Paramedic salary in Rapid City, SD
Paramedics in the Rapid City, SD metro area earn a median of $47,810 a year ($22.99 an hour), based on BLS data for 40 workers.
Pay ranges from $30,140 for the lowest-paid 10% to $75,450 for the top 10%. That is 21% lower than the national median of $60,600. Pay here is 2% lower than the South Dakota statewide median of $48,830. There are 0.59 paramedics per 1,000 jobs here — close to the national average. The average (mean) salary is $47,650, close to the median.
Pay range for paramedics in Rapid City, SD
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $30,140 | $14.49 |
| 25th percentile | $30,140 | $14.49 |
| Median | $47,810 | $22.99 |
| 75th percentile | $57,080 | $27.44 |
| 90th percentile (top earners) | $75,450 | $36.28 |
| Average (mean) | $47,650 | $22.91 |
Half of paramedics 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 | $3,984.17 |
| Semi-monthly (24 a year) | $1,992.08 |
| Biweekly (26 a year) | $1,838.85 |
| Weekly | $919.42 |
| Hourly | $22.99 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Paramedic salary in other metro areas nearby
| Metro area | Median salary | Workers |
|---|---|---|
| Sioux City, IA-NE-SD | $53,310 | 50 |
| Sioux Falls, SD-MN | $50,550 | 80 |
Highest-paying states for paramedics
| State | Median salary |
|---|---|
| Washington | $104,310 |
| New Jersey | $86,630 |
| Hawaii | $81,280 |
| District of Columbia | $78,550 |
| Connecticut | $77,480 |
| Minnesota | $76,300 |
| Oregon | $74,840 |
| California | $74,590 |
| New York | $73,200 |
| Alaska | $71,860 |
See Paramedic pay in every state or the South Dakota statewide figures.
Related jobs in Rapid City, SD
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $52,220 | $25.11 |
| Clinical Laboratory Technologists and Technicians | $47,240 | $22.71 |
| Pharmacy Technician | $47,840 | $23.00 |
| Emergency Medical Technician | $39,440 | $18.96 |
| Radiologic Technologists and Technicians | $67,210 | $32.31 |
| Surgical Technologist | $61,960 | $29.79 |
| Medical Records Specialist | $52,140 | $25.07 |
| Ophthalmic Medical Technician | $39,300 | $18.89 |
| Opticians, Dispensing | $38,760 | $18.63 |
| Health Technologists and Technicians, All Other | $48,440 | $23.29 |
| Magnetic Resonance Imaging Technologist | $81,840 | $39.35 |
| Veterinary Technologists and Technicians | $45,210 | $21.73 |
| Registered Nurse | $79,380 | $38.17 |
| Pharmacist | $140,340 | $67.47 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Rapid City, SD
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025 estimates, occupation code 29-2043. 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 paramedic make in Rapid City, SD?
The median salary for paramedics in the Rapid City, SD metro area is $47,810 a year, or $22.99 an hour. Pay ranges from $30,140 for the lowest-paid 10% to $75,450 for the top 10%.
How much do the highest-paid paramedics make in Rapid City, SD?
The top 10% of paramedics in the Rapid City, SD metro area earn at least $75,450 a year. The top 25% earn $57,080 or more.
What is the starting pay for paramedics in Rapid City, SD?
Entry-level pay (the 10th percentile) is about $30,140 a year, and a quarter of paramedics earn $30,140 or less.
How many paramedics work in Rapid City, SD?
About 40 paramedics are employed in the Rapid City, SD metro area, not counting the self-employed.