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

What does a Paramedics 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
$55,600
Median annual (2024)
+9.8%
Real Purchasing Power
$61,031
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 Paramedics earning $55,600 in Missouri has the equivalent purchasing power of $61,031 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) $40,560 $44,522 +$3,962
25th Percentile (P25) $47,670 $52,327 +$4,657
Median (P50) $55,600 $61,031 +$5,431
75th Percentile (P75) $61,830 $67,870 +$6,040
90th Percentile (P90) $73,060 $80,197 +$7,137
Key Insight

A Paramedics in Missouri earns $55,600 on paper, but low living costs mean your money goes 10% further — like earning $61,031 in an average-cost state. This makes Missouri one of the best value states for this occupation.

Best States for Paramedics (After Cost of Living)

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

$91,785
RPP 109.8
$73,621
RPP 108.8
$70,864
RPP 106.4
$69,600
RPP 97.7
5. Oregon
$68,836
RPP 106.6
6. Idaho
$68,235
RPP 91.8
$67,587
RPP 88.7
8. Utah
$67,121
RPP 94.5
9. Wyoming
$67,029
RPP 91.9
10. Alaska
$66,990
RPP 102.0

Missouri ranks #18 out of 49 states for Paramedics after cost-of-living adjustment.

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Frequently Asked Questions

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

A Paramedics in Missouri earns a median salary of $55,600 per year. After adjusting for Missouri's cost of living (RPP=91.1), the real purchasing power is $61,031 — 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 Paramedics in Missouri: $55,600 x (100 / 91.1) = $61,031. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Paramedics in Missouri financially?

From a purchasing power perspective, yes. A Paramedics 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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