Physician Salary in Missouri (2026)
Average Physician pay in Missouri
$214,250/year
≈ $103/hour before tax
Middle 50% earn $75,650–$354,760
US average: $255,820
Source: BLS, May 2025 · Family Medicine Physicians
After tax (single filer)
$150,290/year
$12,524/month · effective tax rate 29.85%
- Federal $40,154
- State $9,132
- FICA $14,674
- Take-home
Pay by role in Missouri
- Surgical Subspecialist (Ortho / Neuro / CT)$515,000–$850,000+ TC
- Cardiology / Gastroenterology / Interventional$415,000–$685,000
- Anesthesiology$385,000–$595,000
- Hospitalist (IM)$245,000–$340,000
- Family Medicine / Primary Care$215,000–$305,000
- Pediatrician (Hospital)$215,000–$310,000
See the full tax breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $150,290 |
Monthly Take-Home Pay | $12,524 |
Biweekly Take-Home Pay | $5,780 |
Hourly Take-Home Pay based on 2,080 hrs/year | $72/hr |
Federal Tax | $40,154 |
State Tax | $9,132 |
FICA Taxes | $14,674 |
Effective Tax Rate total taxes ÷ gross salary | 29.85% |
Not all Physicians earn the same — not even close
Missouri's physician market is anchored by Washington University School of Medicine (consistently top-10 nationally for research funding plus the country's strongest combined NIH-funded medical school + university research enterprise) plus BJC HealthCare (St. Louis, ~30,000 employees, including Barnes-Jewish Hospital flagship), Mercy Health (statewide system, Chesterfield HQ, ~50,000 employees nationally), SSM Health (St. Louis-based, ~40,000 employees), University Health Kansas City (academic medical center), Saint Luke's Health System Kansas City, and CoxHealth + Mercy Springfield. MO is an Interstate Medical Licensure Compact (IMLC) member since 2018.
Surgical Subspecialist (Ortho / Neuro / CT)
$515,000–$850,000+ TC
WashU SOM senior surgical subspecialty · BJC tertiary referral · academic + private practice mix
Cardiology / Gastroenterology / Interventional
$415,000–$685,000
BJC + Mercy + SSM + Saint Luke's KC · procedural specialty premium
Anesthesiology
$385,000–$595,000
BJC + Mercy + Saint Luke's KC + University Health KC · CRNA team supervision common
Hospitalist (IM)
$245,000–$340,000
Most common attending IM hospital practice · BJC + Mercy + SSM + Saint Luke's + CoxHealth Springfield
Family Medicine / Primary Care
$215,000–$305,000
Mercy primary care · Cox primary care · KU Med family medicine · rural MO premium
Pediatrician (Hospital)
$215,000–$310,000
St. Louis Children's Hospital (BJC) · Children's Mercy Kansas City · nationally ranked pediatric
Psychiatry
$245,000–$365,000
WashU SOM Psychiatry · severe statewide shortage · IMLC mobility plus MO-specific telehealth
Emergency Medicine
$285,000–$420,000
BJC Barnes-Jewish ED · Mercy ED · Saint Luke's ED · trauma center premium
IM / FM Resident (PGY-1 to PGY-3)
$62,000–$76,000
WashU + Saint Louis University + University of Missouri + UMKC residency programs
New Attending (0-3 yrs post-residency)
$225,000–$345,000
Post-residency placement · BJC + Mercy + SSM + Saint Luke's + CoxHealth · primary care vs specialty range
Worth knowing: Washington University School of Medicine is the structural feature most national physician-market surveys understate. Consistently top-10 nationally for NIH research funding ($706M+ FY2023, ranking 4th in total NIH support), WashU SOM operates the most prestigious academic medical center in the Midwest. The 14 BJC hospitals (Barnes-Jewish Hospital downtown St. Louis is the flagship tertiary referral center, plus St. Louis Children's Hospital which is among the top 5 nationally ranked pediatric hospitals) plus the WashU faculty practice produce a genuinely competitive academic-track for surgical subspecialty and complex medical specialty care. Senior surgical subspecialists at BJC + WashU clear $500-850K TC routinely. Mercy Health and SSM Health add substantial community-hospital practice depth across the state. Saint Luke's Health System Kansas City and University Health KC anchor western Missouri. MO joined IMLC in 2018 via SB 579 — IN-licensed physicians can obtain expedited licensure in 36+ compact-member states for telehealth or locum practice. The 1% city earnings tax in St. Louis AND Kansas City applies to non-resident physician wages earned within city limits as well — a BJC attending living in Clayton or University City but working at Barnes-Jewish pays the additional 1%; an attending at WashU School of Medicine (in Central West End city limits) likewise.
Sources & Methodology
- →IRS Rev. Proc. 2025-32 — 2026 federal brackets and standard deduction
- →IRS Notice 2025-67 — 2026 retirement-plan contribution limits
- →IRS Rev. Proc. 2025-19 — 2026 HSA contribution limits
- →Social Security Administration — 2026 Social Security wage base
- →Missouri DOR Form MO-1040ES 2026 - tax rate chart and Missouri standard deduction amounts
- →BLS Occupational Employment and Wage Statistics — Physician wage data for Missouri
Salary figures are market estimates for Physicians in Missouri and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Missouri 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.
Run your own numbers
- Missouri paycheck calculator → · 401(k), HSA, dependents
- Bonus calculator → · year-end, sign-on, retention
- 1099 tax calculator → · self-employment tax 15.3%
- Capital-gains calculator → · long-term rates, NIIT, state tax
Frequently Asked Questions
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More on Missouri
Salaries by profession, top-paying roles by industry, and an economic breakdown for Missouri in 2026.
Tax brackets, standard deductions, and take-home estimates for Missouri in 2026.
Adjust filing status, 401(k), and city/county tax for your exact 2026 take-home in Missouri.