Medical Assistant Pay

Jefferson City vs St. Louis: Medical Assistant Salary (2026)

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

Jefferson City, MO
$40,162
$19.31/hr
St. Louis, MO
$46,932
$22.57/hr

Side-by-Side Comparison

MetricJefferson City, MOSt. Louis, MO
Median Salary$40,162$46,932
Hourly Rate$19.31$22.57
Entry Level (P10)$34,063$38,492
25th Percentile$37,275$40,466
75th Percentile$45,295$49,966
Top Earner (P90)$47,688$51,036
Total Employed2806,170
Side-by-side bar chart comparing Jefferson City ($40,162) and St. Louis ($46,932) medical assistant salaries.Jefferson CitySt. LouisMedian Salary$40,162$46,932Entry Level (P10)$34,063$38,492Top Earner (P90)$47,688$51,036US Median $47,961

Verdict

St. Louis, MO offers better overall compensation for medical assistants, winning 4 out of 4 metrics compared to Jefferson City.

The salary gap between Jefferson City and St. Louis is $6,770 (16.86%). St. Louis's median is -2.15% compared to the US national median of $47,961.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Jefferson City spans $13,625,St. Louis spans $12,544. Jefferson City has a wider pay range, meaning more potential for high earners but also more variation.

Jefferson City
P10 (Entry)$34,063
P25$37,275
Median$40,162
P75$45,295
P90 (Top)$47,688
St. Louis
P10 (Entry)$38,492
P25$40,466
Median$46,932
P75$49,966
P90 (Top)$51,036

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, St. Louis ($49,356 effective) pays 8.12% more than Jefferson City ($45,652 effective).

Jefferson City
Nominal: $40,162
CoL Index: 87.975
Adjusted: $45,652
St. Louis
Nominal: $46,932
CoL Index: 95.088
Adjusted: $49,356

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

Which City Is Right for You?

Choose Jefferson City if…

  • You prefer the Missouri area and lifestyle

Choose St. Louis if…

  • Higher median salary ($46,932/year)
  • Better top-earner potential ($51,036)
  • Larger job market (6,170 employed)
  • Better purchasing power (CoL-adjusted: $49,356)
  • You prefer the Missouri area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, medical assistant salaries in Jefferson City grew 29.3% from 2019 to 2025, compared to 30.7% growth in St. Louis over the same period.

Jefferson City, MO

+29.3%

$29,600 (2019) → $38,260 (2025)

St. Louis, MO

+30.7%

$34,210 (2019) → $44,710 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays medical assistants more: Jefferson City or St. Louis?

St. Louis has a higher median medical assistant salary at $46,932/year, compared to Jefferson City at $40,162/year — a difference of $6,770 (16.86%).

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

Jefferson City medical assistants earn $19.31/hr while St. Louis hygienists earn $22.57/hr (2026 est.).

Should I relocate from Jefferson City to St. Louis as a medical assistant?

Consider more than just salary when comparing Jefferson City and St. Louis. Factor in cost of living (CoL-adjusted: Jefferson City = $45,652, St. Louis = $49,356), job availability (280 vs 6,170 employed), commute, and career growth potential.

What do entry-level medical assistants earn in Jefferson City vs St. Louis?

Entry-level (10th percentile) medical assistants earn $34,063 in Jefferson City and $38,492 in St. Louis. The St. Louis area offers higher starting salaries.

Related Comparisons

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Written by Emma Chen, CMA

Career Analyst

Emma has over 8 years of experience as a medical assistant. She has worked in both outpatient clinics and hospitals. Her expertise includes patient care and administrative support.

Clinically reviewed by Carlos Rodriguez, RMAData verified by Sofia Patel, CCMA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 4.97% 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 Emma Chen, CMA, a licensed medical assistant with 10+ years of clinical experience. · View source data at BLS.gov