BLS metro-level wage data places Physician Assistants pay in Cape Girardeau, MO-IL at a median of $141,080 per year ($67.83/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $135,880, Cape Girardeau pays +4% above, signaling either concentrated employer demand, a cost-of-living premium, or both. Approximately 40 physician assistantss are employed across the Cape Girardeau MSA in SOC 29-1071.

The Cape Girardeau pay distribution spans from $111,210 at the 10th percentile to $169,650 at the 90th — a 1.5× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $134,130 and the 75th at $152,210, so half of Cape Girardeau-based physician assistantss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Cape Girardeau, MO-IL covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide MO data, and peer-metro comparisons — a median is a starting point, not a ceiling.