Occupational Therapist Salary in San Francisco, CA
Occupational Therapists in San Francisco, CA earn a median of $96,000/year, ranging from $73,920 (25th percentile) to $153,600 (90th percentile). After California state taxes (9.3%) and cost-of-living adjustments (COL index 186), this is equivalent to $51,613 in purchasing power vs the US average.
On the ground in San Francisco, CA
San Francisco's aging population and progressive healthcare policies create demand for occupational therapists across UCSF Health, Kaiser Permanente, and Sutter Health systems. The Bay Area's tech sector has also driven growth in ergonomic consulting and workplace injury prevention programs for major employers.
1Salary Distribution in San Francisco, CA
2Estimated Take-Home & Purchasing Power
* Estimates only. Does not include federal income tax, 401k, health insurance, or local taxes. Use the Salary Calculator for a detailed breakdown.
How Does San Francisco, CA Compare?
| City | Median | COL Index | COL-Adjusted |
|---|---|---|---|
| San Francisco, CA (current) | $96,000 | 186 | $51,613 |
| Los Angeles, CA | $83,000 | 173 | $47,977 |
| San Diego, CA | $80,000 | 152 | $52,632 |
| New York, NY | $92,000 | 187 | $49,198 |
| Seattle, WA | $94,000 | 162 | $58,025 |
| Boston, MA | $85,000 | 162 | $52,469 |
4Frequently Asked Questions
What is the average Occupational Therapist salary in San Francisco, CA?
The median Occupational Therapist salary in San Francisco, CA is $96,000 per year, based on 2026 BLS OEWS-calibrated estimates. The 25th percentile is $73,920 and the 90th percentile is $153,600.
Is San Francisco, CA a good place to work as a Occupational Therapist?
San Francisco, CA has a cost of living index of 186 (US average = 100). After adjusting for cost of living, a $96,000 Occupational Therapist salary in San Francisco, CA is equivalent to $51,613 in purchasing power compared to the US average.
What is the cost of living adjustment for San Francisco, CA?
San Francisco, CA has a cost of living index of 186, meaning it is 86% more expensive than the US average. The state income tax rate in California is approximately 9.3%.
What is the Occupational Therapist salary range in San Francisco, CA?
In San Francisco, CA, Occupational Therapists earn between $73,920 (25th percentile) and $153,600 (90th percentile), with a median of $96,000 per year.
How many Occupational Therapist jobs are there in San Francisco, CA?
We estimate approximately 78,000 Occupational Therapist positions in the San Francisco, CA metropolitan area. This employment figure is a modeled estimate calibrated to BLS OEWS staffing patterns, not a direct BLS metro count for this occupation.
What do Occupational Therapists earn in San Francisco, CA?
Based on 2026 BLS OEWS-calibrated estimates, Occupational Therapists in San Francisco, CA earn a median annual wage of $96,000. The middle 50% earn between $73,920 and $122,880. The top 10% earn more than $153,600. There are approximately 78,000 Occupational Therapists employed in the San Francisco, CA metro area, with annual job growth estimated at 4.3%.
Is San Francisco, CA a good place for a Occupational Therapist?
San Francisco, CA has a cost of living index of 186 (US average = 100), making it 86% more expensive than the national average. After adjusting for cost of living, a Occupational Therapist in San Francisco, CA earning $96,000has the equivalent purchasing power of $51,613 relative to the US median. California has a state income tax rate of approximately 9.3%.
What is the cost of living adjustment for San Francisco, CA?
San Francisco, CA's cost of living index is 186, based on composite data including housing, food, transportation, healthcare, and utilities. This means that $96,000 in San Francisco, CAhas the same purchasing power as $51,613 in a city at exactly the US average cost of living. Housing is typically the largest driver of cost of living differences between metros.
Compare San Francisco, CA with Another City
See a detailed side-by-side comparison of salary, taxes, and purchasing power.
5Should You Work as a Occupational Therapist in San Francisco, CA?
The headline median of $96,000 is only part of the picture. San Francisco, CA's cost of living index is 186 (US average = 100), meaning a dollar here buys roughly 54¢ of what it buys in an average US city. The $96,000 salary effectively purchases $51,613 worth of goods and services at national-average prices.
Housing is the single biggest driver of cost-of-living differences between metros. In San Francisco, CA, the median household typically spends 35–45% of gross income on housing — significantly above the 28% "affordable" threshold most lenders use. For a $96,000 salary, that translates to roughly $38,400/year on housing alone.
State tax plays a meaningful but smaller role. California levies a state income tax of approximately 9.3%, which reduces take-home by roughly $8,928 per year on this salary. States with zero income tax (Texas, Florida, Washington, Tennessee, Nevada) offer a structural advantage, but often offset it with higher sales tax or property tax. After state tax and approximate federal FICA (~7.6%), the estimated take-home is $80,455. This excludes federal income tax, which varies by filing status and deductions.
For comparison, here are nearby alternatives: Los Angeles, CA ($83,000 median, COL 173); San Diego, CA ($80,000 median, COL 152); New York, NY ($92,000 median, COL 187). If you're optimizing for purchasing power, compare the COL-adjusted column in the table above and pick the highest number. If you're optimizing for career progression, weight total employment and yearly growth in the role — larger markets offer more lateral moves and promotion velocity, even when nominal pay is lower.
The 4.3% year-over-year growth rate for Occupational Therapists in San Francisco, CA is a leading indicator of market health. Healthy growth at a steady pace — enough to support mobility but not so fast that compensation is racing ahead of credentials. For side-by-side comparisons, try the full city ranking for Occupational Therapists or the California state overview.
Underlying wage source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS) Program. These figures are modeled estimates: scaled from BLS OEWS wage ratios rather than read directly from a BLS metro table for this occupation. Treat them as approximations. All figures are approximate annual estimates. Actual salaries may vary based on experience, education, employer size, and specific role. Cost-of-living data represents composite indices from publicly available metropolitan area data. See our data disclaimer.