Paramedic salary in Missouri
Updated Updated for 2026 tax law
A paramedic in Missouri earns a median of $59,180 a year ($28.45/hour equivalent), 2.3% below the national median of $60,600. Missouri ranks #31 of 51 states. About 3,300 people do this job in Missouri.
Take-home pay in Missouri
At the Missouri median, a single filer keeps about $47,922 a year after federal, FICA and Missouri taxes — $1,843 every two weeks. Try your own numbers with the Missouri paycheck calculator.
- Gross pay
- $2,276.15
- Federal income tax
- −$189.29
- Social Security (6.2%)
- −$141.12
- Medicare (1.45%)
- −$33.00
- Missouri income tax
- −$69.59
- Take-home pay
- $1,843.14
Annual breakdown
- Gross
- $59,180
- Federal
- $4,922
- FICA
- $4,527
- State + local
- $1,809
- Net
- $47,922
- Marginal federal rate
- 12.0%
- Marginal state rate
- 4.7%
2026 federal brackets (Rev. Proc. 2025-32) and 2026 state rules. Estimates assume wages are your only income and use annual liability, so your actual withholding can differ slightly.
How Missouri compares
| Rank | State | Median salary |
|---|---|---|
| #1 | Washington | $104,310 |
| #2 | New Jersey | $86,630 |
| #3 | Hawaii | $81,280 |
| #4 | District of Columbia | $78,550 |
| #5 | Connecticut | $77,480 |
| #31 | Missouri | $59,180 |
| #49 | Alabama | $48,540 |
| #50 | West Virginia | $48,460 |
| #51 | Oklahoma | $46,790 |
See the national paramedic salary page for the full pay range and all states.
BLS occupation: Paramedics (SOC 29-2043), May 2025, state estimates.
Frequently asked questions
How much does a paramedic make in Missouri?
The median salary is $59,180 a year and the average is $60,860 (BLS May 2025).
Is Missouri a good state for paramedics?
Missouri ranks #31 of 51 states for median pay in this job, 2% below the national median of $60,600.
What is $59,180 after taxes in Missouri?
About $47,922 a year ($1,843 every two weeks) for a single filer in 2026.
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Estimates for information only — not tax, legal or financial advice.