Paramedic Salary in Missouri
Paramedics in Missouri earn an average of $48,752 per year across 2 metro areas. This is +8.6% lower than the national average.
Average Salary
$48,752
per year
Hourly Rate
$23.44
per hour
vs National
-8.6%
$53,320 national
Salary Range
$31,973
to $69,529
Cost of Living Adjusted Salary
Nominal Salary
$48,752
Cost of Living Index
90
100 = national average
Adjusted Salary
$54,169
purchasing power equivalent
After adjusting for Missouri's cost of living (below average), a Paramedic's salary of $48,752 has the purchasing power of $54,169 in an average-cost area.
Paramedic Salary by City in Missouri
| City | Median Salary | Hourly Rate | Entry Level (P10) | Senior (P90) | Employment |
|---|---|---|---|---|---|
| St. Louis, MO | $49,201 | $23.65/hr | $31,706 | $68,884 | 255 |
| Kansas City, MO | $48,303 | $23.22/hr | $32,239 | $70,174 | 273 |
Source: Bureau of Labor Statistics OEWS Survey, 2026. Sorted by median salary (highest first).
Missouri vs National Average
Paramedic Salary Comparison
Employment in Missouri
There are approximately 528 Paramedics employed across 2 metro areas in Missouri.
Key Industries: Manufacturing, Healthcare, Agriculture
State Income Tax: 0% - 4.95%
Paramedic Salary Range in Missouri
Entry Level (10th Percentile)
$31,973
Starting salary for new Paramedics
Median (50th Percentile)
$48,752
Mid-career Paramedic salary
Senior (90th Percentile)
$69,529
Top earners in the field
Related Occupations in Missouri
Paramedic Salary in Neighboring States
Compare Paramedic salaries in Missouri with nearby states to find the best opportunities.
Frequently Asked Questions
What is the average Paramedic salary in Missouri?
The average Paramedic salary in Missouri is $48,752 per year ($23.44/hour) based on 2026 data across 2 metro areas. This is 8.6% below the national average of $53,320.
What is the highest paying city for Paramedics in Missouri?
St. Louis, MO is the highest paying city for Paramedics in Missouri, with a median salary of $49,201 per year. The lowest paying metro area is Kansas City, MO at $48,303.
What is the salary range for Paramedics in Missouri?
Paramedic salaries in Missouri range from $31,973 (entry-level, 10th percentile) to $69,529 (experienced, 90th percentile). The median salary is $48,752 per year.
About This Data
Salary data is sourced from the U.S. Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey. State-level averages are calculated from metro area data within Missouri. Figures represent 2026 estimates and may not reflect all employers or self-employed workers. Cost of living adjustments use regional indices to provide purchasing power context.