Paramedic salary in Texas
Paramedics in Texas earn a median of $57,500 a year ($27.65 an hour), based on BLS data for 8,410 workers.
Pay ranges from $41,030 for the lowest-paid 10% to $77,700 for the top 10%. That is 5% lower than the national median of $60,600. Texas ranks 35th of 51 states for paramedics pay. There are 0.60 paramedics per 1,000 jobs here — close to the national average. The average (mean) salary is $57,590, above the median because a few high earners pull it up.
Pay range for paramedics in Texas
| Pay level | Yearly | Hourly |
|---|---|---|
| 10th percentile (entry level) | $41,030 | $19.72 |
| 25th percentile | $47,740 | $22.95 |
| Median | $57,500 | $27.65 |
| 75th percentile | $63,510 | $30.53 |
| 90th percentile (top earners) | $77,700 | $37.35 |
| Average (mean) | $57,590 | $27.69 |
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 | $4,791.67 |
| Semi-monthly (24 a year) | $2,395.83 |
| Biweekly (26 a year) | $2,211.54 |
| Weekly | $1,105.77 |
| Hourly | $27.65 |
Based on a full-time year of 2,080 hours. Convert any amount with the hourly to salary converter.
Paramedic salary in cities in Texas
| Metro area | Median salary | Workers |
|---|---|---|
| Austin-Round Rock-San Marcos, TX | $67,290 | 890 |
| Dallas-Fort Worth-Arlington, TX | $60,300 | 1,570 |
| Houston-Pasadena-The Woodlands, TX | $60,130 | 1,980 |
| Waco, TX | $58,390 | 60 |
| San Antonio-New Braunfels, TX | $54,700 | 490 |
| Abilene, TX | $54,370 | 80 |
| Victoria, TX | $54,370 | 50 |
| El Paso, TX | $54,260 | 200 |
| College Station-Bryan, TX | $54,030 | 60 |
| Amarillo, TX | $52,390 | 120 |
| Midland, TX | $51,850 | 80 |
| Beaumont-Port Arthur, TX | $50,470 | 170 |
| Lubbock, TX | $49,170 | 170 |
| Brownsville-Harlingen, TX | $48,110 | 70 |
| Corpus Christi, TX | $47,740 | 140 |
| McAllen-Edinburg-Mission, TX | $47,670 | 190 |
| Longview, TX | $47,350 | 100 |
| Wichita Falls, TX | $46,550 | 40 |
| Laredo, TX | $46,180 | 50 |
| Sherman-Denison, TX | $45,230 | 40 |
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 |
Related jobs in Texas
| Job | Median salary | Hourly |
|---|---|---|
| Licensed Practical and Licensed Vocational Nurses | $62,240 | $29.92 |
| Pharmacy Technician | $45,900 | $22.07 |
| Clinical Laboratory Technologists and Technicians | $59,290 | $28.51 |
| Radiologic Technologists and Technicians | $78,630 | $37.80 |
| Medical Records Specialist | $48,860 | $23.49 |
| Veterinary Technologists and Technicians | $39,410 | $18.95 |
| Health Technologists and Technicians, All Other | $47,870 | $23.01 |
| Emergency Medical Technician | $37,260 | $17.91 |
| Psychiatric Technician | $39,970 | $19.22 |
| Surgical Technologist | $65,220 | $31.35 |
| Diagnostic Medical Sonographer | $92,580 | $44.51 |
| Opticians, Dispensing | $38,720 | $18.61 |
| Ophthalmic Medical Technician | $43,640 | $20.98 |
| Cardiovascular Technologists and Technicians | $53,000 | $25.48 |
More: Healthcare Practitioners and Technical Occupations · all salaries in Texas
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 Texas?
The median salary for paramedics in Texas is $57,500 a year, or $27.65 an hour. Pay ranges from $41,030 for the lowest-paid 10% to $77,700 for the top 10%.
How much do the highest-paid paramedics make in Texas?
The top 10% of paramedics in Texas earn at least $77,700 a year. The top 25% earn $63,510 or more.
What is the starting pay for paramedics in Texas?
Entry-level pay (the 10th percentile) is about $41,030 a year, and a quarter of paramedics earn $47,740 or less.
How many paramedics work in Texas?
About 8,410 paramedics are employed in Texas, not counting the self-employed.