CallataGuidesBusiness phone system for home health care agencies in St. Louis, MO-IL
Home health care agencies in the St. Louis, MO-IL metro area: 806 establishments in 2023, the local area codes, and what phone service costs a 15-person team.
- Establishments
- 806CBP 2023
- Employees
- 12,377mid-March 2023
- Per 100k residents
- 28.7U.S. 12.0
- Rank
- 11th of 743areas by count
The home health agency market in St. Louis, MO-IL
County Business Patterns counts 806 home health care agencies (NAICS 621610, Home Health Care Services) in the St. Louis, MO-IL metro area for 2023. Together they reported 12,377 mid-March employees and $397.3 million of payroll for the year. That ranks 11th of the 743 metro and micropolitan areas where Census published a count for this industry.
With 2.8 million residents in the Census 2024 estimate, that is 28.7 home health care agencies per 100,000 people, 139.2% above the national rate of 12.0. Establishments average 15.4 employees, 61.3% below the U.S. average of 39.7. Payroll per employee comes to $32,103, 15.7% below the national $38,091.
| Measure | St. Louis, MO-IL | Missouri | United States |
|---|---|---|---|
| Establishments | 806 | 1,452 | 40,762 |
| Mid-March employees | 12,377 | 23,861 | 1,618,759 |
| Annual payroll | $397,340,000 | $844,526,000 | $61,660,393,000 |
| Employees per establishment | 15.4 | 16.4 | 39.7 |
| Payroll per employee | $32,103 | $35,394 | $38,091 |
| Establishments per 100,000 residents | 28.7 | 23.2 | 12.0 |
Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.
How big home health care agencies in St. Louis, MO-IL are
Of the home health care agencies in St. Louis, MO-IL that had employees in March 2023, 67.9% had fewer than five (the U.S. share is 35.7%). 76.2% had fewer than ten. For a business of a few people, phone coverage is a staffing question as much as a technology one: someone has to be free to pick up, or the call needs somewhere sensible to go.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 544 | 67.9% | 35.7% |
| 5–9 employees | 66 | 8.2% | 11.8% |
| 10–19 employees | 59 | 7.4% | 14.8% |
| 20–49 employees | 81 | 10.1% | 20.2% |
| 50 or more employees | 51 | 6.4% | 17.6% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
What home health care agencies in St. Louis, MO-IL use the phone for
Home health agencies coordinate clinicians in the field with patients, families, physicians and payers, so the office phone is a dispatch line as much as a reception desk. Clinicians need to make calls from their own cell phones without exposing personal numbers.
Typical inbound and outbound calls for home health care agencies in St. Louis, MO-IL:
- A family member calls to ask what time the nurse will arrive.
- The office calls to confirm next week's visit schedule.
- A hospital discharge planner calls with a new referral.
When nobody can pick up
Agencies typically need an after-hours path to an on-call staff member, with routine messages captured for the morning.
With business-hours routing, calls after closing can go to transcribed voicemail or an optional AI receptionist instead of ringing an empty room.
What a phone system costs a home health agency in St. Louis, MO-IL
The average home health agency in St. Louis, MO-IL has 15.4 employees, so a 15-person team is a reasonable benchmark. Priced per seat, 15 users would run $450.00 a month on RingCentral RingEX Core and $374.25 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 15 people cost $299.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $1,812. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $299.00 | $3,588.00 |
| Quo (Starter) | $19.00 per user | $285.00 | $3,420.00 |
| Nextiva (Core) | $23.00 per user | $345.00 | $4,140.00 |
| Ooma (Office Pro) | $24.95 per user | $374.25 | $4,491.00 |
| Dialpad (Standard) | $27.00 per user | $405.00 | $4,860.00 |
| RingCentral (RingEX Core) | $30.00 per user | $450.00 | $5,400.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
Which area code to use in St. Louis, MO-IL
NANPA records place the exchanges of the area's named cities and towns in 8 area codes. 314 has the most, with 723 of 1,483 exchanges (49%). Callata's plan includes up to 3 local numbers; you can pick them in the area codes your patients and families recognize, subject to carrier inventory, or port the number you already have for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 314 | 723 | Central | 1947 | 557 |
| 618 | 324 | Central | 1947 | 730 |
| 636 | 308 | Central | 1999 | none |
| 557 | 71 | Central | 2022 | 314 |
| 730 | 30 | Central | 2023 | 618 |
| 217 | 14 | Central | 1947 | 447 |
| 573 | 11 | Central | 1996 | 235 |
| 447 | 2 | Central | 2021 | 217 |
Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.
What home health care agencies in St. Louis, MO-IL get with Callata
Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.
If you already have a number in St. Louis, MO-IL, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.
Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
Frequently asked questions
How many home health care agencies are there in St. Louis, MO-IL?
Census County Business Patterns counted 806 home health care agencies in the St. Louis, MO-IL metro area in 2023. They employed 12,377 people in mid-March.
What does a business phone system cost for a 15-person home health agency?
At month-to-month list prices checked September 28, 2026, 15 users cost $450.00 a month on RingCentral RingEX Core and $374.25 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $299.00.
What area code should a home health agency in St. Louis, MO-IL use?
Area code 314 has the most assigned exchanges among the area's named places, followed by 618 and 636. If you already have a local number, you can port it to Callata for free.
Can an AI receptionist answer calls for a home health agency?
Yes. Callata's optional AI agents can answer when the team is busy or closed, take a message, text, email or transfer the call. They disclose that they are AI and are billed from prepaid AI minutes at $0.25 per minute. Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.