Paramedic Salary in Missouri (2026)

Official state-level BLS pay data for Paramedics in Missouri, plus how it compares with the rest of the country.

Official BLS state wage data · Unknown vintage
Missouri Median
$59,180
per year
Hourly Rate
$28.45
based on 2,080 hrs/yr
vs National
-2% vs US median
US median $60,600
State Rank
#31 of 51
3,300 employed here

How much does a Paramedic make in Missouri?

A Paramedic working in Missouri earns a median salary of $59,180 per year, or about $28.45 per hour. That is 2% below the national median of $60,600 for this occupation.

Within Missouri, entry-level pay starts around $45,480 while the top 10% make $81,300 or more. The middle 50% of earners fall between $49,230 and $73,780 a year.

Paramedic salary range in Missouri

Pay levelAnnual salaryHourly rate
10th percentile (entry level)$45,480$21.87
25th percentile (early career)$49,230$23.67
50th percentile (median)$59,180$28.45
75th percentile (experienced)$73,780$35.47
90th percentile (top earners)$81,300$39.09

How Missouri compares

Missouri ranks 31st out of 51 states and territories for Paramedic pay. The top 5 best-paying states:

RankStateMedian salary
1Washington$104,310
2New Jersey$86,630
3Hawaii$81,280
4District of Columbia$78,550
5Connecticut$77,480

Working as a Paramedic in Missouri

Nationally, about 101,000 people work as Paramedics in the United States. A bachelor's degree (about 4 years of college) is the standard entry requirement.

Considering a move? Compare Missouri pay ($59,180) against the highest-paying state above, and weigh the difference against housing and everyday costs — a smaller paycheck in a cheaper state can stretch further.

Frequently asked questions

How much does a Paramedic make in Missouri?
The median Paramedic salary in Missouri is $59,180 per year, or about $28.45 per hour, per official BLS state wage estimates. Salaries typically range from $45,480 at the entry level to $81,300 for the top 10% of earners.
How does Missouri pay compare to the national average?
Missouri pays Paramedics about 2% less than the national median of $60,600. Missouri ranks 31st out of 51 states and territories reporting this occupation.
Is Missouri a good state for Paramedics?
Pay runs below the national median here, at $59,180 a year. About 3,300 Paramedics are employed in Missouri. A lower cost of living can offset the smaller paycheck, so compare take-home value, not just salary.
What are the highest-paying jobs in Missouri?
The highest-paying occupations in Missouri include Orthopedic Surgeon, Except Pediatric ($842,800), Cardiologist ($648,070), Emergency Medicine Physician ($456,280), based on median annual pay in official BLS state estimates.

← See the national Paramedic salary report

Related salaries

Clinical Laboratory Technologists and Technicians

$62,930
median pay · 333,000 employed

Physical Therapist Assistant

$68,380
median pay · 112,000 employed

Exercise Physiologist

$59,460
median pay · 9,000 employed

Veterinary Assistants and Laboratory Animal Caretakers

$38,150
median pay · 127,000 employed

Nursing Assistant

$42,260
median pay · 1,449,000 employed

Health Technologists and Technicians, All Other

$50,290
median pay · 183,000 employed
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), Unknown vintage. Education requirements: O*NET (U.S. Department of Labor). State figures are official BLS state-level wage estimates. Where BLS suppresses a state percentile, it is scaled from the official national distribution. Individual pay varies by employer, metro area, and experience.