Registered Nurse Salary Guide: Missouri
Average Registered Nurse Salary
$49.20/hour
The average salary for a Registered Nurse in Missouri is $49.20 per hour. This is 3% lower than the US average of $50.71.
Last updated on October 8, 2026. Based on active jobs on Vivian.com.
Registered Nurse salaries in Missouri compared to National Averages
$49.20/hour
Missouri
3% lower than the US average.
$50.71/hour
United States
What cities in Missouri pay the most for Registered Nurses?
Lee's Summit, Missouri pays Registered Nurses the most, averaging $57 per hour, followed by Saint Louis, Missouri ($51) and Independence, Missouri ($46). Lee's Summit, Missouri also has the highest ceiling, with max hourly pay reaching $62. For comparison, the Missouri average for Registered Nurses is $49 per hour — Lee's Summit, Missouri pays 15% more.
| City | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| Lee's Summit, Missouri | $57 | $62 |
| Saint Louis, Missouri | $51 | $62 |
| Independence, Missouri | $46 | $62 |
| Springfield, Missouri | $41 | $43 |
| Kansas City, Missouri | $39 | $43 |
| Columbia, Missouri | $33 | $43 |
What type of Registered Nurses make the most money in Missouri?
OR Circulate earns the most among Nursing specialties in Missouri, averaging $65 per hour, followed by OR - Operating Room ($54) and Rehabilitation ($53). OR Circulate also has the highest ceiling, with max hourly pay reaching $73. For comparison, the Missouri average for Registered Nurses is $49 per hour — OR Circulate earns 33% more.
| Specialty | Average Hourly Salary | Max Hourly Salary |
|---|---|---|
| OR Circulate | $65 | $73 |
| OR - Operating Room | $54 | $64 |
| Rehabilitation | $53 | $62 |
| Long Term Care | $53 | $62 |
| Skilled Nursing | $52 | $62 |
| Infusion | $52 | $56 |
| Perioperative | $51 | $62 |
| SICU - Surgical Intensive Care | $51 | $62 |
How does the pay for Registered Nurses in Missouri compare to nearby states?
Kansas pays Registered Nurses the most, averaging $53 per hour, followed by Texas ($51) and Illinois ($49). Texas has the highest ceiling, with max hourly pay reaching $60. For comparison, the Missouri average for Registered Nurses is $49 per hour — Kansas pays 7% more.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| Kansas | $53 | $59 |
| Texas | $51 | $60 |
| Illinois | $49 | $54 |
| Nebraska | $48 | $51 |
| Oklahoma | $45 | $52 |
| Kentucky | $44 | $46 |
| Louisiana | $42 | $46 |
| Mississippi | $41 | $42 |
| Arkansas | $40 | $42 |
| Tennessee | $39 | $40 |
What are the highest paying Employers and Agencies for Registered Nurse jobs in Missouri?
CoreMedical Group Perm pays Registered Nurses the most, averaging $44 per hour, followed by BJC HealthCare ($41) and TK Health ($41). BJC HealthCare has the highest ceiling, with max hourly pay reaching $59. For comparison, the Missouri average for Registered Nurses is $49 per hour — CoreMedical Group Perm pays 10% less.
| Average Hourly Salary | Max Hourly Salary | |
|---|---|---|
| CoreMedical Group Perm | $44 | $58 |
| BJC HealthCare | $41 | $59 |
| TK Health | $41 | $42 |
| Perm Staff Jobs | $39 | $55 |
| BAYADA Home Health Care | $38 | $38 |
| Phoenix Home Care & Hospice | $18 | $32 |
Last updated on October 8, 2026. Information based on active jobs on Vivian.com and pay data from BLS and around the web.
Top Registered Nurse Jobs
Nurse Manager GI/GU Surgery
- Barnes-Jewish Hospital
- Saint Louis, MO
$92K-152K/year
Registered Nurse (RN) - Care Manager
- Barnes-Jewish Hospital
- Saint Louis, MO
$92K-152K/year
Registered Nurse (RN) - Outpatient First Assist
- Barnes-Jewish Hospital
- Chesterfield, MO
$44-73/hour
Registered Nurse (RN) - First Assist
- Missouri Baptist Medical Center
- Saint Louis, MO
$44-73/hour
Registered Nurse (RN) - Manager
- The Rehabilitation Institute of Saint Louis
- Saint Louis, MO
$48-62/hour
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