Stepdown Nurse Salary Guide: Saint Louis, MO
Average Stepdown Nurse Salary
$51.58/hour
The average salary for a Stepdown Nurse in Saint Louis, MO is $51.58 per hour. This is 6% higher than the Missouri average of $48.48.
Last updated on September 25, 2026. Based on active jobs on Vivian.com.
Stepdown Nurse salaries in Saint Louis, MO compared to State and National Averages
$51.58/hour
Saint Louis, MO
6% higher than the US average.
$48.48/hour
Missouri
This is equal to the US average
$48.49/hour
United States
How Stepdown Nurse Salaries in Saint Louis Compare to Other Cities
How Stepdown Nurse Salaries in Saint Louis Compare to Other Cities
Kansas City, Missouri
$39/hour
This is 32% lower than the Saint Louis average of $51.58.
Overland Park, Kansas
$48/hour
This is 8% lower than the Saint Louis average of $51.58.
Lenexa, Kansas
$56/hour
This is 8% higher than the Saint Louis average of $51.58.
What cities in Missouri pay the most for Stepdown Nurses?
Saint Louis, Missouri pays Stepdown Nurses the most, averaging $52 per hour, followed by Lee's Summit, Missouri ($45) and Kansas City, Missouri ($39). Saint Louis, Missouri also has the highest ceiling, with max hourly pay reaching $62. For comparison, the Saint Louis, MO average for Registered Nurses is $52 per hour, roughly in line with Saint Louis, Missouri.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Saint Louis, Missouri | $52 | $62 |
| Lee's Summit, Missouri | $45 | $62 |
| Kansas City, Missouri | $39 | $43 |
What are the highest paying Agencies for Stepdown Nurse jobs in Saint Louis?
Only BJC HealthCare reports pay data for Stepdown Nurses, averaging $40 per hour. For comparison, the Saint Louis, MO average for Registered Nurses is $52 per hour — BJC HealthCare pays 22% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| BJC HealthCare | $40 | $40 |
Last updated on September 25, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

Stepdown Nurse Career Guide
Use our exclusive Career Guides to research the education, qualifications, skills and responsibilities for a variety of healthcare disciplines and specialties employers are hiring now.
Go to the guideTop Stepdown Nurse Jobs
Assistant Nurse Manager - Stepdown
- Christian Hospital
- Saint Louis, MO
$84K-128K/year
Lead Registered Nurse (RN) - Surgical ICU Stepdown
- Barnes-Jewish Hospital
- Saint Louis, MO
$36-58/hour
Charge Nurse (RN) - Cardiac PCU - Progressive Care Unit
- Barnes-Jewish Hospital
- Saint Louis, MO
$35-50/hour
PCU RN
- Missouri Baptist Medical Center
- Saint Louis, MO
$32-48/hour
Registered Nurse (RN) - Surgical ICU Stepdown
- Barnes-Jewish Hospital
- Saint Louis, MO
- Sign-On Bonus
$32-48/hour
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