Public Service Saint Louis, MO Pop. 301,578

EMT/Paramedic Salary in Saint Louis, Missouri

The median emt/paramedic salary in Saint Louis, MO is $35,037 per year, which is 10% below the national median and 2.3% above the Missouri state average.

City Median
$35,037
vs State Avg
+$779
vs National
$-3,893
Cost of Living
90%

EMT/Paramedic Pay in Saint Louis: What to Expect (2026)

Saint Louis offers a median emt/paramedic salary of $35,037, which is $779 above the Missouri state average of $34,258. Compared to the national median of $38,930, Saint Louis pays below the national benchmark for this role.

Saint Louis's cost of living is 90% of the national average, meaning salary figures here closely reflect actual purchasing power. This makes direct comparisons to other cities straightforward.

The salary range for emt/paramedics in Saint Louis spans from $23,400 at the 10th percentile to $55,800 at the 90th percentile — a $32,400 spread. Entry-level professionals start around $25,200, while senior emt/paramedics with 8+ years of experience can earn up to $52,200. With a population of 301,578, Saint Louis is a mid-sized metro with a growing job market.

EMT/Paramedic Salary in Saint Louis by Experience

In Saint Louis, an entry-level emt/paramedic earns around $25,200, while experienced professionals earn up to $52,200 per year. The local cost of living index is 90% of the national average.

Entry Level (0-2 yrs)
$25,200
$-2,800 vs national
Mid Level (3-7 yrs)
$36,000
$-4,000 vs national
Senior Level (8+ yrs)
$52,200
$-5,800 vs national

Salary Percentiles in Saint Louis, MO

Percentile Saint Louis
10th Percentile $23,400
25th Percentile $27,900
Median (50th) $35,037
75th Percentile $45,000
90th Percentile $55,800

EMT/Paramedic Salary in Other Missouri Cities

Kansas City, MO
$35,816
Pop. 508,090
Columbia, MO
$34,258
Pop. 126,254
Independence, MO
$33,091
Pop. 123,011
Springfield, MO
$31,923
Pop. 169,176

How to Become a EMT/Paramedic in Saint Louis

Education

Most emt/paramedic positions require a postsecondary nondegree award. Saint Louis and the surrounding Missouri area have institutions offering relevant programs.

Key Skills

Emergency MedicineCPR/ALSPatient AssessmentTrauma CareCommunicationDriving

Job Outlook

Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). Demand in Saint Louis may vary based on local industry and population growth.

Find EMT/Paramedic Jobs in Saint Louis

Browse open emt/paramedic positions in Saint Louis, MO:

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Frequently Asked Questions: EMT/Paramedic Salary in Saint Louis

How much does a EMT/Paramedic make in Saint Louis, MO? ▼
The median emt/paramedic salary in Saint Louis, Missouri is $35,037 per year, which is 10% below the national median of $38,930. Salaries range from $23,400 (10th percentile) to $55,800 (90th percentile).
How much does a EMT/Paramedic make per hour in Saint Louis? ▼
Based on the median annual salary of $35,037, a emt/paramedic in Saint Louis earns approximately $17 per hour assuming a standard 2,080-hour work year.
How does Saint Louis compare to the Missouri state average for emt/paramedic pay? ▼
Saint Louis's median emt/paramedic salary of $35,037 is 2.3% above the Missouri state average of $34,258. The local cost of living index is 90% of the national average.
What is the cost of living in Saint Louis, MO? ▼
Saint Louis has a cost of living index of 90% compared to the national average. This means a emt/paramedic salary of $35,037 in Saint Louis has more purchasing power than the same salary in an average-cost city.
What qualifications do I need to become a emt/paramedic in Saint Louis? ▼
Most emt/paramedic positions in Saint Louis require a postsecondary nondegree award. Key skills include Emergency Medicine, CPR/ALS, Patient Assessment, Trauma Care. The job market is projected to grow 7% nationally over the next decade.