Paramedic Salary in St. Louis, MO
Paramedics in the St. Louis, MO-IL metro area earn a median $63,050 a year — 4% more than the national median. After 2026 taxes, that is $50,815 take-home, or $4,235 a month.
Take-home pay calculator
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- Federal income tax$5,386
- Social Security (6.2%)$3,909
- Medicare (1.45%)$914
- Missouri income tax$2,026
- Take-home pay$50,815
Marginal rate: 12% federal + 4.70% state
The St. Louis, MO-IL metro spans Missouri, Illinois. Pick the state you live in — state income tax follows your residence.
Paramedic pay by experience in St. Louis, MO
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $45,480 | $21.87 | $37,523 | $3,127 |
| 25th percentile | $49,510 | $23.80 | $40,572 | $3,381 |
| Median (50th) | $63,050 | $30.31 | $50,815 | $4,235 |
| 75th percentile | $73,790 | $35.48 | $58,210 | $4,851 |
| 90th percentile (top earners) | $83,730 | $40.25 | $64,736 | $5,395 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Missouri resident, 2026 tax rules.
What $63,050 buys in St. Louis, MO
Prices in St. Louis, MO are 4.9% lower than the U.S. average (housing costs are 21% below the national average). Adjusted for local prices, a median paramedic's $50,815 take-home pay has the buying power of $53,440 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
St. Louis, MO has 2.2× the national concentration of paramedic jobs — a strong local market for this occupation.
Best-paying cities for paramedics, adjusted for cost of living
St. Louis, MO ranks #13 of 40 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Seattle, WA | $123,310 | $95,548 | $85,977 |
| 2 | Memphis, TN | $66,830 | $55,845 | $60,583 |
| 3 | Chicago, IL | $77,670 | $59,771 | $57,697 |
| 4 | Austin, TX | $67,290 | $56,169 | $57,276 |
| 5 | Minneapolis, MN | $77,430 | $59,560 | $56,820 |
| 6 | Salt Lake City, UT | $71,440 | $56,839 | $56,350 |
| 7 | Nashville, TN | $63,450 | $53,162 | $55,183 |
| 8 | New York, NY | $79,550 | $61,095 | $54,276 |
| 13 | St. Louis, MO | $63,050 | $50,815 | $53,440 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 40 metros →
Paramedic salaries elsewhere in Missouri
- Kansas City, MO — $59,520
Frequently asked questions
How much does a paramedic make in St. Louis, MO?
The median paramedic salary in the St. Louis, MO-IL metro area is $63,050 a year, or about $30.31 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $49,510 and $73,790.
What is a paramedic’s take-home pay in St. Louis, MO?
On the median $63,050 salary, a single filer living in Missouri takes home about $50,815 a year ($4,235 a month) after federal tax, Social Security, Medicare and $2,026 in Missouri taxes in 2026.
Is St. Louis, MO a good place to work as a paramedic?
Pay here is 4% above the national median of $60,600. Local prices are 4.9% below the U.S. average, so the take-home pay buys what $53,440 would in a typical U.S. city. St. Louis, MO ranks #13 of 40 metro areas for cost-of-living-adjusted pay in this job.
Can a paramedic afford rent in St. Louis, MO?
HUD’s fair market rent for a one-bedroom in St. Louis, MO is $989 a month ($1,211 for two bedrooms) — 23% of a median paramedic’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in St. Louis, MO
- Physicians, All Other — $239,200+
- Nurse Anesthetist — $232,300
- Dentists, General — $210,430
- Pharmacist — $138,530
- Physician Assistant — $136,120
- Nurse Practitioner — $131,580
- Veterinarian — $122,460
- Physical Therapist — $100,600
- Diagnostic Medical Sonographer — $98,990
- Dental Hygienist — $97,650
- Occupational Therapist — $95,770
- Speech-Language Pathologist — $86,480