Physician (General Practice) Salary After Tax in Missouri (2026)

Median wage: $216,990/year → Take-home: $152,179/year ($12,682/mo)

Full Tax Breakdown — $216,990 in Missouri

Annual Take-Home$152,179After all taxes

Monthly$12,682Net per month

Bi-Weekly$5,853Every 2 weeks

Effective Tax Rate29.9%Fed + state + FICA

Where Your Money Goes

29.9%effective rate

Take-Home$152,17970.1%

Federal Tax$40,81218.8%

State & Local Tax$9,2614.3%

FICA$14,7386.8%

Federal Tax Brackets

10%

$1,240

12%

$4,560

22%

$12,166

24%

$22,846

Affordability Snapshot

Based on your $12,682/mo take-home — 50/30/20 rule

Needs (50%)$6,341/mo

Rent, groceries, utilities, transport

Wants (30%)$3,804/mo

Dining, entertainment, hobbies

Savings (20%)$2,536/mo

401k, emergency fund, investments

🏠

Recommended Max Rent

$3,804/mo

30% of monthly take-home — the commonly recommended housing cost ceiling.

Annual Savings Potential

$30,436

Daily Take-Home

$585

Paycheck Breakdown

All figures in USD

Item	Annual	Monthly	Bi-Weekly	Weekly	Daily	Hourly
Gross Pay	$216,990	$18,083	$8,346	$4,173	$835	$104
Federal Income Tax	−$40,812	−$3,401	−$1,570	−$785	−$157	−$20
State Income Tax	−$9,261	−$772	−$356	−$178	−$36	−$4
Social Security	−$11,439	−$953	−$440	−$220	−$44	−$6
Medicare	−$3,299	−$275	−$127	−$63	−$13	−$2
Total Taxes	−$64,811	−$5,401	−$2,493	−$1,246	−$249	−$31
Take-Home Pay	$152,179	$12,682	$5,853	$2,927	$585	$73

Federal Rate

18.8%

State Rate

4.3%

Total Rate

29.9%

State-by-State Comparison

Same $216,990 salary across popular states

State	Take-Home	Total Tax	Eff. Rate
TXTexasNo Tax	$161,440	$55,550	25.6%
FLFloridaNo Tax	$161,440	$55,550	25.6%
WAWashingtonNo Tax	$161,440	$55,550	25.6%
NVNevadaNo Tax	$161,440	$55,550	25.6%
OHOhio	$156,255 -$5,185	$60,735 -$5,185/yr	28.0%
PAPennsylvania	$154,779 -$6,662	$62,211 -$6,662/yr	28.7%
MOMissouriYou	$152,179 -$9,261	$64,811 -$9,261/yr	29.9%
ILIllinois	$150,844 -$10,596	$66,146 -$10,596/yr	30.5%
NYNew York	$149,678 -$11,762	$67,312 -$11,762/yr	31.0%
CACalifornia	$145,351 -$16,089	$71,639 -$16,089/yr	33.0%

Ways to Increase Your Take-Home

📈

A $5,000 401(k) contribution saves $1,553/yr in taxes

Pre-tax 401(k) contributions reduce your federal and state taxable income. Contributing an additional $5,000 would increase your monthly take-home by $417 while building retirement savings.

💍

Married filing jointly saves $11,643/yr

If you're married, filing jointly gives you a $32,200 standard deduction (vs $16,100 single) and wider tax brackets. This would add $970/month to your take-home.

🗺️

Moving to a no-tax state could net $9,261 more per year

States like Texas and Florida have no state income tax. At your salary, moving to Texas would mean $9,261/year more take-home — $772/month — with no change to your gross salary.

Compare states →

Results for $216,990 salary · 2026 tax year

At a Glance

Annual Gross

$216,990

Annual Take-Home

$152,179

Monthly

$12,682

Bi-Weekly

$5,853

Weekly

$2,927

Hourly

$73.16

Federal Income Tax

$40,812

18.8% of gross

State Income Tax

$9,261

4.3% of gross

FICA (SS + Medicare)

$14,738

6.8% of gross

What does a Physician (General Practice) earn after taxes in Missouri?

The median annual wage for a physician (general practice) in Missouri is $216,990 according to BLS data. After federal income tax, FICA, and Missouri state income tax, the estimated take-home is $152,179/year or $12,682/month.

The effective total tax rate is 29.9%. Compared to the national median ($238,380), Missouri pays below average ($21,390 less/yr).