How Much Does an EMT Make in St. Louis, MO in 2026?
Typical pay for EMTs in St. Louis, from federal wage data (May 2025), with the ten-year trend and how the city compares across Missouri.
BLS OES May 2025 · St. Louis metro area
A typical EMT in St. Louis, Missouri earns $20.15 per hour, or $41,910 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $3,493 a month. Entry-level positions typically offer around $35,820, and the top 10% of earners make over $59,450.
That pay is 1% below the Missouri figure of $42,160 and 6% below the national figure of $44,470. St. Louis ranks 4th of 8 metro areas in Missouri for EMT pay. About 1,550 EMTs work in the St. Louis area.
EMT pay in St. Louis at a glance
- Typical pay is $20.15 an hour, or $41,910 a year.
- That is 1% below the Missouri figure, ranking 4th of 8 metro areas in the state.
- Entry-level positions typically offer around $35,820; the top 10% make over $59,450.
BLS OES May 2025
How much does an EMT make in St. Louis?
Pay in St. Louis runs from entry-level positions at around $17.22 an hour to more than $28.58 for the top 10% of earners. The table sets each career stage against the Missouri and national figures.
EMT pay by career stage in St. Louis
| Career stage | St. Louis | Missouri | United States |
|---|---|---|---|
| Starting out | $35,820$17.22 an hour | $34,390$16.53 an hour | $34,130$16.41 an hour |
| First years | $37,040$17.81 an hour | $37,060$17.82 an hour | $37,960$18.25 an hour |
| Typical EMT | $41,910$20.15 an hour | $42,160$20.27 an hour | $44,470$21.38 an hour |
| Experienced | $47,230$22.71 an hour | $47,230$22.71 an hour | $50,100$24.09 an hour |
| Top 10% | $59,450$28.58 an hour | $58,090$27.93 an hour | $62,500$30.05 an hour |
BLS OES May 2025 · city figures cover the St. Louis area as BLS defines it
EMT pay growth in St. Louis
Typical (median) annual wage for EMTs in the St. Louis area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change
In 2021, typical EMT pay in St. Louis was $29,330 a year. By 2025 it had reached $41,910.
How St. Louis compares with other Missouri cities
Columbia pays EMTs the most in Missouri at $43,980 a year, $2,070 more than St. Louis. The lowest-paying area in the state is Cape Girardeau at $35,550.
| # | City | Typical pay | Hourly | Vs St. Louis | EMTs employed |
|---|---|---|---|---|---|
| 1 | Columbia | $43,980 | $21.14 | +5% | 80 |
| 2 | Springfield | $43,700 | $21.01 | +4% | 280 |
| 3 | Kansas City | $42,670 | $20.51 | +2% | 500 |
| 4 | St. Louis | $41,910 | $20.15 | this city | 1,550 |
| 5 | Joplin | $39,670 | $19.07 | -5% | 80 |
| 6 | St. Joseph | $38,680 | $18.59 | -8% | 50 |
| 7 | Jefferson City | $36,770 | $17.68 | -12% | 100 |
| 8 | Cape Girardeau | $35,550 | $17.09 | -15% | 50 |
Every metro area in Missouri with EMT wage data · BLS OES May 2025 · Missouri typical pay $42,160
Is St. Louis a good place to work as an EMT?
EMTs in St. Louis earn less than the national figure: typical pay is $41,910 a year, 6% below the national rate. For every 1,000 jobs in the St. Louis area, about 1.2 are EMT positions; nationally, the figure is closer to 1.2. EMT jobs make up about the same share of the job market as they do across the country.
Frequently asked questions
- How much does an EMT make in St. Louis, MO?
- A typical EMT in St. Louis earns $41,910 a year, or $20.15 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $35,820 and the top 10% earn over $59,450.
- How much does an EMT make an hour in St. Louis?
- Typical hourly pay for EMTs in St. Louis is $20.15. Entry-level hourly pay runs about $17.22, and the top 10% earn over $28.58 an hour.
- What is the starting pay for an EMT in St. Louis?
- Entry-level EMT positions in St. Louis typically offer around $17.22 an hour, or $35,820 a year.
- Is EMT pay in St. Louis higher than in the rest of Missouri?
- St. Louis pay is 1% below the Missouri figure of $42,160 a year, ranking 4th of 8 metro areas in the state. Columbia pays the most in Missouri at $43,980.