Updated October 15, 2026

Registered Nurse salary in Missouri

Registered Nurses in Missouri earn a median of $38.35 per hour, about $79,770 a year, 15% below the U.S. median of $45.00. The middle half earn between $32.13 and $44.57 per hour. The highest median among Missouri metro areas is in Kansas City, MO-KS, at $39.73 per hour. Source: BLS, May 2024.

Registered Nurse pay in Missouri: percentiles

LevelMissouri per hourMissouri per yearU.S. per hour
Lowest 10%$28.13$58,510$31.75
Lower quartile$32.13$66,830$37.79
Median$38.35$79,770$45.00
Upper quartile$44.57$92,710$51.90
Top 10%$49.59$103,150$65.06

Registered Nurse pay by metro area in Missouri

Metro areaMedian / hrMedian / yearEmployedvs Missouri medianAfter cost of living
Kansas City, MO-KS$39.73$82,63028,1804% above$42.93
St. Louis, MO-IL$39.69$82,56033,6603% above$41.74
Columbia, MO$39.12$81,3703,6402% above$43.74
Cape Girardeau, MO-IL$38.22$79,4901,520in line with$44.40
Jefferson City, MO$36.50$75,9301,4505% below$41.49
St. Joseph, MO-KS$35.94$74,7501,2806% below$41.61
Joplin, MO-KS$35.19$73,1902,4708% below$41.05
Springfield, MO$31.98$66,5307,45017% below$36.10

Metro areas with 30 or more workers in the BLS sample. After cost of living divides the median by the BEA regional price index (U.S. = 100).

Registered Nurse pay in states next to Missouri

StateMedian / hrMedian / yearCompared with Missouri
Arkansas$37.08$77,1303% below Missouri
Illinois$41.54$86,4108% above Missouri
Iowa$37.00$76,9604% below Missouri
Kansas$37.53$78,0602% below Missouri
Kentucky$38.42$79,910in line with Missouri
Nebraska$38.95$81,0202% above Missouri
Oklahoma$39.02$81,1602% above Missouri
Tennessee$38.00$79,0301% below Missouri

What employers are posting in Missouri

  • 22roles with published pay
  • $46.61median pay per hour
  • $34–$60typical published range
  • 6employers hiring
EmployerRolesMedian pay / hour
Select Medical9$46
Veterans Health Administration8$52.14
University of Missouri Health Care2$39.56
AccentCare1$41.50
Acadia Healthcare1$47.50
Amedisys1$36.06

Midpoints of pay ranges in 22 postings collected October 15, 2026. Posted pay is a different measure from the BLS survey above and can run higher or lower.

Registered Nurse jobs in Missouri · Registered Nurse salary nationwide · Missouri state guide · Missouri licensing guide

Common questions

How much does a registered nurse make in Missouri?

The median is $38.35 per hour, about $79,770 a year. The lowest 10% earn under $28.13 and the top 10% earn over $49.59 (BLS, May 2024).

Which Missouri city pays registered nurses the most?

Among Missouri metro areas, Kansas City, MO-KS has the highest median at $39.73 per hour. See the metro table for the rest and for pay after cost of living.

Where does Missouri rank for registered nurse pay?

Missouri ranks 41st of 50 states by median registered nurse pay.

Is this the same as the pay in job postings?

No. BLS figures come from a survey of employers and cover all workers in the occupation. Posted pay is the range an employer lists on one open role. Both are useful: use the survey for the market and the posting for a specific job.

Free for every candidate

What do employers near you pay registered nurses? Get the report.

Tell us your role and city. Within 24 hours you get an email with three things, by employer name. It costs you nothing, because employers pay us.

  1. 1
    Pay for your role at other hospitals

    The hourly pay at named employers near you, so you see who pays most.

  2. 2
    What they are offering now

    The pay range and median across current postings, and how many were posted this month.

  3. 3
    Roles open for you right now

    Every current opening near you with pay, shift and start date. Reply with one click.

Get your free pay report

510+ Registered Nurse roles in Missouri, sent free by email

Tell us who you are and what you do. We email the report within 24 hours on business days.

Please enter your first name.
Please enter your last name.
That email doesn't look quite right.
Please choose your role.
Please enter your city or ZIP.

Free for candidates. No phone number, no cold calls. One-click unsubscribe.

The Joint Commission Gold Seal of Approval: Health Care Staffing Services Certification, since 2022American Staffing Association memberNATHO member: National Association of Travel Healthcare OrganizationsNALTO member: National Association of Locum Tenens Organizations

Pay report · RN near Missouri
Valorem Health Shift ReportFrom your recruiting team · [email protected]

Your RN pay reportMissouri · pay published by employers and employer-reported wage offers in federal filings

1Pay for your role at other employers

  • Veterans Health AdministrationKansas City, MO · 8 postings$52.14/ hr$33–$76
  • Select MedicalSaint Louis, MO · 9 postings$46.00/ hr$34–$56
  • University of Missouri Health CareColumbia, MO · 2 postings$39.56/ hr$30–$51
  • Truman Medical Centers, Inc.Kansas City, MO · 2 wage offers$32.45/ hr$32–$33

Median pay per hour, with the range each employer published or reported in federal filings.

2What they are offering now

Low$34Median$46.61High$62

22 RN postings with published pay in Missouri, 21 of them posted in the last 30 days. Month-by-month history by employer comes with your full report.

3Open now: 22 RN roles

  1. Registered Nurse - Outpatient Mental HealthPer diem
    $75k–$154k/ year
    Veterans Health Administration · Saint Louis, MO · posted today
  2. Registered Nurse - Mental HealthPermanent
    $75k–$154k/ year
    Veterans Health Administration · Saint Louis, MO · posted today

+ 20 more in your report. Each one has pay, shift and start date.

I'm interestedOne click. A recruiter writes only after you reply.
Check my pay