Missouri · VA nurse locality pay · 2026
VA nurse pay scale, Saint Louis, MO (station 657)
The Department of Veterans Affairs pays nurses on Title 38 locality pay schedules that each medical center sets for its own labor market. These are this station's schedules as the VA publishes them, grade by step, with a calculator.
- VA station 657 sets nurse locality pay for Saint Louis, MO, Jefferson Barracks, MO, Belleville, IL, Washington, MO, Saint Clair, MO, Scott Af Base, IL.
- Registered nurses (RN) on this station's base schedules earn $71,447 at Nurse I, step 1 up to $228,000 at the top of the highest grade, per the VA's nurse locality pay file (effective ).
- Advanced practice registered nurses (APRN: nurse practitioners and other APRNs) earn $106,469 to $209,586.
- The station also publishes 10 specialty and supervisory schedules (operating room, critical care, managers and others), summarised in the table below.
- Data current as of 3 Sept 2026 in the VA's national nurse locality pay spreadsheet. Locality pay is already built into these rates.
Registered nurse locality pay schedule NI02, Belleville, IL, Bethalto, IL, Fairview Heights, IL, O Fallon, IL and 21 more
| Step \ Grade | Nurse I | Nurse II | Nurse III | Nurse IV | Nurse V |
|---|---|---|---|---|---|
| 1 | $75,487 | $99,360 | $115,672 | $155,783 | $181,366 |
| 2 | $77,751 | $102,340 | $119,142 | $160,456 | $186,806 |
| 3 | $80,015 | $105,320 | $122,612 | $165,129 | $192,246 |
| 4 | $82,279 | $108,300 | $126,082 | $169,802 | $197,686 |
| 5 | $84,543 | $111,280 | $129,552 | $174,475 | $203,126 |
| 6 | $86,807 | $114,260 | $133,022 | $179,148 | $208,566 |
| 7 | $89,071 | $117,240 | $136,492 | $183,821 | $214,006 |
| 8 | $91,335 | $120,220 | $139,962 | $188,494 | $219,446 |
| 9 | $93,599 | $123,200 | $143,432 | $193,167 | $224,886 |
| 10 | $95,863 | $126,180 | $146,902 | $197,840 | $228,000 |
| 11 | $98,127 | $129,160 | $150,372 | $202,513 | $228,000 |
| 12 | $100,391 | $132,140 | $153,842 | $207,186 | $228,000 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $77,751 | +$2,264 |
| 3 | $80,015 | +$4,528 |
| 4 | $82,279 | +$6,792 |
| 5 | $84,543 | +$9,056 |
| 6 | $86,807 | +$11,320 |
Worked example as rendered: Nurse I, step 1 = $75,487 a year, $6,290.58 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NI02 for VA station 657, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Registered nurse locality pay schedule NQ24, Henderson, KY, Owensboro, KY
| Step \ Grade | Nurse I | Nurse II | Nurse III |
|---|---|---|---|
| 1 | $71,447 | $89,408 | $99,661 |
| 2 | $73,590 | $92,090 | $102,650 |
| 3 | $75,733 | $94,772 | $105,639 |
| 4 | $77,876 | $97,454 | $108,628 |
| 5 | $80,019 | $100,136 | $111,617 |
| 6 | $82,162 | $102,818 | $114,606 |
| 7 | $84,305 | $105,500 | $117,595 |
| 8 | $86,448 | $108,182 | $120,584 |
| 9 | $88,591 | $110,864 | $123,573 |
| 10 | $90,734 | $113,546 | $126,562 |
| 11 | $92,877 | $116,228 | $129,551 |
| 12 | $95,020 | $118,910 | $132,540 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $73,590 | +$2,143 |
| 3 | $75,733 | +$4,286 |
| 4 | $77,876 | +$6,429 |
| 5 | $80,019 | +$8,572 |
| 6 | $82,162 | +$10,715 |
Worked example as rendered: Nurse I, step 1 = $71,447 a year, $5,953.92 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NQ24 for VA station 657, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Advanced practice registered nurse (APRN) locality pay schedule NM32, Belleville, IL, Fenton, MO, Florissant, MO, Jefferson Barracks, MO and 4 more
