly pay and 1.5× overtime into net take-home pay based on 2,080 annual work hours in St. Louis, MO-IL.

Swipe horizontally to inspect full pay schedule
Schedule Total Hours/Wk Gross Annual Est. Taxes Net Take-Home Bi-Weekly Check
Standard (40 hrs)40 hrs$106,200-$25,980$73,848$2,840.29
+5h Overtime/Wk45 hrs$126,113-$32,753$85,793$3,299.74
+10h Overtime/Wk50 hrs$146,025-$39,822$97,441$3,747.73
+15h Overtime/Wk55 hrs$165,938-$46,917$109,064$4,194.78
+20h Overtime/Wk60 hrs$185,850-$53,928$120,771$4,645.05
Category 5 of 6

Interstate MSA Relocation & State Tax Migration Comparator

Calculate required compensation, cost-of-living differences, and annual state/local tax savings between two metropolitan areas.

Equivalent Salary in Austin, TX $83,505 Cost of Living Ratio: 69.6%
Annual State & Local Tax Delta +$8,331/yr Tax savings in Austin-Round Rock-San Marcos, TX
Annual Rent Difference (1BR) -$17,676/yr Based on HUD Fair Market Rents
Net Discretionary Cash Flow Impact

Combining state tax savings and annual rent variance when relocating from San Francisco-Oakland-Fremont, CA to Austin-Round Rock-San Marcos, TX.

+$26,007/year
Category 6 of 6 · Executive Economic Briefing
2026 Fiscal Intelligence

Medical and Health Services Managers in St. Louis, MO-IL: Compensation & Purchasing Power Briefing (2026)

Estimates compiled from BLS OEWS wages, IRS 2026 withholding rules, HUD Fair Market Rents, and Missouri tax codes.

Market Baseline
$106,200/yr
$51.06/hr · SOC 11-9111
Statutory Tax Drag
24.46% Effective
-$25,980 in Total Taxes
HUD 1BR Shelter Ratio
18% Net Pay
✓ Passes 30% HUD Rule
Monthly Discretionary
+$5,050/mo
Post-$1,104/mo 1BR Rent

Key Economic & Compensation Takeaways

Statutory Withholding Architecture

Frequently Asked Questions

Verified Government Data Sources & Statutory Attribution

Wages sourced from US Bureau of Labor Statistics (BLS OEWS). Rents calibrated to HUD Fair Market Rents. Tax schedules calibrated to IRS IRC Title 26, IRS Pub 15-T, and state statutory revenue codes.

BLS OEWS May 2025 HUD FY2027 FMR IRS 15-T
Metro Pay Comparison SOC 11-9111
2026 Statutory Thresholds
  • Federal Standard Deduction (Single) $16,100
  • FICA OASDI Wage Base Cap $184,500
  • Pre-Tax 401(k) Elective Deferral $24,500
  • HSA Individual Annual Limit $4,400

Medical and Health Services Managers in St. Louis, MO-IL: Market Snapshot

Medical and Health Services Managers roles in St. Louis, MO-IL report a median annual wage of $106,200, 14.3% below the national median of $123,860. The 10th to 90th percentile band runs from $67,990 to $200,900, and HUD’s $1,104 monthly one-bedroom fair market rent equals 12.5% of that median gross pay. The single-adult living wage benchmark for the area is $22.63 per hour.

Highest-paying metropolitan areas for Medical and Health Services Managers

Metropolitan areaMedian annual wageVs this market
San Jose-Sunnyvale-Santa Clara, CA$171,210+61.2%
Vallejo, CA$170,730+60.8%
New York-Newark-Jersey City, NY-NJ$167,580+57.8%
Napa, CA$167,530+57.7%
San Francisco-Oakland-Fremont, CA$166,310+56.6%
Seattle-Tacoma-Bellevue, WA$160,100+50.8%
Sacramento-Roseville-Folsom, CA$159,350+50.0%
Portland-Vancouver-Hillsboro, OR-WA$151,260+42.4%
Medford, OR$151,250+42.4%
Urban Honolulu, HI$151,180+42.4%

Top-paying occupations benchmarked in St. Louis, MO-IL

OccupationMedian annual wageMedian hourly
Chief Executives$202,840$97.52/hr
Computer and Information Systems Managers$167,130$80.35/hr
Architectural and Engineering Managers$162,660$78.20/hr
Natural Sciences Managers$158,820$76.36/hr
Financial Manager$158,780$76.34/hr
Marketing Managers$137,900$66.30/hr
Physician Assistant$136,120$65.44/hr
Purchasing Managers$135,400$65.10/hr
Human Resources Managers$133,880$64.37/hr
Nurse Practitioner$131,580$63.26/hr

Wage data: U.S. Bureau of Labor Statistics OEWS May 2025, 392 metropolitan areas publishing this occupation; HUD FY2027 Fair Market Rents; EPI Family Budget Calculator. Taxes use 2026 federal and state rules. Data last updated .

Regional Labor Market & Career Mobility Network

Explore adjacent occupations and neighboring metropolitan wage benchmarks for peer compensation analysis.

Medical and Health Services Managers Salary in St. Louis, MO-IL Overview

Medical & Health Services Managers median pay in St. Louis, MO-IL is $106,200 a year ($51.06/hr). See take-home pay after 2026 taxes, BLS wage percentiles, HUD.

Quick answers
What is the median salary for a Medical and Health Services Managers in St. Louis, MO-IL?

The median annual wage is $106,200 ($51.06 per hour). The middle 80% of earners make between $67,990 and $200,900. Source: BLS OEWS (May 2025).

What is the take-home pay for a Medical and Health Services Managers in St. Louis, MO-IL after taxes?

On the median wage of $106,200, a single filer with no pre-tax deductions takes home about $78,460 a year ($6,538 a month) after $27,740 in federal, FICA, state and local taxes, an effective rate of 26.12%, using 2026 tax rules.