EMT Salary

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

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

Springfield, MO
$46,243
$22.23/hr
St. Louis, MO
$44,349
$21.32/hr

Side-by-Side Comparison

MetricSpringfield, MOSt. Louis, MO
Median Salary$46,243$44,349
Hourly Rate$22.23$21.32
Entry Level (P10)$39,884$37,905
25th Percentile$42,645$39,196
75th Percentile$51,640$49,979
Top Earner (P90)$62,127$62,910
Total Employed2801,550
Side-by-side bar chart comparing Springfield ($46,243) and St. Louis ($44,349) emergency medical technician salaries.SpringfieldSt. LouisMedian Salary$46,243$44,349Entry Level (P10)$39,884$37,905Top Earner (P90)$62,127$62,910US Median $47,058

Verdict

Springfield and St. Louis are closely matched on overall emergency medical technician compensation, each winning on different metrics.

The salary gap between Springfield and St. Louis is $1,894 (4.27%). Springfield's median is -1.73% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Springfield spans $22,243,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.

Springfield
P10 (Entry)$39,884
P25$42,645
Median$46,243
P75$51,640
P90 (Top)$62,127
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, Springfield ($52,202 effective) pays 11.93% more than St. Louis ($46,640 effective).

Springfield
Nominal: $46,243
CoL Index: 88.585
Adjusted: $52,202
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 Springfield if…

  • Higher median salary ($46,243/year)
  • Better purchasing power (CoL-adjusted: $52,202)
  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • 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 Springfield grew 10.3% from 2023 to 2025, compared to 42.9% growth in St. Louis over the same period.

Springfield, MO

+10.3%

$39,630 (2023) → $43,700 (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: Springfield or St. Louis?

Springfield has a higher median emergency medical technician salary at $46,243/year, compared to St. Louis at $44,349/year — a difference of $1,894 (4.27%).

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

Springfield emergency medical technicians earn $22.23/hr while St. Louis hygienists earn $21.32/hr (2026 est.).

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

Consider more than just salary when comparing Springfield and St. Louis. Factor in cost of living (CoL-adjusted: Springfield = $52,202, St. Louis = $46,640), job availability (280 vs 1,550 employed), commute, and career growth potential.

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

Entry-level (10th percentile) emergency medical technicians earn $39,884 in Springfield and $37,905 in St. Louis. The Springfield 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