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Paramedics Salary in Missouri: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Paramedics 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
$59,180
Median annual (2025)
+9.8%
Real Purchasing Power
$64,961
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 $59,180 in Missouri has the equivalent purchasing power of $64,961 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) $45,480 $49,923 +$4,443
25th Percentile (P25) $49,230 $54,039 +$4,809
Median (P50) $59,180 $64,961 +$5,781
75th Percentile (P75) $73,780 $80,987 +$7,207
90th Percentile (P90) $81,300 $89,242 +$7,942
Key Insight

A Paramedics in Missouri earns $59,180 on paper, but low living costs mean your money goes 10% further — like earning $64,961 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 Paramedics, 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 $59,180 median salary translates to $64,962 in real terms — a 9.8% gain. That difference can cover several months of expenses over a year for a Paramedics.

Above-Median Adjusted Pay

#18 / 51

Missouri sits at #18 of 51 states for Paramedics COL-adjusted salary — comfortably above the national midpoint.

Best States for Paramedics (After Cost of Living)

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

$95,000
RPP 109.8
$79,623
RPP 108.8
$78,096
RPP 97.7
4. Hawaii
$73,357
RPP 110.8
$72,819
RPP 106.4
6. Alaska
$70,450
RPP 102.0
$70,259
RPP 88.7
8. Oregon
$70,206
RPP 106.6
9. Wyoming
$69,684
RPP 91.9
10. Utah
$69,227
RPP 94.5

Missouri ranks #18 out of 51 states for Paramedics after cost-of-living adjustment.

How much do you actually take home? See Paramedics take-home pay in Missouri after taxes →

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 $59,180 per year. After adjusting for Missouri's cost of living (RPP=91.1), the real purchasing power is $64,961 — 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: $59,180 x (100 / 91.1) = $64,961. 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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