Medical Surgical Nurse Salary Guide: Saint Louis, MO
Average Medical Surgical Nurse Salary
$50.38/hour
The average salary for a Medical Surgical Nurse in Saint Louis, MO is $50.38 per hour. This is 5% higher than the Missouri average of $47.97.
Last updated on September 29, 2026. Based on active jobs on Vivian.com.
Medical Surgical Nurse salaries in Saint Louis, MO compared to State and National Averages
$50.38/hour
Saint Louis, MO
3% higher than the US average.
$47.97/hour
Missouri
2% lower than the US average.
$48.76/hour
United States
How Medical Surgical Nurse Salaries in Saint Louis Compare to Other Cities
How Medical Surgical Nurse Salaries in Saint Louis Compare to Other Cities
Belleville, Illinois
$50/hour
This is 3% lower than the Saint Louis average of $51.41.
Springfield, Missouri
$29/hour
This is 78% lower than the Saint Louis average of $51.41.
Washington, Missouri
$27/hour
This is 89% lower than the Saint Louis average of $51.41.
What cities in Missouri pay the most for Med Surg Nurses?
Lee's Summit, Missouri pays Medical Surgical Nurses the most, averaging $53 per hour, followed by Saint Louis, Missouri ($51) and Kansas City, Missouri ($39). Lee's Summit, Missouri also has the highest ceiling, with max hourly pay reaching $62. For comparison, the Saint Louis, MO average for Medical Surgical Nurses is $50 per hour — Lee's Summit, Missouri pays 6% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Lee's Summit, Missouri | $53 | $62 |
| Saint Louis, Missouri | $51 | $62 |
| Kansas City, Missouri | $39 | $43 |
What are the highest paying Agencies for Medical Surgical Nurse jobs in Saint Louis?
Only BJC HealthCare reports pay data for Medical Surgical Nurses, averaging $41 per hour. BJC HealthCare also has the highest ceiling, with max hourly pay reaching $47. For comparison, the Saint Louis, MO average for Medical Surgical Nurses is $50 per hour — BJC HealthCare pays 18% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| BJC HealthCare | $41 | $47 |
Last updated on September 29, 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
Inpatient Surgical Team Lead Charge RN
- Missouri Baptist Medical Center
- Saint Louis, MO
$36-58/hour
Charge Nurse (RN) - Med Surg
- Missouri Baptist Medical Center
- Saint Louis, MO
$35-50/hour
Charge Nurse Team Lead, Acute Internal Medicine
- Barnes-Jewish Hospital
- Saint Louis, MO
$35-50/hour
Registered Nurse (RN) - Med Surg
- BJC Medical Group of Missouri
- Saint Louis, MO
$32-48/hour
Float Pool RN
- Barnes-Jewish Hospital
- Saint Louis, MO
$32-48/hour
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