CNA Salary

Springfield vs St. Louis: Certified Nursing Assistant Salary (2026)

Compare certified nursing assistant salaries between Springfield, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Springfield, MO
$38,532
$18.52/hr
St. Louis, MO
$41,652
$20.03/hr

Side-by-Side Comparison

MetricSpringfield, MOSt. Louis, MO
Median Salary$38,532$41,652
Hourly Rate$18.52$20.03
Entry Level (P10)$33,271$37,595
25th Percentile$37,275$39,597
75th Percentile$39,884$47,531
Top Earner (P90)$44,964$49,938
Total Employed3,15014,620
Side-by-side bar chart comparing Springfield ($38,532) and St. Louis ($41,652) certified nursing assistant salaries.SpringfieldSt. LouisMedian Salary$38,532$41,652Entry Level (P10)$33,271$37,595Top Earner (P90)$44,964$49,938US Median $45,007

Verdict

St. Louis, MO offers better overall compensation for certified nursing assistants, winning 4 out of 4 metrics compared to Springfield.

The salary gap between Springfield and St. Louis is $3,120 (8.10%). St. Louis's median is -7.45% compared to the US national median of $45,007.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Springfield spans $11,693,St. Louis spans $12,343. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

Springfield
P10 (Entry)$33,271
P25$37,275
Median$38,532
P75$39,884
P90 (Top)$44,964
St. Louis
P10 (Entry)$37,595
P25$39,597
Median$41,652
P75$47,531
P90 (Top)$49,938

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, St. Louis ($43,804 effective) pays 0.70% more than Springfield ($43,497 effective).

Springfield
Nominal: $38,532
CoL Index: 88.585
Adjusted: $43,497
St. Louis
Nominal: $41,652
CoL Index: 95.088
Adjusted: $43,804

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Springfield if…

  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($41,652/year)
  • Better top-earner potential ($49,938)
  • Larger job market (14,620 employed)
  • Better purchasing power (CoL-adjusted: $43,804)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in Springfield grew 43.9% from 2019 to 2025, compared to 52.0% growth in St. Louis over the same period.

Springfield, MO

+43.9%

$25,140 (2019) → $36,180 (2025)

St. Louis, MO

+52.0%

$25,730 (2019) → $39,110 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays certified nursing assistants more: Springfield or St. Louis?

St. Louis has a higher median certified nursing assistant salary at $41,652/year, compared to Springfield at $38,532/year — a difference of $3,120 (8.10%).

What is the hourly rate difference between Springfield and St. Louis?

Springfield certified nursing assistants earn $18.52/hr while St. Louis hygienists earn $20.03/hr (2026 est.).

Should I relocate from Springfield to St. Louis as a certified nursing assistant?

Consider more than just salary when comparing Springfield and St. Louis. Factor in cost of living (CoL-adjusted: Springfield = $43,497, St. Louis = $43,804), job availability (3,150 vs 14,620 employed), commute, and career growth potential.

What do entry-level certified nursing assistants earn in Springfield vs St. Louis?

Entry-level (10th percentile) certified nursing assistants earn $33,271 in Springfield and $37,595 in St. Louis. The St. Louis area offers higher starting salaries.

Related Comparisons

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Written by Emily Chen, BSN, RN

Career Analyst

Emily has over 10 years of experience in nursing. She focuses on workforce trends in nursing. Emily has worked in various healthcare settings, including hospitals and long-term care facilities.

Clinically reviewed by Michael Rodriguez, CNAData verified by Sara Patel, RN

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 6.50% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Emily Chen, BSN, RN, a licensed certified nursing assistant with 10+ years of clinical experience. · View source data at BLS.gov