Paramedic salary in Missouri
Paramedics in Missouri earn a median of $59,180 a year ($28.45 an hour), based on BLS data for 3,300 workers.
Pay ranges from $45,480 for the lowest-paid 10% to $81,300 for the top 10%. That is 2% lower than the national median of $60,600. Missouri ranks 31st of 51 states for paramedics pay. There are 1.1 paramedics per 1,000 jobs here — the job is 1.7× more common than nationally. The average (mean) salary is $60,860, above the median because a few high earners pull it up.
Pay range for paramedics in Missouri
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $45,480 | $21.86 |
| 25th percentile | $49,230 | $23.67 |
| Median | $59,180 | $28.45 |
| 75th percentile | $73,780 | $35.47 |
| 90th percentile (top earners) | $81,300 | $39.09 |
| Average (mean) | $60,860 | $29.26 |
Half of paramedics earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $4,931.67 |
| Semi-monthly (24 a year) | $2,465.83 |
| Biweekly (26 a year) | $2,276.15 |
| Weekly | $1,138.08 |
| Hourly | $28.45 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Paramedic salary in cities in Missouri
| Metro area | Median salary | Workers |
|---|---|---|
| St. Louis, MO-IL | $63,050 | 1,890 |
| Kansas City, MO-KS | $59,520 | 750 |
| Springfield, MO | $59,230 | 190 |
| Cape Girardeau, MO-IL | $51,650 | 30 |
| Joplin, MO-KS | $49,480 | 100 |
| Jefferson City, MO | $48,080 | 80 |
Highest-paying states for paramedics
| State | Median salary |
|---|---|
| Washington | $104,310 |
| New Jersey | $86,630 |
| Hawaii | $81,280 |
| District of Columbia | $78,550 |
| Connecticut | $77,480 |
| Minnesota | $76,300 |
| Oregon | $74,840 |
| California | $74,590 |
| New York | $73,200 |
| Alaska | $71,860 |
Related jobs in Missouri
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $61,530 | $29.58 |
| Pharmacy Technician | $40,100 | $19.28 |
| Clinical Laboratory Technologists and Technicians | $60,300 | $28.99 |
| Health Technologists and Technicians, All Other | $46,040 | $22.13 |
| Radiologic Technologists and Technicians | $73,080 | $35.14 |
| Psychiatric Technician | $45,840 | $22.04 |
| Medical Records Specialist | $50,750 | $24.40 |
| Emergency Medical Technician | $42,160 | $20.27 |
| Surgical Technologist | $61,120 | $29.39 |
| Veterinary Technologists and Technicians | $43,520 | $20.92 |
| Diagnostic Medical Sonographer | $100,130 | $48.14 |
| Opticians, Dispensing | $38,750 | $18.63 |
| Magnetic Resonance Imaging Technologist | $83,110 | $39.96 |
| Ophthalmic Medical Technician | $40,290 | $19.37 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Missouri
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-2043. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a paramedic make in Missouri?
The median salary for paramedics in Missouri is $59,180 a year, or $28.45 an hour. Pay ranges from $45,480 for the lowest-paid 10% to $81,300 for the top 10%.
How much do the highest-paid paramedics make in Missouri?
The top 10% of paramedics in Missouri earn at least $81,300 a year. The top 25% earn $73,780 or more.
What is the starting pay for paramedics in Missouri?
Entry-level pay (the 10th percentile) is about $45,480 a year, and a quarter of paramedics earn $49,230 or less.
How many paramedics work in Missouri?
About 3,300 paramedics are employed in Missouri, not counting the self-employed.