PA Salary

St. Louis vs St. Joseph: Physician Assistant Salary (2026)

Compare physician assistant salaries between St. Louis, MO and St. Joseph, MO. All figures are 2026 estimates projected from BLS 2025 data.

St. Louis, MO
$140,639
$67.61/hr
St. Joseph, MO
$142,644
$68.58/hr

Side-by-Side Comparison

MetricSt. Louis, MOSt. Joseph, MO
Median Salary$140,639$142,644
Hourly Rate$67.61$68.58
Entry Level (P10)$80,197$108,992
25th Percentile$128,199$128,489
75th Percentile$170,168$164,113
Top Earner (P90)$176,636$165,085
Total Employed1,26050
Side-by-side bar chart comparing St. Louis ($140,639) and St. Joseph ($142,644) physician assistant salaries.St. LouisSt. JosephMedian Salary$140,639$142,644Entry Level (P10)$80,197$108,992Top Earner (P90)$176,636$165,085US Median $140,391

Verdict

St. Louis and St. Joseph are closely matched on overall physician assistant compensation, each winning on different metrics.

The salary gap between St. Louis and St. Joseph is $2,005 (1.43%). St. Joseph's median is +1.60% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in St. Louis spans $96,439,St. Joseph spans $56,093. St. Louis has a wider pay range, meaning more potential for high earners but also more variation.

St. Louis
P10 (Entry)$80,197
P25$128,199
Median$140,639
P75$170,168
P90 (Top)$176,636
St. Joseph
P10 (Entry)$108,992
P25$128,489
Median$142,644
P75$164,113
P90 (Top)$165,085

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, St. Joseph ($165,132 effective) pays 11.65% more than St. Louis ($147,904 effective).

St. Louis
Nominal: $140,639
CoL Index: 95.088
Adjusted: $147,904
St. Joseph
Nominal: $142,644
CoL Index: 86.382
Adjusted: $165,132

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

Which City Is Right for You?

Choose St. Louis if…

  • Better top-earner potential ($176,636)
  • Larger job market (1,260 employed)
  • You prefer the Missouri area and lifestyle

Choose St. Joseph if…

  • Higher median salary ($142,644/year)
  • Better purchasing power (CoL-adjusted: $165,132)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in St. Louis grew 35.0% from 2019 to 2025, compared to 30.2% growth in St. Joseph over the same period.

St. Louis, MO

+35.0%

$100,810 (2019) → $136,120 (2025)

St. Joseph, MO

+30.2%

$106,031 (2024) → $138,060 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: St. Louis or St. Joseph?

St. Joseph has a higher median physician assistant salary at $142,644/year, compared to St. Louis at $140,639/year — a difference of $2,005 (1.43%).

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

St. Louis physician assistants earn $67.61/hr while St. Joseph hygienists earn $68.58/hr (2026 est.).

Should I relocate from St. Louis to St. Joseph as a physician assistant?

Consider more than just salary when comparing St. Louis and St. Joseph. Factor in cost of living (CoL-adjusted: St. Louis = $147,904, St. Joseph = $165,132), job availability (1,260 vs 50 employed), commute, and career growth potential.

What do entry-level physician assistants earn in St. Louis vs St. Joseph?

Entry-level (10th percentile) physician assistants earn $80,197 in St. Louis and $108,992 in St. Joseph. The St. Joseph area offers higher starting salaries.

Related Comparisons

JT

Written by Jessica Tran, MPAS, PA-C

Career Analyst

Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.

Clinically reviewed by Michael Chen, PA-CData verified by Amina Patel, MSPAS, PA-C

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.32% 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 Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov