ER Nurse salary in Missouri
A er nurse in Missouri earns an estimated $89,960 a year ($43.25/hr) — about 16% below the U.S. average, with most between $83,660 and $108,420. State figures are estimates based on national pay for the role and local cost of living — a starting point, not a guaranteed local wage.
ER Nurse — Missouri
Specialty estimateMedian annual pay
$89,960
-16% vs nationalHourly
$43.25/hr
- Typical range
- $83,660–$108,420
- What most nurses earn
- High end
- $114,830
- Top earners
- Entry level
- $69,550
- Newer nurses
ER Nurse pay by city in Missouri
Estimated pay in the state's largest metro areas.
| City | Est. annual | Est. hourly |
|---|---|---|
| St. Louis | $91,500 | $43.99 |
| Kansas City | $91,340 | $43.91 |
ER Nurse pay in nearby-paying states
How Missouri compares to states with similar er nurse pay.
Other nursing roles in Missouri
Compare estimated pay for related roles in this state.
What affects er nurse pay in Missouri
Pay below the national median. For a er nurse specifically, pay is shaped by the metro labor market, hospital vs clinic vs long-term-care setting, union presence, shift differentials, unit acuity, and years of experience. Certifications and a move into charge or advanced-practice roles raise pay further. Use the calculator to estimate your own.
How this estimate was calculated
Public wage data does not report ER Nurse separately. This figure starts from the wage the U.S. Bureau of Labor Statistics published for Registered Nurse in Missouri (May 2025) and applies a 1.10× specialty adjustment.
Local pay can vary well beyond this by specialty, shift, union status, employer type, overtime, and care setting. Treat it as a starting point — not an official Missouri wage.
Source year: 2025. Based on the national figure of $107,310 for this role.
Use this state estimate as a starting point
- It’s a starting point for Missouri, based on national pay and local pay levels — not a guaranteed local wage.
- Your actual pay shifts with role and specialty, care setting, shift, overtime, union status, and years of experience — so compare a role-specific page and personalize the calculator.
- Reviewed salary submissions from nurses in Missouri make this page more precise over time.
ER Nurse salary in Missouri — FAQ
- How much does a er nurse make in Missouri?
- A er nurse in Missouri earns an estimated $89,960 a year — about $43.25 an hour, with most between $83,660 and $108,420. That's about 16% below the national average. This is an estimate based on national pay for the role and Missouri's local pay level, not a guaranteed local wage.
- Is Missouri a good state for er nurses?
- For pay, Missouri sits about 16% below the national average for er nurses. A higher number often comes with a higher cost of living, so weigh the estimated $89,960 against local housing and expenses rather than the headline figure alone.
- Which city in Missouri pays er nurses the most?
- Among Missouri metros we track, St. Louis tends to have the highest estimated pay for er nurses, at roughly $91,500 a year. City figures are estimates based on the role's national pay and local cost of living.
- How does Missouri er nurse pay compare to the national average?
- The national estimate for a er nurse is about $107,310 a year, versus an estimated $89,960 in Missouri — about 16% below the national average. Use the calculator to factor in your experience, specialty, and shift.
- Why are some figures verified and others estimates?
- National pay for the main nursing roles — registered nurses, LPNs/LVNs, nurse practitioners, CRNAs, nurse midwives, and nursing assistants — comes from verified public wage data. State, city, and specialty figures that aren't reported on their own start from that national pay and are labeled "Estimated" or "Specialty estimate." We never show an estimate as a verified figure.
Source & confidence— An estimate for a specialty that public pay data does not list on its own. A ballpark to start from, not an exact figure.
Modeled specialty estimate (BLS state wage × specialty adjustment)
Public wage data does not report ER Nurse separately. This figure starts from the wage the U.S. Bureau of Labor Statistics published for Registered Nurse in Missouri (May 2025) and applies a 1.10× specialty adjustment.
Source year 2025. Last reviewed July 17, 2026. Full methodology
Estimated figure — national er nurse pay adjusted for Missouri. Last reviewed July 17, 2026.