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Paramedic Salary in Missouri: Cost of Living Adjusted (2024)

What does a Paramedic salary really buy you in Missouri?

Missouri is 8.9% cheaper than the US average

Data: BLS OEWS 2024 + BEA Regional Price Parities 2022 • Updated 2026-03-31

Nominal Salary
$38,580
Median annual (2024)
+9.8%
Real Purchasing Power
$42,349
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 Paramedic earning $38,580 in Missouri has the equivalent purchasing power of $42,349 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) $30,370 $33,336 +$2,966
25th Percentile (P25) $35,070 $38,496 +$3,426
Median (P50) $38,580 $42,349 +$3,769
75th Percentile (P75) $46,150 $50,658 +$4,508
90th Percentile (P90) $49,970 $54,851 +$4,881
Key Insight

A Paramedic in Missouri earns $38,580 on paper, but low living costs mean your money goes 10% further — like earning $42,349 in an average-cost state. This makes Missouri one of the best value states for this occupation.

Best States for Paramedic (After Cost of Living)

Where does Paramedic salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

1. Alaska
$55,784
RPP 102.0
2. Hawaii
$55,333
RPP 110.8
$47,277
RPP 104.7
$46,955
RPP 92.3
$46,765
RPP 97.7
$46,234
RPP 98.0
$45,496
RPP 108.8
8. Maine
$45,357
RPP 100.8
$45,133
RPP 105.0
10. Oregon
$45,093
RPP 106.6

Missouri ranks #24 out of 50 states for Paramedic after cost-of-living adjustment.

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Frequently Asked Questions

What is the real salary for a Paramedic in Missouri after cost of living?

A Paramedic in Missouri earns a median salary of $38,580 per year. After adjusting for Missouri's cost of living (RPP=91.1), the real purchasing power is $42,349 — 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 Paramedic in Missouri: $38,580 x (100 / 91.1) = $42,349. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Paramedic in Missouri financially?

From a purchasing power perspective, yes. A Paramedic 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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