Healthcare · San Antonio, TX

Occupational Therapist Salary in San Antonio, TX (2026)

Median Occupational Therapist salary in San Antonio is approximately $88,400/year — 7.0% below the US national average.

Salary breakdown — San Antonio

$88,400
median annual salary
Hourly (40 hr/week, 52 wk)
2,080 hours/year
$43
Biweekly (26 paychecks)
$3,400
Monthly
$7,367
Annual (gross)
$88,400
vs Texas state average
State avg: $92,200
-$3,800
vs US national
National median: $95,000
-$6,600

After-tax estimate

$69,261
estimated take-home/year
Gross salary
$88,400
Federal tax (~14%)
−$12,376
FICA (7.65%)
−$6,763
Texas state tax
No state income tax
$0
Estimated take-home
$69,261
Monthly take-home
$5,772
For exact take-home, use our San Antonio Paycheck Calculator.
Occupational Therapist salary in similar-cost cities
CityCost mult.Estimated annualvs San Antonio
Grand Rapids, MI0.93×$88,400+$0
Milwaukee, WI0.94×$89,300+$900
Albuquerque, NM0.94×$89,300+$900
New Orleans, LA0.94×$89,300+$900
Columbus, OH0.92×$87,400-$1,000

Occupational Therapist salaries in San Antonio, TX

The estimated median Occupational Therapist salary in San Antonio, Texas is $88,400/year, working out to approximately $43/hour at full-time, $3,400 per biweekly paycheck, or $7,367/month before taxes. San Antonio's cost-of-living multiplier of 0.93× national reflects local prices, housing costs, and employer concentration in this metro area.

Compared to the Texas state average for this role ($92,200), San Antonio pays about $3,800 less. This typically reflects how the metro area's cost of living and employer density differ from the state as a whole.

Take-home pay in San Antonio

Of the gross $88,400, you take home roughly $69,261 after:

  • Federal income tax (~14% effective at this income)
  • FICA — Social Security 6.2% + Medicare 1.45% = 7.65%
  • Texas state income tax (none)
  • San Antonio has no local income tax

That works out to about $5,772/month after-tax — useful for budgeting rent (typically 25–35% of net income), savings (15–20% target), and other expenses. For an exact calculation including 401(k), HSA, and your filing status, use our San Antonio Paycheck Calculator.

What affects your actual pay

  • Experience: entry-level often 25–35% below median; senior roles 40–60%+ above.
  • Specific employer: top-tier employers in San Antonio pay 10–25% above market for the same role.
  • Industry: a Software Engineer at a tech company in San Antonio typically out-earns one at a non-tech employer.
  • Negotiation: simply negotiating an offer can shift comp by 5–15%.
  • Education and credentials: degrees and licenses (especially for healthcare, legal, engineering) can move comp by 15–30%.
  • Remote vs in-office: many San Antonio employers now base pay on cost of living, with remote workers in cheaper metros paid less.

Related calculators

Occupational Therapist Salary in Texas — state-level average. Salary Calculator — convert hourly ↔ annual. San Antonio Paycheck Calculator — exact take-home. Income Tax Calculator — federal tax with brackets. Investment Calculator — long-term portfolio growth.

Frequently Asked Questions

What is the median Occupational Therapist salary in San Antonio?
The estimated median Occupational Therapist salary in San Antonio, Texas is $88,400 per year, or approximately $43/hour at standard full-time. San Antonio sits 7.0% below the US national average for this role.
San Antonio vs Texas state — what's the salary difference?
San Antonio: $88,400. Texas state average for Occupational Therapist: $92,200. Difference: -$3,800 (4.1%). City-level pay typically reflects the metro area's cost of living and concentration of employers.
Does San Antonio have a city income tax?
No, San Antonio has no separate city income tax. Only federal income tax, FICA, and Texas state tax apply (Texas has no state income tax either).
Does this account for cost-of-living differences?
Yes — the city multiplier reflects San Antonio's cost of living relative to the US average. San Antonio's multiplier is 0.93× national. For comparison: San Francisco ~1.45×, NYC ~1.32×, mid-tier metros ~1.00×, low-cost metros ~0.85–0.90×. Higher local cost generally means employers pay more to attract talent.
What's the after-tax take-home for Occupational Therapist in San Antonio?
Estimate: $69,261/year after federal income tax (~14% effective), FICA (7.65%), Texas state tax (~0.0% effective), and San Antonio local tax (0.00%). For exact numbers, use the San Antonio Paycheck Calculator with your specific 401(k) and deductions.