CNA Salary

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

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

St. Louis, MO
$41,652
$20.03/hr
Cape Girardeau, MO
$39,032
$18.77/hr

Side-by-Side Comparison

MetricSt. Louis, MOCape Girardeau, MO
Median Salary$41,652$39,032
Hourly Rate$20.03$18.77
Entry Level (P10)$37,595$32,600
25th Percentile$39,597$36,934
75th Percentile$47,531$41,066
Top Earner (P90)$49,938$46,285
Total Employed14,620680
Side-by-side bar chart comparing St. Louis ($41,652) and Cape Girardeau ($39,032) certified nursing assistant salaries.St. LouisCape GirardeauMedian Salary$41,652$39,032Entry Level (P10)$37,595$32,600Top Earner (P90)$49,938$46,285US Median $45,007

Verdict

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

The salary gap between St. Louis and Cape Girardeau is $2,620 (6.71%). 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 St. Louis spans $12,343,Cape Girardeau spans $13,685. Cape Girardeau has a wider pay range, suggesting more variation in pay between entry-level and experienced certified nursing assistants.

St. Louis
P10 (Entry)$37,595
P25$39,597
Median$41,652
P75$47,531
P90 (Top)$49,938
Cape Girardeau
P10 (Entry)$32,600
P25$36,934
Median$39,032
P75$41,066
P90 (Top)$46,285

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Cape Girardeau ($45,345 effective) pays 3.52% more than St. Louis ($43,804 effective).

St. Louis
Nominal: $41,652
CoL Index: 95.088
Adjusted: $43,804
Cape Girardeau
Nominal: $39,032
CoL Index: 86.078
Adjusted: $45,345

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

Which City Is Right for You?

Choose St. Louis if…

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

Choose Cape Girardeau if…

  • Better purchasing power (CoL-adjusted: $45,345)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, certified nursing assistant salaries in St. Louis grew 52.0% from 2019 to 2025, compared to 55.3% growth in Cape Girardeau over the same period.

St. Louis, MO

+52.0%

$25,730 (2019) → $39,110 (2025)

Cape Girardeau, MO

+55.3%

$23,600 (2019) → $36,650 (2025)

View Full Salary Data

Frequently Asked Questions

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

St. Louis has a higher median certified nursing assistant salary at $41,652/year, compared to Cape Girardeau at $39,032/year — a difference of $2,620 (6.71%).

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

St. Louis certified nursing assistants earn $20.03/hr while Cape Girardeau hygienists earn $18.77/hr (2026 est.).

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

Consider more than just salary when comparing St. Louis and Cape Girardeau. Factor in cost of living (CoL-adjusted: St. Louis = $43,804, Cape Girardeau = $45,345), job availability (14,620 vs 680 employed), commute, and career growth potential.

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

Entry-level (10th percentile) certified nursing assistants earn $37,595 in St. Louis and $32,600 in Cape Girardeau. 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