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Home Health and Personal Care Aides Salary in Missouri: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Home Health and Personal Care Aides salary really buy you in Missouri?

Missouri is 8.9% cheaper than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$33,080
Median annual (2025)
+9.8%
Real Purchasing Power
$36,311
COL-adjusted (RPP=91.1)

Missouri Cost of Living Index

Missouri's Regional Price Parity (RPP) is 91.1, meaning prices are 8.9% lower the national average. A Home Health and Personal Care Aides earning $33,080 in Missouri has the equivalent purchasing power of $36,311 in an average-cost US state.

MO: 91.1
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Missouri's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $28,600 $31,394 +$2,794
25th Percentile (P25) $28,600 $31,394 +$2,794
Median (P50) $33,080 $36,311 +$3,231
75th Percentile (P75) $37,060 $40,680 +$3,620
90th Percentile (P90) $43,410 $47,650 +$4,240
Key Insight

A Home Health and Personal Care Aides in Missouri earns $33,080 on paper, but low living costs mean your money goes 10% further — like earning $36,311 in an average-cost state. This makes Missouri one of the best value states for this occupation.

What the Cost-of-Living Data Says

Missouri Runs Well Below National Cost

RPP 91.1

Missouri's Regional Price Parity (RPP) of 91.1 means a basket of goods and services costs about 8.9% less than the national average. For a Home Health and Personal Care Aides, every dollar earned effectively buys more here than in a 100-RPP state.

Meaningful Purchasing-Power Shift

+9.8%

After applying Missouri's RPP, the $33,080 median salary translates to $36,312 in real terms — a 9.8% gain. That difference can cover several months of expenses over a year for a Home Health and Personal Care Aides.

Below-Median Adjusted Pay

#27 / 51

Missouri's rank of #27 of 51 states means real purchasing power for Home Health and Personal Care Aides trails the national half-way line.

Best States for Home Health and Personal Care Aides (After Cost of Living)

Where does Home Health and Personal Care Aides salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$44,464
RPP 88.7
$43,469
RPP 109.8
$42,886
RPP 88.0
$41,719
RPP 104.7
5. Oregon
$41,660
RPP 106.6
6. Vermont
$41,147
RPP 101.1
7. Iowa
$40,814
RPP 88.4
$40,760
RPP 89.4
9. Montana
$40,564
RPP 90.3
10. Nebraska
$40,256
RPP 89.8

Missouri ranks #27 out of 51 states for Home Health and Personal Care Aides after cost-of-living adjustment.

How much do you actually take home? See Home Health and Personal Care Aides take-home pay in Missouri after taxes →

Frequently Asked Questions

What is the real salary for a Home Health and Personal Care Aides in Missouri after cost of living?

A Home Health and Personal Care Aides in Missouri earns a median salary of $33,080 per year. After adjusting for Missouri's cost of living (RPP=91.1), the real purchasing power is $36,311 — a +9.8% difference.

Is Missouri expensive to live in?

Missouri's cost of living is 8.9% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for Missouri is 91.1 (US average = 100).

What are Regional Price Parities (RPP)?

Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Home Health and Personal Care Aides in Missouri: $33,080 x (100 / 91.1) = $36,311. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Home Health and Personal Care Aides in Missouri financially?

From a purchasing power perspective, yes. A Home Health and Personal Care Aides in Missouri enjoys 9.8% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.

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