How Much Does a Medical Assistant Make in St. Louis, MO in 2026?
Typical pay for Medical Assistants 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 Medical Assistant in St. Louis, Missouri earns $21.50 per hour, or $44,710 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $3,726 a month. Entry-level positions typically offer around $36,670, and the top 10% of earners make over $48,620.
That pay is 11% above the Missouri figure of $40,440 and 2% below the national figure of $45,690. St. Louis ranks 2nd of 8 metro areas in Missouri for Medical Assistant pay. About 6,170 Medical Assistants work in the St. Louis area.
Medical Assistant pay in St. Louis at a glance
- Typical pay is $21.50 an hour, or $44,710 a year.
- That is 11% above the Missouri figure, ranking 2nd of 8 metro areas in the state.
- Entry-level positions typically offer around $36,670; the top 10% make over $48,620.
- Typical pay rose +56% from 2015 to 2025, against +42% for Missouri as a whole.
BLS OES May 2025
How much does a Medical Assistant make in St. Louis?
Pay in St. Louis runs from entry-level positions at around $17.63 an hour to more than $23.38 for the top 10% of earners. The table sets each career stage against the Missouri and national figures.
Medical Assistant pay by career stage in St. Louis
| Career stage | St. Louis | Missouri | United States |
|---|---|---|---|
| Starting out | $36,670$17.63 an hour | $35,810$17.21 an hour | $36,050$17.33 an hour |
| First years | $38,550$18.53 an hour | $37,380$17.97 an hour | $38,470$18.50 an hour |
| Typical Medical Assistant | $44,710$21.50 an hour | $40,440$19.44 an hour | $45,690$21.97 an hour |
| Experienced | $47,600$22.88 an hour | $46,600$22.40 an hour | $49,180$23.65 an hour |
| Top 10% | $48,620$23.38 an hour | $48,360$23.25 an hour | $59,310$28.52 an hour |
BLS OES May 2025 · city figures cover the St. Louis area as BLS defines it
Medical Assistant pay growth in St. Louis
Typical (median) annual wage for Medical Assistants in the St. Louis area · BLS OES May estimates, 2015 to 2025 · hover a bar for the year-over-year change
In 2015, typical Medical Assistant pay in St. Louis was $28,570 a year. By 2025 it had reached $44,710, a change of +56%, compared with +42% for Missouri over the same years.
How St. Louis compares with other Missouri cities
Kansas City pays Medical Assistants the most in Missouri at $45,300 a year, $590 more than St. Louis. The lowest-paying area in the state is Joplin at $37,220.
| # | City | Typical pay | Hourly | Vs St. Louis | Medical Assistants employed |
|---|---|---|---|---|---|
| 1 | Kansas City | $45,300 | $21.78 | +1% | 4,220 |
| 2 | St. Louis | $44,710 | $21.50 | this city | 6,170 |
| 3 | Columbia | $41,350 | $19.88 | -8% | 380 |
| 4 | St. Joseph | $40,280 | $19.37 | -10% | 270 |
| 5 | Jefferson City | $38,260 | $18.40 | -14% | 280 |
| 6 | Springfield | $37,870 | $18.21 | -15% | 1,600 |
| 7 | Cape Girardeau | $37,470 | $18.02 | -16% | 350 |
| 8 | Joplin | $37,220 | $17.89 | -17% | 440 |
Every metro area in Missouri with Medical Assistant wage data · BLS OES May 2025 · Missouri typical pay $40,440
Is St. Louis a good place to work as a Medical Assistant?
Medical Assistant pay in St. Louis sits close to the national figure: $44,710 a year, 2% below the national rate. For every 1,000 jobs in the St. Louis area, about 4.6 are Medical Assistant positions; nationally, the figure is closer to 5.3. Medical Assistant jobs make up about the same share of the job market as they do across the country.
Frequently asked questions
- How much does a Medical Assistant make in St. Louis, MO?
- A typical Medical Assistant in St. Louis earns $44,710 a year, or $21.50 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $36,670 and the top 10% earn over $48,620.
- How much does a Medical Assistant make an hour in St. Louis?
- Typical hourly pay for Medical Assistants in St. Louis is $21.50. Entry-level hourly pay runs about $17.63, and the top 10% earn over $23.38 an hour.
- What is the starting pay for a Medical Assistant in St. Louis?
- Entry-level Medical Assistant positions in St. Louis typically offer around $17.63 an hour, or $36,670 a year.
- Is Medical Assistant pay in St. Louis higher than in the rest of Missouri?
- St. Louis pay is 11% above the Missouri figure of $40,440 a year, ranking 2nd of 8 metro areas in the state. Kansas City pays the most in Missouri at $45,300.