Surgeon Salary in Missouri (2026)
The average Surgeon in Missouri earns around $540,000/year. After taxes, your estimated take-home is $341,329/year ($28,444/month).
Take-Home Pay Breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $341,329 |
Monthly Take-Home Pay | $28,444 |
Biweekly Take-Home Pay | $13,128 |
Hourly Take-Home Pay based on 2,080 hrs/year | $164/hr |
Federal Tax | $152,134 |
State Tax | $24,208 |
FICA Taxes | $22,329 |
Effective Tax Rate total taxes ÷ gross salary | 36.79% |
Want to model 401(k), HSA, or pre-tax contributions against your full salary? Open the salary calculator →
Got a year-end bonus, sign-on, or retention payout? See the bonus calculator →
1099 contract work or side gigs? Self-employment tax adds 15.3% on top. Open the 1099 tax calculator →
Selling appreciated assets (stocks, real estate, crypto)? LTCG, NIIT, and state cap-gains all matter. Open the capital-gains calculator →
Surgeon Salary Ranges in Missouri
Not all Surgeons earn the same — not even close
Missouri's surgeon market is concentrated at the country's strongest Midwest academic surgical center — Washington University School of Medicine surgical departments (cardiothoracic, neurosurgery, orthopedic, transplant, urology, plastic, vascular, general surgery), all integrated with BJC HealthCare's Barnes-Jewish Hospital downtown St. Louis flagship. Mercy Health (Chesterfield HQ), SSM Health, Saint Luke's Health System Kansas City, and University Health KC operate parallel community + academic surgical programs. Senior surgical subspecialty comp clears coastal-comparable scales at WashU + BJC.
Cardiothoracic Surgeon (CT)
$575,000–$985,000+ TC
WashU SOM CT surgery · BJC heart transplant program (top-5 nationally) · senior academic + private mix
Neurosurgeon
$565,000–$925,000+ TC
WashU SOM Neurosurgery (highest-ranked Midwest program) · BJC complex spine + tumor + cerebrovascular
Orthopedic Surgeon (Sports / Joint Replacement)
$485,000–$795,000
WashU SOM Ortho · OrthoMidwest · Mercy Sports Med · private-practice senior partners
Orthopedic Trauma Surgeon
$525,000–$865,000
BJC Level 1 trauma center · Mercy senior trauma · 24/7 call premium
General / Colorectal Surgeon
$385,000–$625,000
WashU SOM general · BJC robotic · senior community-hospital private practice
Transplant Surgeon (Liver / Kidney)
$525,000–$925,000
WashU + BJC transplant program · multi-organ depth · academic-leadership track
Urologic Surgeon
$415,000–$685,000
WashU SOM Urology · Mercy senior · robotic prostatectomy + oncology subspecialty
Vascular Surgeon
$465,000–$745,000
WashU SOM Vascular · BJC endovascular program · community-hospital private mix
Plastic Surgeon (Reconstructive)
$425,000–$725,000
WashU SOM Plastic · BJC reconstructive (post-mastectomy, complex trauma) · private cosmetic supplement
Senior Surgical Fellow (PGY-6 to PGY-8+)
$78,000–$95,000
WashU + Saint Louis Univ + UMKC surgical fellowship programs · PGY scale plus call
Worth knowing: Washington University School of Medicine surgical programs are among the country's strongest academic surgical centers — multiple WashU SOM surgical subspecialties (neurosurgery, cardiothoracic, transplant, orthopedic) consistently rank top-10 nationally by US News + research funding metrics. Barnes-Jewish Hospital (BJC's St. Louis flagship) operates one of the busiest tertiary-care surgical centers in the Midwest, including Level 1 trauma center, transplant program (top-5 nationally for liver + kidney + heart combined volume), and complex spine + cerebrovascular surgical referral. Senior subspecialty surgeons at BJC + WashU SOM faculty practice routinely clear $575-985K TC; private-practice surgical groups in St. Louis County and Kansas City suburban surgical hospitals clear similar comp tiers. The 1% city earnings tax in St. Louis applies to non-resident surgeon wages earned within city limits — BJC + WashU SOM Central West End surgeons living in Clayton, Ladue, or Town and Country face an additional 1% on city-earned wages. Mercy Hospital St. Louis (south county, outside city limits), Saint Luke's Health System Kansas City Plaza (within KC city limits, so 1% applies there too), and University Health Kansas City all anchor distinct surgical practice cohorts.
Calculate Your Exact Take-Home Pay
Add 401(k) contributions, HSA, dependents, and more to see your personalized take-home.
Open Full CalculatorFrequently Asked Questions
Find answers to common questions about your taxes and our calculator.
Compare Two States
See how income tax, take-home pay, and total tax burden differ between any two US states side by side.
State 1
State 2
Surgeon Salary in Other States
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.