SOC 29-2043 · Cape Girardeau, MO-IL metro

Paramedics Salary in Cape Girardeau, MO

The average salary for paramedics in Cape Girardeau, Missouri is $53,440 a year ($25.69 an hour), according to BLS estimates for May 2025. The median is $51,650: half of the 30 people in this job in the Cape Girardeau, MO-IL metro area earn more than that, half earn less. That average is 18% less than the U.S. metro average for this job ($65,089).

$53,440average per year

$25.69 / hourMedian $51,650Take-home ≈ $43,545

  • $43K10th
  • $43K25th
  • $52KMedian
  • $59K75th
  • $63K90th

median average · bar = middle 50% of workers

30people in this job
-18%vs U.S. metro average
#4 of 6Missouri metros
86cost of living (U.S. = 100)
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Paramedics pay range in Cape Girardeau

New workers and the lowest-paid 10% earn about $43,120 a year or less, while the top 10% make $63,030 or more. The middle half of paramedics in Cape Girardeau earn between $43,120 and $59,180.

  • $43K10th
  • $43K25th
  • $52KMedian
  • $59K75th
  • $63K90th

median average · bar = middle 50% of workers

Pay levelPer yearPer monthPer hour*
Average$53,440$4,453$25.69
Median$51,650$4,304$24.83
Entry level (25th percentile)$43,120$3,593$20.73
Experienced (75th percentile)$59,180$4,932$28.45

*Hourly figures assume 2,080 paid hours a year.

Paramedics salary after taxes in Cape Girardeau

On the average salary of $53,440, a single filer in Cape Girardeau takes home about $43,545 a year, or $3,629 a month and $1,675 every two weeks. Taxes take 19% of gross pay.

The Cape Girardeau, MO-IL metro area crosses state lines, so take-home pay depends on the state where you work:

StatePer yearPer month
Working in MO$43,545$3,629
Working in IL$42,615$3,551

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). The 1% earnings tax applies to people who live or work in Kansas City or St. Louis itself, not in the suburbs.

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Is Cape Girardeau a good place for paramedics? Pay vs. cost of living

Prices in the Cape Girardeau area are 14% below the U.S. average (BEA price parity 86.1), so the average $53,440 buys what about $62,083 would buy in a typical U.S. metro. This job pays 1.2 times the median wage of all jobs in Cape Girardeau ($44,470). A typical home costs $232,332, or 4.3 years of this average salary before tax.

See what $53,440 is worth in another city

Paramedics salary in other Missouri cities

Cape Girardeau ranks 4th of 6 Missouri metro areas for this job; St. Louis pays the most ($62,680).

All Paramedics salaries in Missouri

Highest-paying cities for paramedics

Bellingham, WA pays this job the most of the metro areas we cover ($119,190).

Paramedics salary by city

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Reviewed before it counts. Paramedics in Cape Girardeau, MO.

Paramedics salary in Cape Girardeau: questions

How much do paramedics make an hour in Cape Girardeau?

$25.69 an hour on average, and $24.83 at the median (BLS, May 2025).

What is the entry-level paramedics salary in Cape Girardeau?

The lowest-paid 10% earn about $43,120 a year and the 25th percentile is $43,120, a fair guide to starting pay.

What is the paramedics take-home pay in Cape Girardeau?

About $43,545 a year ($3,629 a month) for a single filer on the average salary of $53,440. The 1% earnings tax applies to people who live or work in Kansas City or St. Louis itself, not in the suburbs.

Do paramedics earn more in Cape Girardeau than elsewhere?

The average here is 18% less than the U.S. metro average for this job ($65,089).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-2043; area Cape Girardeau, MO-IL (16020). Relative standard error of the mean wage: 7.6%.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). The 1% earnings tax applies to people who live or work in Kansas City or St. Louis itself, not in the suburbs.
  • Job concentration: location quotient 1.05, this job is about as common as in the U.S. overall.

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