BLS metro-level wage data places Healthcare Social Workers pay in Fort Smith, AR-OK at a median of $50,970 per year ($24.50/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $67,880, Fort Smith pays 25% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 70 healthcare social workerss are employed across the Fort Smith MSA in SOC 21-1022.

The Fort Smith pay distribution spans from $30,680 at the 10th percentile to $74,100 at the 90th — a 2.4× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $41,820 and the 75th at $61,990, so half of Fort Smith-based healthcare social workerss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Fort Smith, AR-OK covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide AR data, and peer-metro comparisons — a median is a starting point, not a ceiling.