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Occupational therapist pay in West Virginia after taxes: what you keep (2026)

The median occupational therapist in West Virginia earned $93,260 a year in May 2024, which is $45 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 680 occupational therapists the BLS counts in West Virginia earned more than that and half earned less; the middle half of them sat between $75,060 and $107,470. That is the gross figure, before anyone takes anything. What you keep depends on West Virginia's tax, and West Virginia has a progressive state income tax with a top rate of 4.82%.

What the median occupational therapist keeps in West Virginia

For a single filer on the median $93,260, taking the standard deduction and no other adjustments:

LineA yearA month
Gross pay (BLS median)$93,260$7,772
Federal income tax-$12,358-$1,030
Social Security and Medicare (7.65%)-$7,134-$595
West Virginia state income tax-$3,147-$262
Take-home$70,621$5,885

The state line is 3.4% of gross at this salary, approximated at 70% of the top bracket, which is where a middle income lands in most progressive states. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.

Where West Virginia ranks for occupational therapist pay

Of the 50 states, West Virginia ranks 35 of 50 on the gross median for occupational therapists. The highest-paying state is California at $119,470 and the lowest is North Dakota at $79,910. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.

Across the border

The same job in the states next to West Virginia, gross median and estimated take-home for a single filer:

StateGross medianState taxTake-home
West Virginia$93,260$3,147$70,621
Maryland$101,880$4,101$75,730
Virginia$100,540$4,047$74,842
Ohio$95,880$2,349$73,261
Pennsylvania$94,120$2,889$71,484
Kentucky$91,250$3,650$68,703

Maryland, Virginia, Ohio and Pennsylvania leave an occupational therapist with more at the end of the year than West Virginia does; Maryland by about $5,109. Kentucky pays less once tax is counted. Pay is one line; rent is the other, and a higher median in a metro with higher rent can leave you with less.

Where the occupational therapist jobs are in West Virginia

The BLS count of 680 occupational therapists is statewide. The metros with the most of that work are Charleston, Huntington and Morgantown, which is where the median is set and where the upper quartile ($107,470 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the West Virginia openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.

West Virginia also has a program that pay people to move in: Ascend West Virginia ($12,000 over two years plus outdoor perks, for remote workers who move to one of the participating communities (Morgantown, Lewisburg, Shepherdstown and others)). Each has a residence condition and a funding round; the amount is the program's own "up to" figure.

What people get wrong about occupational therapist pay in West Virginia

  • Quoting the mean. The BLS mean for West Virginia is $45 an hour, pulled up by the top earners. The median ($45) is what the typical occupational therapist makes.
  • Comparing gross across states. A $93,260 offer in West Virginia is $70,621 in hand; the same number in a no-tax state is $73,768.
  • Forgetting the employer's share of insurance. A job that pays $91,260 with full health coverage can beat one that pays $96,260 without it.
  • Treating the statewide median as the metro median. Charleston pays differently from a rural county; ask for the figure for the place you are actually going.

Everything about West Virginia, on one page

The West Virginia page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in West Virginia this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of West Virginia employers hiring from out of state.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for Occupational therapist. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.

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