Nurse Anesthetist Hourly Pay in St. Louis, MO: $117.49 (2026)
Quick Answer:Hourly pay for a nurse anesthetist working in St. Louis, MO runs $117.49 at the median for 2026 — annualizing to $244,380 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1151). Weighted against St. Louis's regional price level (BEA RPP 95.1, 5% below national), each hour of work buys what $123.56 nationally would. A 24-hour part-time schedule grosses $146,624 per year.
Official BLS data · View source
Nurse anesthetists in St. Louis, MO, receive a median hourly pay of $117.49, which is slightly lower than the national median of $119.66 per hour. This competitive hourly rate allows practitioners to maintain a comfortable lifestyle, particularly for part-time workers, who might work around three days a week. In addition to traditional hospital settings, nurse anesthetists can find opportunities in ambulatory surgery centers, OB suites, chronic pain procedure rooms, and even dental anesthesia clinics. The hourly range for this profession in St. Louis allows for entry-level opportunities starting at $108.73 and can reach up to $168.32 for top earners. These figures are drawn from official Bureau of Labor Statistics (BLS) estimates based on 2025 data, projected to 2026.
Nurse Anesthetist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $108.73 | $869.88 |
| Lower Range (P25) | $108.73 | $869.88 |
| Median (P50) | $117.49 | $939.90 |
| Upper Range (P75) | $158.80 | $1270.40 |
| Top Earners (P90) | $168.32 | $1346.56 |
Estimated Annual Income by Work Schedule in St. Louis
Based on $117.49/hr median hourly rate · 2026 est.
At $117.49/hr, a nurse anesthetist working full-time (40 hr/wk) in St. Louis, MO can expect to earn approximately $244,374 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $140,985. With a cost-of-living index of 95.09 (below the national average), these earnings stretch further in St. Louis.
Hourly Rate Calculator
Schedule Comparison in St. Louis
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $4,699.49 | $20,364 | $244,374 |
| Part-Time (24 hrs) | $2,819.70 | $12,219 | $146,624 |
| Per Diem (16 hrs) | $1,879.80 | $8,146 | $97,749 |
Compare CRNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Anesthetist (St. Louis) | $117.49 |
| Nurse Practitioner (National Avg) | $60.12 |
| Physician Assistant (National Avg) | $60.58 |
| Nurse Midwife (National Avg) | $63.01 |
| Anesthesiologist (National Avg) | $174.04 |
Nurse Anesthetists in St. Louis, MO earn a median of $244,380 per year (2026 est.), which is 1.81% lower than the national median of $248,893 and 9.60% above the Missouri state average of $222,974.
Nurse Anesthetist Hourly Pay vs. Cost of Living
Working 24h/week at $117.49/hr = $146,624/year (purchasing power: $154,198).
Working 40h/week (full-time) = $244,374/year (purchasing power: $256,997).
CoL index: 95.088 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$77.60/hr
2025 BLS Actual
$111.68/hr
2026 Current Est.
$117.49/hr
2019–2027 Growth
+59.3%
Hourly Rate Trajectory for Nurse Anesthetists in St. Louis (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $77.60/hr | Actual |
| 2020 | $81.87/hr | Actual |
| 2021 | $81.25/hr | Actual |
| 2022 | $83.58/hr | Actual |
| 2023 | $88.83/hr | Actual |
| 2024 | $92.34/hr | Actual |
| 2025 | $111.68/hr | Actual |
| 2026(current) | $117.49/hr | Estimated |
| 2027 | $123.60/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse anesthetists in St. Louis grew 43.9% from $77.60/hr (2019) to $111.68/hr (2025). At a 5.20% projected growth rate, hourly pay is expected to reach $123.60/hr by 2027. Part-time and per-diem nurse anesthetists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the St. Louis metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.20% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Nurse Anesthetist in St. Louis
Part-time employment for nurse anesthetists can be quite rewarding, with a typical three-day work week amounting to approximately 24 hours of service. This schedule allows a nurse anesthetist to earn between $134,000 and $153,000 annually, depending on the number of hours worked each week. Per diem nurse anesthetist pay in St. Louis can vary significantly, with locum tenens professionals able to command rates from $200 to $350 per hour in premium markets, often yielding daily earnings between $1,500 and $2,500. In St. Louis, hourly rates differ based on the employer type, such as hospital W-2 positions, ambulatory surgery centers (often W-2 or 1099), and CRNA-owned group practices, which may offer partnership tracks. Some nurse anesthetists might opt for lower hourly rates in exchange for benefits like health insurance, while others may prioritize higher pay with fewer benefits, emphasizing the importance of choosing the right work arrangement. Negotiation skills are essential, with insights into local market dynamics potentially enhancing earning potential in various employment contexts.
More salary data for St. Louis, MO:
Frequently Asked Questions
What is the hourly rate for nurse anesthetists in St. Louis in 2026?
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Written by Alexandra Johnson, MSN, CRNA
Career Analyst
Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.20% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse anesthetists in St. Louis. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.20%, derived from historical BLS wage trends for nurse anesthetists (SOC 29-1151).
Compiled and verified by Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov