Paramedic salary in St. Louis, MO-IL
Paramedics in the St. Louis, MO-IL metro area earn a median of $63,050 a year ($30.31 an hour), based on BLS data for 1,890 workers.
Pay ranges from $45,480 for the lowest-paid 10% to $83,730 for the top 10%. That is 4% higher than the national median of $60,600. Pay here is 7% higher than the Missouri statewide median of $59,180. There are 1.4 paramedics per 1,000 jobs here — the job is 2.2× more common than nationally. The average (mean) salary is $62,680, close to the median.
Pay range for paramedics in St. Louis, MO-IL
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $45,480 | $21.86 |
| 25th percentile | $49,510 | $23.81 |
| Median | $63,050 | $30.31 |
| 75th percentile | $73,790 | $35.47 |
| 90th percentile (top earners) | $83,730 | $40.25 |
| Average (mean) | $62,680 | $30.13 |
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 | $5,254.17 |
| Semi-monthly (24 a year) | $2,627.08 |
| Biweekly (26 a year) | $2,425 |
| Weekly | $1,212.50 |
| Hourly | $30.31 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Paramedic salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Chicago-Naperville-Elgin, IL-IN | $77,670 | 2,560 |
| Kansas City, MO-KS | $59,520 | 750 |
| Springfield, MO | $59,230 | 190 |
| Paducah, KY-IL | $53,980 | 60 |
| Davenport-Moline-Rock Island, IA-IL | $51,660 | 130 |
| Cape Girardeau, MO-IL | $51,650 | 30 |
| Champaign-Urbana, IL | $50,100 | 60 |
| Joplin, MO-KS | $49,480 | 100 |
| Peoria, IL | $49,440 | 210 |
| 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 |
See Paramedic pay in every state or the Missouri statewide figures.
Related jobs in St. Louis, MO-IL
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $65,120 | $31.31 |
| Pharmacy Technician | $45,220 | $21.74 |
| Clinical Laboratory Technologists and Technicians | $61,830 | $29.73 |
| Health Technologists and Technicians, All Other | $47,570 | $22.87 |
| Radiologic Technologists and Technicians | $76,390 | $36.73 |
| Psychiatric Technician | $47,970 | $23.06 |
| Emergency Medical Technician | $41,910 | $20.15 |
| Medical Records Specialist | $51,260 | $24.64 |
| Veterinary Technologists and Technicians | $44,860 | $21.57 |
| Surgical Technologist | $61,790 | $29.71 |
| Opticians, Dispensing | $39,230 | $18.86 |
| Diagnostic Medical Sonographer | $98,990 | $47.59 |
| Ophthalmic Medical Technician | $39,440 | $18.96 |
| Magnetic Resonance Imaging Technologist | $83,330 | $40.06 |
More: Healthcare Practitioners and Technical Occupations · all salaries in St. Louis, MO-IL
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 St. Louis, MO-IL?
The median salary for paramedics in the St. Louis, MO-IL metro area is $63,050 a year, or $30.31 an hour. Pay ranges from $45,480 for the lowest-paid 10% to $83,730 for the top 10%.
How much do the highest-paid paramedics make in St. Louis, MO-IL?
The top 10% of paramedics in the St. Louis, MO-IL metro area earn at least $83,730 a year. The top 25% earn $73,790 or more.
What is the starting pay for paramedics in St. Louis, MO-IL?
Entry-level pay (the 10th percentile) is about $45,480 a year, and a quarter of paramedics earn $49,510 or less.
How many paramedics work in St. Louis, MO-IL?
About 1,890 paramedics are employed in the St. Louis, MO-IL metro area, not counting the self-employed.