Medical Surgical Nurse Salary Guide: Missouri
Average Medical Surgical Nurse Salary
$47.54/hour
The average salary for a Medical Surgical Nurse in Missouri is $47.54 per hour. This is 9% higher than the US average of $43.42.
Last updated on November 11, 2026. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in Missouri compared to National Averages
$47.54/hour
Missouri
9% higher than the US average.
$43.42/hour
United States
What cities in Missouri pay the most for Med Surg Nurses?
Saint Louis, Missouri pays Medical Surgical Nurses the most, averaging $52 per hour, followed by Kansas City, Missouri ($45) and Lee's Summit, Missouri ($33). Saint Louis, Missouri also has the highest ceiling, with max hourly pay reaching $62. For comparison, the Missouri average for Medical Surgical Nurses is $48 per hour — Saint Louis, Missouri pays 8% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Saint Louis, Missouri | $52 | $62 |
| Kansas City, Missouri | $45 | $62 |
| Lee's Summit, Missouri | $33 | $44 |
How does the pay for Med Surg Nurses in Missouri compare to nearby states?
Kansas pays Medical Surgical Nurses the most, averaging $53 per hour, followed by Nebraska ($49) and Illinois ($47). Kansas also has the highest ceiling, with max hourly pay reaching $59. For comparison, the Missouri average for Medical Surgical Nurses is $48 per hour — Kansas pays 12% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Kansas | $53 | $59 |
| Nebraska | $49 | $51 |
| Illinois | $47 | $54 |
| Iowa | $46 | $50 |
| Oklahoma | $45 | $49 |
| Kentucky | $44 | $46 |
| South Dakota | $41 | $43 |
| Tennessee | $38 | $40 |
| Mississippi | $26 | $28 |
What are the highest paying Employers and Agencies for Medical Surgical Nurse jobs in Missouri?
TK Health pays Medical Surgical Nurses the most, averaging $46 per hour, followed by BJC HealthCare ($41) and Perm Staff Jobs ($37). Perm Staff Jobs has the highest ceiling, with max hourly pay reaching $48. For comparison, the Missouri average for Medical Surgical Nurses is $48 per hour — TK Health pays 3% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| TK Health | $46 | $46 |
| BJC HealthCare | $41 | $47 |
| Perm Staff Jobs | $37 | $48 |
| CloudinfraIT Inc | $36 | $38 |
| Patterns Hiring - Perm | $36 | $36 |
Last updated on November 11, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.

Medical Surgical Nurse Career Guide
Use our exclusive Career Guides to research the education, qualifications, skills and responsibilities for a variety of healthcare disciplines and specialties employers are hiring now.
Go to the guideTop Medical Surgical Nurse Jobs
Lead Registered Nurse (RN) - Med Surg
- Barnes-Jewish West County Hospital
- Saint Louis, MO
$36-58/hour
Registered Nurse (RN) - Med Surg
- Missouri Baptist Medical Center
- Saint Louis, MO
$32-48/hour
Registered Nurse (RN) - Med Surg
- Parkland Health Center - Farmington
- Farmington, MO
$32-48/hour
Registered Nurse (RN) - Outpatient Med Surg
- Barnes-Jewish Hospital
- Saint Louis, MO
$32-48/hour
Med Surg RN Graduate Nurse
- Barnes-Jewish West County Hospital
- Saint Louis, MO
$32-48/hour
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