Paramedic Salaries in Missouri — 2026 Overview
BLS 2026Paramedics in Missouri earn an average of $55,600 per year ($26.73/hr) according to the latest BLS data. The state currently employs around 2,800 paramedics.
Paramedic salaries in Missouri are below the national average by approximately $2,805. Missouri has a state income tax rate of up to 4.8%.
Missouri's manufacturing base and stable economy provide steady employment for paramedics.
Missouri Paramedic Take-Home Pay Calculator
InteractiveEnter your gross annual salary to estimate take-home pay in Missouri after federal tax, Social Security and Medicare. Missouri has a state income tax rate of up to 4.8%.
Estimate based on 2026 federal tax brackets, single filer, standard deduction. Missouri has a state income tax rate of up to 4.8%. Does not account for local taxes or benefit deductions.
Am I Paid Fairly? — Missouri Paramedic Check
InteractiveEnter your current salary to see how it compares to the Missouri median of $55,600.
Paramedic Salary by Experience — Missouri
Paramedic Salary Trend in Missouri — 2021 to 2026
5-Year DataFive-year wage growth for paramedics in Missouri: 13.9% — a useful benchmark when negotiating pay or planning a career move. The growth reflects broader workforce and economic conditions in Missouri's emergency medical services.
Paramedic Salary by City — Missouri
BLS Metro Data| City / Metro Area | Annual Median | Hourly | vs State | Jobs |
|---|---|---|---|---|
| Kansas City | $61,700 | $29.66 | +11.0% | 979 |
| Saint Louis | $58,950 | $28.34 | +6.0% | 784 |
| Springfield | $57,250 | $27.52 | +3.0% | 504 |
| Columbia | $53,400 | $25.67 | -4.0% | 252 |
| Independence | $50,600 | $24.33 | -9.0% | 168 |
| Jefferson City | $48,350 | $23.25 | -13.0% | 112 |
Tip: Kansas City offers the highest paramedic salaries in Missouri at $61,700/yr — +11.0% above the state average.
Missouri vs Nearby States — Purchasing Power
Cost of Living AdjustedGross salary figures don't tell the whole story. After adjusting for state income tax, Missouri sits in the mid-range for paramedics.
Take-home estimates based on single filer, standard deduction, 2026 federal brackets. Missouri has a state income tax rate of up to 4.8%.
Paramedic Job Outlook in Missouri
BLS ProjectionsEmployment for paramedics in Missouri is projected to grow over the next decade, driven by strong demand across the Missouri job market. Missouri's manufacturing base and stable economy provide steady employment for paramedics.
How to Earn More as a Paramedic in Missouri
1. Pursue advanced certification or licensing. Moving from entry to senior level as a paramedic in Missouri typically adds $45,600 to your annual salary. Additional certifications from the State EMS Licensing Board can accelerate this progression.
2. Target the highest-paying city. Kansas City pays paramedics $61,700/yr — +11.0% above the Missouri average. Simply relocating within Missouri can meaningfully increase your income without changing careers.
3. Specialise in high-demand areas. Paramedics who specialise in emergency medical services typically command premium rates in Missouri. Identifying growing niches within your field is one of the fastest paths to higher pay.
4. Consider neighbouring states. Iowa pays paramedics $53,470/yr — -3.8% vs Missouri.
Find Paramedic Jobs in Missouri
Live ListingsSearch current paramedic job vacancies in Missouri:
🔍 Paramedic jobs in Missouri — Indeed→ 🔍 Paramedic jobs in Missouri — ZipRecruiter→ 🔍 Paramedic jobs — Kansas City, MO→