Home Health and Personal Care Aides in the Gadsden Metro

BLS metro-level wage data places Home Health and Personal Care Aides pay in Gadsden, AL at a median of $27,450 per year ($13.20/hr), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared with the national median of $35,800, the metro estimate is 23% below. OEWS reports the difference but does not identify its cause. Approximately 460 home health and personal care aides are employed across the Gadsden MSA in SOC 31-1120.

The Gadsden pay distribution spans from $22,270 at the 10th percentile to $36,220 at the 90th, a 1.6× observed spread. Differences in specialization, employer, sector, location, credentials, schedule, and experience may all contribute, but OEWS does not isolate their effects. The 25th percentile sits at $23,640 and the 75th at $28,910, so half of Gadsden-based home health and personal care aides earn within that middle band.

Metro figures use establishment work location, not worker residence. BLS draws metro boundaries from the OMB MSA definitions, so Gadsden, AL covers the central city plus outlying counties tied to the metro economically. OEWS includes straight-time pay, tips, commissions, incentive pay, and production bonuses. It excludes employer health and retirement benefits, overtime premiums, stock compensation, signing bonuses, and other nonproduction bonuses. The same occupation's national profile, statewide AL estimate, and peer-metro rows provide distinct geographic comparisons. A published median is a benchmark, not a prediction or ceiling for one worker.