EMT Salary

O'Fallon vs St. Louis: Emergency Medical Technician Salary (2026)

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

O'Fallon, MO
$43,141
$20.74/hr
St. Louis, MO
$44,349
$21.32/hr

Side-by-Side Comparison

MetricO'Fallon, MOSt. Louis, MO
Median Salary$43,141$44,349
Hourly Rate$20.74$21.32
Entry Level (P10)$32,201$37,905
25th Percentile$35,821$39,196
75th Percentile$48,402$49,979
Top Earner (P90)$62,498$62,910
Total Employed221,550
Side-by-side bar chart comparing O'Fallon ($43,141) and St. Louis ($44,349) emergency medical technician salaries.O'FallonSt. LouisMedian Salary$43,141$44,349Entry Level (P10)$32,201$37,905Top Earner (P90)$62,498$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 O'Fallon.

The salary gap between O'Fallon and St. Louis is $1,208 (2.80%). 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 O'Fallon spans $30,297,St. Louis spans $25,005. O'Fallon has a wider pay range, meaning more potential for high earners but also more variation.

O'Fallon
P10 (Entry)$32,201
P25$35,821
Median$43,141
P75$48,402
P90 (Top)$62,498
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, O'Fallon ($48,148 effective) pays 3.23% more than St. Louis ($46,640 effective).

O'Fallon
Nominal: $43,141
CoL Index: 89.6
Adjusted: $48,148
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 O'Fallon if…

  • Better purchasing power (CoL-adjusted: $48,148)
  • 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)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

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

O'Fallon, MO

+33.9%

$30,448 (2024) → $40,768 (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: O'Fallon or St. Louis?

St. Louis has a higher median emergency medical technician salary at $44,349/year, compared to O'Fallon at $43,141/year — a difference of $1,208 (2.80%).

What is the hourly rate difference between O'Fallon and St. Louis?

O'Fallon emergency medical technicians earn $20.74/hr while St. Louis hygienists earn $21.32/hr (2026 est.).

Should I relocate from O'Fallon to St. Louis as a emergency medical technician?

Consider more than just salary when comparing O'Fallon and St. Louis. Factor in cost of living (CoL-adjusted: O'Fallon = $48,148, St. Louis = $46,640), job availability (22 vs 1,550 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in O'Fallon vs St. Louis?

Entry-level (10th percentile) emergency medical technicians earn $32,201 in O'Fallon 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