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Surgical Assistants Salary in Missouri: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Surgical Assistants 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
$49,400
Median annual (2025)
+9.8%
Real Purchasing Power
$54,226
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 Surgical Assistants earning $49,400 in Missouri has the equivalent purchasing power of $54,226 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) $37,540 $41,207 +$3,667
25th Percentile (P25) $47,330 $51,953 +$4,623
Median (P50) $49,400 $54,226 +$4,826
75th Percentile (P75) $60,580 $66,498 +$5,918
90th Percentile (P90) $93,060 $102,151 +$9,091
Key Insight

A Surgical Assistants in Missouri earns $49,400 on paper, but low living costs mean your money goes 10% further — like earning $54,226 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 Surgical Assistants, 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 $49,400 median salary translates to $54,226 in real terms — a 9.8% gain. That difference can cover several months of expenses over a year for a Surgical Assistants.

Bottom-Quartile COL-Adjusted Pay

#38 / 44

Missouri ranks #38 of 44 — bottom quartile for Surgical Assistants real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Surgical Assistants (After Cost of Living)

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

1. Arizona
$111,281
RPP 99.9
$105,823
RPP 116.6
$105,024
RPP 102.3
4. Nevada
$104,585
RPP 96.4
$94,630
RPP 89.4
$91,431
RPP 93.6
$88,932
RPP 91.8
8. Ohio
$84,644
RPP 91.5
$84,539
RPP 92.3
$83,373
RPP 108.8

Missouri ranks #38 out of 44 states for Surgical Assistants after cost-of-living adjustment.

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

Frequently Asked Questions

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

A Surgical Assistants in Missouri earns a median salary of $49,400 per year. After adjusting for Missouri's cost of living (RPP=91.1), the real purchasing power is $54,226 — 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 Surgical Assistants in Missouri: $49,400 x (100 / 91.1) = $54,226. This represents what the salary would be worth in a state with average living costs.

Is it better to be a Surgical Assistants in Missouri financially?

From a purchasing power perspective, yes. A Surgical Assistants 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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