Medical Records Specialist salary in St. Louis, MO-IL
Medical Records Specialists in the St. Louis, MO-IL metro area earn a median of $51,260 a year ($24.64 an hour), based on BLS data for 1,410 workers.
Pay ranges from $39,650 for the lowest-paid 10% to $78,000 for the top 10%. That is about the same as the national median of $51,140. Pay here is 1% higher than the Missouri statewide median of $50,750. There are 1.1 medical records specialists per 1,000 jobs here — close to the national average. The average (mean) salary is $56,070, above the median because a few high earners pull it up.
Pay range for medical records specialists in St. Louis, MO-IL
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $39,650 | $19.06 |
| 25th percentile | $46,080 | $22.16 |
| Median | $51,260 | $24.64 |
| 75th percentile | $63,860 | $30.70 |
| 90th percentile (top earners) | $78,000 | $37.50 |
| Average (mean) | $56,070 | $26.96 |
Half of medical records specialists earn more than the median and half earn less. Percentiles show the spread: 10% earn less than the 10th percentile, and 10% earn more than the 90th.
Median paycheck, before taxes
| Pay period | Amount |
|---|---|
| Monthly | $4,271.67 |
| Semi-monthly (24 a year) | $2,135.83 |
| Biweekly (26 a year) | $1,971.54 |
| Weekly | $985.77 |
| Hourly | $24.64 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Buying a home? On a $51,260 salary, see how much house you can afford in Missouri at today's mortgage rates, or work out a payment with the mortgage calculator.
Medical Records Specialist salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Columbia, MO | $60,960 | 300 |
| Chicago-Naperville-Elgin, IL-IN | $57,970 | 4,510 |
| Kankakee, IL | $56,450 | 40 |
| Springfield, IL | $55,800 | 120 |
| Cape Girardeau, MO-IL | $51,090 | 70 |
| Kansas City, MO-KS | $50,280 | 1,140 |
| Decatur, IL | $50,070 | 30 |
| Peoria, IL | $49,860 | 230 |
| Rockford, IL | $49,770 | 120 |
| Jefferson City, MO | $49,540 | 80 |
| St. Joseph, MO-KS | $49,040 | 50 |
| Bloomington, IL | $47,710 | 40 |
| Springfield, MO | $47,510 | 530 |
| Joplin, MO-KS | $47,000 | 130 |
| Champaign-Urbana, IL | $45,960 | 70 |
| Paducah, KY-IL | $45,930 | 80 |
| Davenport-Moline-Rock Island, IA-IL | $45,560 | 210 |
Highest-paying states for medical records specialists
| State | Median salary |
|---|---|
| District of Columbia | $72,040 |
| Rhode Island | $63,960 |
| Hawaii | $63,180 |
| Washington | $62,270 |
| California | $61,810 |
| New York | $61,720 |
| Minnesota | $61,530 |
| Alaska | $61,090 |
| Connecticut | $60,940 |
| Massachusetts | $60,350 |
See Medical Records Specialist pay in every state or the Missouri statewide figures.
Related jobs in St. Louis, MO-IL
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $65,120 | $31.31 |
| Pharmacy Technician | $45,220 | $21.74 |
| Clinical Laboratory Technologists and Technicians | $61,830 | $29.73 |
| Health Technologists and Technicians, All Other | $47,570 | $22.87 |
| Radiologic Technologists and Technicians | $76,390 | $36.73 |
| Paramedic | $63,050 | $30.31 |
| Psychiatric Technician | $47,970 | $23.06 |
| Emergency Medical Technician | $41,910 | $20.15 |
| Veterinary Technologists and Technicians | $44,860 | $21.57 |
| Surgical Technologist | $61,790 | $29.71 |
| Opticians, Dispensing | $39,230 | $18.86 |
| Diagnostic Medical Sonographer | $98,990 | $47.59 |
| Ophthalmic Medical Technician | $39,440 | $18.96 |
| Magnetic Resonance Imaging Technologist | $83,330 | $40.06 |
More: Healthcare Practitioners and Technical Occupations · all salaries in St. Louis, MO-IL
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-2072. Wages include base pay, tips, commissions and shift pay, but not overtime, bonuses or benefits, and exclude the self-employed.
Frequently asked questions
How much does a medical records specialist make in St. Louis, MO-IL?
The median salary for medical records specialists in the St. Louis, MO-IL metro area is $51,260 a year, or $24.64 an hour. Pay ranges from $39,650 for the lowest-paid 10% to $78,000 for the top 10%.
How much do the highest-paid medical records specialists make in St. Louis, MO-IL?
The top 10% of medical records specialists in the St. Louis, MO-IL metro area earn at least $78,000 a year. The top 25% earn $63,860 or more.
What is the starting pay for medical records specialists in St. Louis, MO-IL?
Entry-level pay (the 10th percentile) is about $39,650 a year, and a quarter of medical records specialists earn $46,080 or less.
How many medical records specialists work in St. Louis, MO-IL?
About 1,410 medical records specialists are employed in the St. Louis, MO-IL metro area, not counting the self-employed.