Paramedic salary in Roanoke, VA
Paramedics in the Roanoke, VA metro area earn a median of $59,020 a year ($28.37 an hour), based on BLS data for 100 workers.
Pay ranges from $43,610 for the lowest-paid 10% to $67,030 for the top 10%. That is 3% lower than the national median of $60,600. Pay here is 2% lower than the Virginia statewide median of $60,480. There are 0.68 paramedics per 1,000 jobs here — close to the national average. The average (mean) salary is $58,050, close to the median.
Pay range for paramedics in Roanoke, VA
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $43,610 | $20.97 |
| 25th percentile | $50,750 | $24.40 |
| Median | $59,020 | $28.37 |
| 75th percentile | $64,650 | $31.08 |
| 90th percentile (top earners) | $67,030 | $32.23 |
| Average (mean) | $58,050 | $27.91 |
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 | $4,918.33 |
| Semi-monthly (24 a year) | $2,459.17 |
| Biweekly (26 a year) | $2,270 |
| Weekly | $1,135 |
| Hourly | $28.37 |
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 |
|---|---|---|
| Washington-Arlington-Alexandria, DC-VA-MD-WV | $75,190 | 840 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $64,120 | 400 |
| Charlottesville, VA | $63,870 | 100 |
| Richmond, VA | $63,750 | n/a |
| Winchester, VA-WV | $60,600 | 50 |
| Blacksburg-Christiansburg-Radford, VA | $50,150 | 120 |
| Kingsport-Bristol, TN-VA | $47,060 | 160 |
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 Virginia statewide figures.
Related jobs in Roanoke, VA
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $61,210 | $29.43 |
| Pharmacy Technician | $41,200 | $19.81 |
| Clinical Laboratory Technologists and Technicians | $48,880 | $23.50 |
| Radiologic Technologists and Technicians | $75,710 | $36.40 |
| Medical Records Specialist | $46,970 | $22.58 |
| Emergency Medical Technician | $41,690 | $20.04 |
| Ophthalmic Medical Technician | $40,560 | $19.50 |
| Psychiatric Technician | $45,020 | $21.64 |
| Diagnostic Medical Sonographer | $83,140 | $39.97 |
| Surgical Technologist | $61,600 | $29.61 |
| Veterinary Technologists and Technicians | $46,970 | $22.58 |
| Opticians, Dispensing | $52,650 | $25.31 |
| Orthotists and Prosthetists | $98,380 | $47.30 |
| Health Technologists and Technicians, All Other | $45,310 | $21.78 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Roanoke, VA
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 Roanoke, VA?
The median salary for paramedics in the Roanoke, VA metro area is $59,020 a year, or $28.37 an hour. Pay ranges from $43,610 for the lowest-paid 10% to $67,030 for the top 10%.
How much do the highest-paid paramedics make in Roanoke, VA?
The top 10% of paramedics in the Roanoke, VA metro area earn at least $67,030 a year. The top 25% earn $64,650 or more.
What is the starting pay for paramedics in Roanoke, VA?
Entry-level pay (the 10th percentile) is about $43,610 a year, and a quarter of paramedics earn $50,750 or less.
How many paramedics work in Roanoke, VA?
About 100 paramedics are employed in the Roanoke, VA metro area, not counting the self-employed.