EMT Salary

Nixa vs St. Louis: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Nixa, MO and St. Louis, MO. All figures are 2026 estimates projected from BLS 2025 data.

Nixa, MO
$41,365
$19.88/hr
St. Louis, MO
$44,349
$21.32/hr

Side-by-Side Comparison

MetricNixa, MOSt. Louis, MO
Median Salary$41,365$44,349
Hourly Rate$19.88$21.32
Entry Level (P10)$33,545$37,905
25th Percentile$35,933$39,196
75th Percentile$45,412$49,979
Top Earner (P90)$54,732$62,910
Total Employed61,550
Side-by-side bar chart comparing Nixa ($41,365) and St. Louis ($44,349) emergency medical technician salaries.NixaSt. LouisMedian Salary$41,365$44,349Entry Level (P10)$33,545$37,905Top Earner (P90)$54,732$62,910US Median $47,058

Verdict

St. Louis, MO offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Nixa.

The salary gap between Nixa and St. Louis is $2,984 (7.21%). St. Louis's median is -5.76% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Nixa spans $21,187,St. Louis spans $25,005. St. Louis has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.

Nixa
P10 (Entry)$33,545
P25$35,933
Median$41,365
P75$45,412
P90 (Top)$54,732
St. Louis
P10 (Entry)$37,905
P25$39,196
Median$44,349
P75$49,979
P90 (Top)$62,910

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, St. Louis ($46,640 effective) pays 1.03% more than Nixa ($46,166 effective).

Nixa
Nominal: $41,365
CoL Index: 89.6
Adjusted: $46,166
St. Louis
Nominal: $44,349
CoL Index: 95.088
Adjusted: $46,640

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Nixa if…

  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($44,349/year)
  • Better top-earner potential ($62,910)
  • Larger job market (1,550 employed)
  • Better purchasing power (CoL-adjusted: $46,640)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Nixa grew 33.9% from 2024 to 2025, compared to 42.9% growth in St. Louis over the same period.

Nixa, MO

+33.9%

$29,194 (2024) → $39,090 (2025)

St. Louis, MO

+42.9%

$29,330 (2021) → $41,910 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Nixa or St. Louis?

St. Louis has a higher median emergency medical technician salary at $44,349/year, compared to Nixa at $41,365/year — a difference of $2,984 (7.21%).

What is the hourly rate difference between Nixa and St. Louis?

Nixa emergency medical technicians earn $19.88/hr while St. Louis hygienists earn $21.32/hr (2026 est.).

Should I relocate from Nixa to St. Louis as a emergency medical technician?

Consider more than just salary when comparing Nixa and St. Louis. Factor in cost of living (CoL-adjusted: Nixa = $46,166, St. Louis = $46,640), job availability (6 vs 1,550 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Nixa vs St. Louis?

Entry-level (10th percentile) emergency medical technicians earn $33,545 in Nixa and $37,905 in St. Louis. The St. Louis area offers higher starting salaries.

Related Comparisons

AP

Written by Aisha Patel, EMT-P

Career Analyst

Aisha has 10 years of experience as an emergency medical technician. She specializes in pre-hospital care and triage. Aisha works primarily in urban emergency services.

Clinically reviewed by Carlos Mendoza, EMT-BData verified by Fatima Ali, EMT-I

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.82% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, EMT-P, a licensed emergency medical technician with 10+ years of clinical experience. · View source data at BLS.gov