Jobs · St. Louis, MO

Paramedic Jobs in St. Louis, MO: Pay and Who's Hiring

In Saint Louis, the May 2025 median for paramedics is about $63.1K, 4% over the U.S. median. The middle half runs from $49.5K to $73.8K.

Pay

The median is the middle of paramedics already employed, not a starting wage. The 25th is the lower quarter of that group. The 75th is what the upper quarter already earns.

Percentile	Metro	MO	U.S.
25th	$49,510	$49,230	$49,660
Median	$63,050	$59,180	$60,600
75th	$73,790	$73,780	$73,470

Source: BLS Occupational Employment and Wage Statistics, May 2025.

Hiring difficulty and demand

Hiring difficulty

1.5

Metro employment

1,890

National growth, 2025 to 2035

5.7%

National openings a year

4.3 thousand

This is the same score as the free check.

Who's hiring

Lifenet, 8 campuses
Air Evac Ems, 3 campuses
Air Evac EMS, 2 campuses
Abbott Ambulance, 1 campuses
Affton Fire Protection District, 1 campuses
Agile Specialty Transportation, 1 campuses

Campuses on file in the provider extract, not live job ads.

License and training

Every state licenses or certifies paramedics. Most use the National Registry paramedic exam as part of the path. Confirm your state EMS office's rules before you hire or start.

Sources: BLS Occupational Outlook Handbook, EMTs and paramedics

The work

You check the truck and its drugs, answer calls, treat the patient, and transport them to the right hospital. Then you write the report and restock before the next call comes in.

Shifts can be 12 or 24 hours long, depending on the service and the county. The work is physical, and some calls stay with you long after the shift ends.

Nearby metros

Cape Girardeau, MO · 99 miles
Jefferson City, MO · 104 miles
Paducah, KY · 139 miles
Champaign, IL · 147 miles

Related roles

One manager hiring: Hire a Paramedic in St. Louis.

Paramedics hiring pages

Upload your resume, see your match score, and let local employers find you

Questions

Who hires paramedics in Saint Louis?

Ambulance services, fire departments, and hospitals hire paramedics in Saint Louis. Organizations on file in the provider extract include Lifenet, Air Evac Ems, Air Evac EMS.

How do I get licensed as a paramedic in Missouri?

Start with the Missouri EMS office. Most states use the National Registry exam as part of the path.

What should an ambulance service in Saint Louis weigh when hiring?

Ask about lead experience and shift fit. Saint Louis has far more of these workers than a typical metro. This metro is 7% over the Missouri median.