Anesthesiologist Hourly Pay in St. Louis, MO: $182.68 (2026)
Quick Answer:Hourly pay for a anesthesiologist working in St. Louis, MO runs $182.68 at the median for 2026 — annualizing to $379,977 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1211). Weighted against St. Louis's regional price level (BEA RPP 89.6, 10% below national), each hour of work buys what $203.88 nationally would. A 24-hour part-time schedule grosses $227,980 per year.
Based on BLS state-level estimates · View source
In St. Louis, Missouri, the anesthesiologist hourly pay stands at approximately $182.68, which is slightly below the national median of $196.69. This pay structure accommodates a variety of work arrangements, including part-time positions that typically involve three days a week, which can round out to around 24 hours in a week. With urgent care environments like operating rooms and ambulatory surgery centers offering opportunities, anesthesiologists in the area see an hourly pay range from $105.95 at the entry-level to as high as $280.20 for seasoned professionals. These estimates are drawn from annual salary projections and reflect the diverse opportunities available within public and private healthcare settings.
About the St. Louis Market
Salary estimated from Missouri average ($360,000) adjusted for local cost of living.
Anesthesiologist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $105.95 | $847.62 |
| Lower Range (P25) | $131.53 | $1052.27 |
| Median (P50) | $182.68 | $1461.41 |
| Upper Range (P75) | $233.83 | $1870.63 |
| Top Earners (P90) | $280.20 | $2241.57 |
Estimated Annual Income by Work Schedule in St. Louis
Based on $182.68/hr median hourly rate · 2026 est.
At $182.68/hr, a anesthesiologist working full-time (40 hr/wk) in St. Louis, MO can expect to earn approximately $379,967 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $219,212. With a cost-of-living index of 89.60 (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) | $7,307.06 | $31,664 | $379,967 |
| Part-Time (24 hrs) | $4,384.23 | $18,998 | $227,980 |
| Per Diem (16 hrs) | $2,922.82 | $12,666 | $151,987 |
Compare ANES Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Anesthesiologist (St. Louis) | $182.68 |
| Surgeon, All Other (National Avg) | $168.27 |
| Radiologist (National Avg) | $168.27 |
| Nurse Anesthetist (National Avg) | $106.73 |
| Physician Assistant (National Avg) | $64.13 |
Anesthesiologists in St. Louis, MO earn a median of $379,977 per year (2026 est.), which is 7.12% lower than the national median of $409,107 and 3.70% above the Missouri state average of $366,419.
Anesthesiologist Hourly Pay vs. Cost of Living
Working 24h/week at $182.68/hr = $227,980/year (purchasing power: $254,442).
Working 40h/week (full-time) = $379,967/year (purchasing power: $424,070).
CoL index: 89.6 (100 = national average). Your dollars stretch further here.
2019 BLS Actual
$134.24/hr
2025 BLS Actual
$174.81/hr
2026 Current Est.
$182.68/hr
2019–2027 Growth
+42.2%
Hourly Rate Trajectory for Anesthesiologists in St. Louis (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $134.24/hr | Actual |
| 2020 | $140.28/hr | Actual |
| 2021 | $146.59/hr | Actual |
| 2022 | $153.19/hr | Actual |
| 2023 | $160.08/hr | Actual |
| 2024 | $160.75/hr | Actual |
| 2025 | $174.81/hr | Actual |
| 2026(current) | $182.68/hr | Estimated |
| 2027 | $190.90/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for anesthesiologists in St. Louis grew 30.2% from $134.24/hr (2019) to $174.81/hr (2025). At a 4.50% projected growth rate, hourly pay is expected to reach $190.90/hr by 2027. Part-time and per-diem anesthesiologists 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 4.50% 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 Anesthesiologist in St. Louis
Considering the earning potential, part-time anesthesiologists working three days a week may see their annual income differ significantly from full-time peers, tapping into a unique work-life balance while still reaping healthy financial rewards. For per diem anesthesiologists in St. Louis, the daily compensation can range widely, often billing between $1,800 and $3,000 for coverage, depending on the complexity of the case. Different employer types influence hourly rates; for instance, anesthesiologists working in academic medical centers may receive lower pay than those in private practices but enjoy benefits like health insurance. For those prioritizing income over benefits, choosing agency or locum tenens positions can lead to higher pay but often without the safety net of insurance. When negotiating, understanding the local market dynamics, including shifts in compensation trends post-2010s consolidation, can be crucial for anesthesiologists to optimize their earning potential in this evolving field.
More salary data for St. Louis, MO:
Frequently Asked Questions
What is the hourly rate for anesthesiologists in St. Louis in 2026?
How much do part-time anesthesiologists make in St. Louis?
Are anesthesiologists in St. Louis paid hourly or salary?
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Related Pages
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Written by Dr. Maria Chen, MD
Career Analyst
Dr. Chen has over 10 years of experience in anesthesiology. She specializes in perioperative care at a major metropolitan hospital.
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 4.50% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for anesthesiologists 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
Salary data for St. Louis is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 4.50%, derived from historical BLS wage trends for anesthesiologists (SOC 29-1211).
Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov