Surgeon Salary in Missouri (2026)
Average Surgeon pay in the US
$373,930/year
≈ $180/hour before tax
BLS publishes no Missouri figure; US average shown.
Source: BLS, May 2025 · Surgeons, All Other
After tax (single filer)
$244,857/year
$20,405/month · effective tax rate 34.52%
- Federal $94,010
- State $16,637
- FICA $18,426
- Take-home
Pay by role in Missouri
- Cardiothoracic Surgeon (CT)$575,000–$985,000+ TC
- Neurosurgeon$565,000–$925,000+ TC
- Orthopedic Surgeon (Sports / Joint Replacement)$485,000–$795,000
- Orthopedic Trauma Surgeon$525,000–$865,000
- General / Colorectal Surgeon$385,000–$625,000
- Transplant Surgeon (Liver / Kidney)$525,000–$925,000
See the full tax breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $244,857 |
Monthly Take-Home Pay | $20,405 |
Biweekly Take-Home Pay | $9,418 |
Hourly Take-Home Pay based on 2,080 hrs/year | $118/hr |
Federal Tax | $94,010 |
State Tax | $16,637 |
FICA Taxes | $18,426 |
Effective Tax Rate total taxes ÷ gross salary | 34.52% |
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.
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 — Surgeon wage data for Missouri
Salary figures are market estimates for Surgeons 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.