EMT pay in Missouri after taxes: what you keep (2026)

The median EMT in Missouri earned $38,580 a year in May 2024, which is $19 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 3,320 EMTs the BLS counts in Missouri earned more than that and half earned less; the middle half of them sat between $35,070 and $46,150. That is the gross figure, before anyone takes anything. What you keep depends on Missouri's tax, and Missouri has a progressive state income tax with a top rate of 4.7%.

What the median EMT keeps in Missouri

For a single filer on the median $38,580, taking the standard deduction and no other adjustments:

The state line is 3.3% of gross at this salary, approximated at 70% of the top bracket, which is where a middle income lands in most progressive states. Kansas City and St. Louis add a 1% earnings tax, which is not in the table. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.

Where Missouri ranks for EMT pay

Of the 50 states, Missouri ranks 33 of 50 on the gross median for EMTs. The highest-paying state is Hawaii at $61,310 and the lowest is Arkansas at $31,710. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.

Across the border

The same job in the states next to Missouri, gross median and estimated take-home for a single filer:

Illinois, Tennessee, Nebraska and Iowa leave an EMT with more at the end of the year than Missouri does. Kentucky, Kansas, Oklahoma and Arkansas pay less once tax is counted. Pay is one line; rent is the other, and a higher median in a metro with higher rent can leave you with less.

Where the EMT jobs are in Missouri

The BLS count of 3,320 EMTs is statewide. The metros with the most of that work are Kansas City, St. Louis, Springfield and Columbia, which is where the median is set and where the upper quartile ($46,150 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the Missouri openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.

What people get wrong about EMT pay in Missouri

• Quoting the mean. The BLS mean for Missouri is $20 an hour, pulled up by the top earners. The median ($19) is what the typical EMT makes.
• Comparing gross across states. A $38,580 offer in Missouri is $31,714 in hand; the same number in a no-tax state is $32,983.
• Forgetting the employer's share of insurance. A job that pays $36,580 with full health coverage can beat one that pays $41,580 without it.
• Treating the statewide median as the metro median. Kansas City pays differently from a rural county; ask for the figure for the place you are actually going.

Everything about Missouri, on one page

The Missouri page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in Missouri this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of Missouri employers hiring from out of state.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for EMT. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.