How Much Does a Paramedic Make in St. Louis, MO in 2026?
Typical pay for Paramedics 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 Paramedic in St. Louis, Missouri earns $30.31 per hour, or $63,050 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $5,254 a month. Entry-level positions typically offer around $45,480, and the top 10% of earners make over $83,730.
That pay is 7% above the Missouri figure of $59,180 and 4% above the national figure of $60,600. St. Louis ranks 1st of 6 metro areas in Missouri for Paramedic pay. About 1,890 Paramedics work in the St. Louis area.
Paramedic pay in St. Louis at a glance
- Typical pay is $30.31 an hour, or $63,050 a year.
- That is 7% above the Missouri figure, ranking 1st of 6 metro areas in the state.
- Entry-level positions typically offer around $45,480; the top 10% make over $83,730.
BLS OES May 2025
How much does a Paramedic make in St. Louis?
Pay in St. Louis runs from entry-level positions at around $21.86 an hour to more than $40.25 for the top 10% of earners. The table sets each career stage against the Missouri and national figures.
Paramedic pay by career stage in St. Louis
| Career stage | St. Louis | Missouri | United States |
|---|---|---|---|
| Starting out | $45,480$21.86 an hour | $45,480$21.86 an hour | $44,230$21.27 an hour |
| First years | $49,510$23.81 an hour | $49,230$23.67 an hour | $49,660$23.88 an hour |
| Typical Paramedic | $63,050$30.31 an hour | $59,180$28.45 an hour | $60,600$29.13 an hour |
| Experienced | $73,790$35.47 an hour | $73,780$35.47 an hour | $73,470$35.32 an hour |
| Top 10% | $83,730$40.25 an hour | $81,300$39.09 an hour | $84,850$40.80 an hour |
BLS OES May 2025 · city figures cover the St. Louis area as BLS defines it
Paramedic pay growth in St. Louis
Typical (median) annual wage for Paramedics in the St. Louis area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change
In 2021, typical Paramedic pay in St. Louis was $46,620 a year. By 2025 it had reached $63,050.
How St. Louis compares with other Missouri cities
St. Louis pays Paramedics the most of any metro area in Missouri. The lowest-paying area in the state is Jefferson City at $48,080.
| # | City | Typical pay | Hourly | Vs St. Louis | Paramedics employed |
|---|---|---|---|---|---|
| 1 | St. Louis | $63,050 | $30.31 | this city | 1,890 |
| 2 | Kansas City | $59,520 | $28.62 | -6% | 750 |
| 3 | Springfield | $59,230 | $28.47 | -6% | 190 |
| 4 | Cape Girardeau | $51,650 | $24.83 | -18% | 30 |
| 5 | Joplin | $49,480 | $23.79 | -22% | 100 |
| 6 | Jefferson City | $48,080 | $23.11 | -24% | 80 |
Every metro area in Missouri with Paramedic wage data · BLS OES May 2025 · Missouri typical pay $59,180
Is St. Louis a good place to work as a Paramedic?
Paramedic pay in St. Louis sits close to the national figure: $63,050 a year, 4% above the national rate. For every 1,000 jobs in the St. Louis area, about 1.4 are Paramedic positions; nationally, the figure is closer to 0.6. That makes the local economy more reliant on Paramedics than most places, and turnover keeps positions opening through the year.
Frequently asked questions
- How much does a Paramedic make in St. Louis, MO?
- A typical Paramedic in St. Louis earns $63,050 a year, or $30.31 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $45,480 and the top 10% earn over $83,730.
- How much does a Paramedic make an hour in St. Louis?
- Typical hourly pay for Paramedics in St. Louis is $30.31. Entry-level hourly pay runs about $21.86, and the top 10% earn over $40.25 an hour.
- What is the starting pay for a Paramedic in St. Louis?
- Entry-level Paramedic positions in St. Louis typically offer around $21.86 an hour, or $45,480 a year.
- Is Paramedic pay in St. Louis higher than in the rest of Missouri?
- St. Louis pay is 7% above the Missouri figure of $59,180 a year, ranking 1st of 6 metro areas in the state.