Last updated: 2025 BLS data · Page refreshed:
How much does a Surgical Assistants actually take home in Missouri?
Progressive (up to 4.8%) — 20.2% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a Surgical Assistants earning $49,400 in Missouri (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $49,400 | — |
| Federal Income Tax | -$3,944 | 8.0% |
| Missouri State Income Tax | -$2,258 | 4.6% |
| Social Security (OASDI) | -$3,062 | 6.2% |
| Medicare | -$716 | 1.4% |
| Total Taxes | -$9,982 | 20.2% |
| Take-Home Pay | $39,417 | 79.8% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Surgical Assistants in Missouri.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $37,540 | -$7,082 | $30,457 | 18.9% |
| 25th Percentile (P25) | $47,330 | -$9,475 | $37,854 | 20.0% |
| Median (P50) | $49,400 | -$9,982 | $39,417 | 20.2% |
| 75th Percentile (P75) | $60,580 | -$12,715 | $47,864 | 21.0% |
| 90th Percentile (P90) | $93,060 | -$23,787 | $69,272 | 25.6% |
After federal income tax ($3,944), state tax ($2,258), and FICA ($3,779), a Surgical Assistants in Missouri takes home $39,417 per year — or $3,284 per month. The effective tax rate of 20.2% is relatively low compared to the national range.
With an effective total rate of 20.2%, a Surgical Assistants in Missouri keeps $39,418 of $49,400 gross — roughly typical for U.S. middle-income earners once federal, FICA and state taxes are combined.
Missouri uses a progressive state income tax, so brackets escalate as wages rise. For this Surgical Assistants salary the state tax works out to $2,259 (4.6% effective) — on top of federal and FICA.
Federal tax on this Surgical Assistants salary is $3,944 (40%), but combined state ($2,259, 23%) + FICA ($3,779, 38%) make up the other 60% of the bill.
A Surgical Assistants earning this gross in a no-income-tax state (e.g., Texas, Florida) would take home approximately $41,677 — only $2,259 (5.7%) more than in Missouri.
Missouri sits near the bottom (#40 of 44) for Surgical Assistants after-tax earnings. Relocation, negotiation, or credential stacking typically show the clearest ROI in bottom-quartile states.
Translated into paycheck cadences, $39,418 net/year works out to $3,285/month or $1,516/bi-weekly for this Surgical Assistants in Missouri — the numbers that actually hit a checking account after every deduction.
Where does a Surgical Assistants keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
Missouri ranks #40 out of 44 states for Surgical Assistants after-tax take-home pay.
A Surgical Assistants in Missouri earning a median salary of $49,400 will take home approximately $39,417 per year after federal income tax ($3,944), state income tax ($2,258), and FICA ($3,779). That is $3,284 per month or $1,516 per bi-weekly paycheck.
The effective total tax rate for a Surgical Assistants in Missouri is 20.2%, broken down as: federal income tax 8.0%, Missouri state tax 4.6%, and FICA (Social Security + Medicare) 7.6%. This assumes a single filer with the standard deduction for 2024.
Missouri has a progressive (up to 4.8%). On a Surgical Assistants's median salary of $49,400, the state income tax amounts to $2,258 per year, which is an effective state rate of 4.6%.
After all taxes, a Surgical Assistants in Missouri takes home approximately $3,284 per month, or about $18.95 per hour (based on a standard 2,080-hour work year). These figures assume a single filer, standard deduction, and no additional pre-tax deductions.
We start with the 2025 BLS median salary of $49,400 for Surgical Assistants in Missouri, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Missouri state income tax (progressive (up to 4.8%)), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $39,417/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
Some links are affiliate links. See our disclosure.
This estimate assumes a single filer using the 2024 standard deduction ($14,600), with W-2 employment income only. It does not account for: itemized deductions, tax credits (e.g. earned income credit, child tax credit), local/city taxes, pre-tax contributions (401k, HSA, FSA), self-employment tax, or additional income sources. Actual take-home pay may differ. Consult a tax professional for personalized advice.
Our Methodology · Data Sources · Salary: BLS OEWS · Tax: IRS + State DOR