| Step \ Grade | Nurse I | Nurse II | Nurse III | Nurse IV |
|---|---|---|---|---|
| 1 | $106,469 | $125,634 | $140,707 | $157,589 |
| 2 | $109,663 | $129,403 | $144,928 | $162,316 |
| 3 | $112,857 | $133,172 | $149,149 | $167,043 |
| 4 | $116,051 | $136,941 | $153,370 | $171,770 |
| 5 | $119,245 | $140,710 | $157,591 | $176,497 |
| 6 | $122,439 | $144,479 | $161,812 | $181,224 |
| 7 | $125,633 | $148,248 | $166,033 | $185,951 |
| 8 | $128,827 | $152,017 | $170,254 | $190,678 |
| 9 | $132,021 | $155,786 | $174,475 | $195,405 |
| 10 | $135,215 | $159,555 | $178,696 | $200,132 |
| 11 | $138,409 | $163,324 | $182,917 | $204,859 |
| 12 | $141,603 | $167,093 | $187,138 | $209,586 |
| Step | Salary | vs. selected |
|---|---|---|
| 2 | $109,663 | +$3,194 |
| 3 | $112,857 | +$6,388 |
| 4 | $116,051 | +$9,582 |
| 5 | $119,245 | +$12,776 |
| 6 | $122,439 | +$15,970 |
Worked example as rendered: Nurse I, step 1 = $106,469 a year, $8,872.42 a month spread over 12 months. Monthly and daily figures are arithmetic on the published annual cell, before any supplement, stipend or deduction.
Title 38 nurse locality pay schedule NM32 for VA station 657, from the VA's national nurse locality pay spreadsheet (current as of 3 Sept 2026).
Nurse I entry levels 1-3 share one rate table in the source; it is shown once.
These are basic pay rates. Locality pay is already built in; premium pay, recruitment and retention incentives are not.
Specialty and supervisory schedules
Step 1 of each grade and the highest cell on each schedule. Each is a separate locality pay schedule, set by the station alongside the base RN schedule.
| Schedule | Nurse I step 1 | Nurse II step 1 | Nurse III step 1 | Top cell |
|---|---|---|---|---|
| RN,Mgr/Head Nurse N08H · Belleville, IL, Saint Louis, MO, Saint Louis, MO +4 | $92,511 | $106,389 | $122,347 | $162,717 |
| RN-Asst Mgr N0DJ · Belleville, IL, Scott Af Base, IL, Jefferson Barracks, MO +3 | $91,654 | $105,401 | $118,046 | $156,997 |
| RN - Supv Prog Mgr/Coord N0EB · Jefferson Barracks, MO, Saint Louis, MO | $91,097 | $104,758 | $122,849 | $163,384 |
| RN STAFF - ASST MGR N0HV · Evansville, IN | $82,266 | $94,603 | $105,954 | $140,912 |
| RN - Assistant/Associate/Depu N0K5 · Cape Girardeau, MO, Sikeston, MO, Sikeston, MO | – | – | $135,077 | $179,649 |
| RN Staff - Operating Room NR83 · Saint Louis, MO, Saint Louis, MO, Saint Louis, MO | $83,463 | $103,494 | $120,053 | $159,664 |
| RN, Shift Supervisor NT31 · Saint Louis, MO | $91,654 | $105,401 | $118,046 | $156,997 |
| RN Staff-Critical Care NT32 · Saint Louis, MO | $82,702 | $102,550 | $118,945 | $158,193 |
| RN Staff-Inpt NV48 · Jefferson Barracks, MO, Saint Louis, MO | $80,249 | $99,505 | $117,409 | $156,151 |
| RN Staff Spinal Cord Injury NV49 · Jefferson Barracks, MO, Saint Louis, MO | $82,702 | $102,550 | $118,945 | $158,193 |
Questions people ask
How much does the VA pay registered nurses in Saint Louis, MO?
On station 657's base RN schedules, from $71,447 (Nurse I, step 1) to $228,000 at the top of the highest grade, effective January 11, 2026. The grade and step are set at hiring from education and experience under the VA's nurse qualification standard.
How much does the VA pay nurse practitioners in Saint Louis, MO?
$106,469 to $209,586 on the station's advanced practice RN schedules.
Other VA stations in Missouri
All stations: VA nurse pay by location. Federal General Schedule and locality tables: federal pay.