9 Highest-Paid EMT Jobs (With Salaries and Locations)

Emergency medical technician experience can lead to more than ambulance-based work. EMTs develop valuable abilities in patient assessment, emergency response, documentation, communication and teamwork. With additional training, these skills can support careers in hospitals, fire departments, laboratories and advanced medicine.

The following jobs represent higher-paying roles that EMTs may pursue. Some require only targeted training, while others require an associate degree, bachelor’s degree, graduate education or a separate professional license.

Salary figures are U.S. estimates rather than guaranteed offers. Earnings vary by location, employer, certification level, shift, overtime and experience. Verify current listings before making a career decision.

1. Physician Assistant

Average salary: Approximately $133,260 per year

Physician assistants examine patients, order diagnostic tests, develop treatment plans, prescribe medication and collaborate with physicians. EMT experience can provide valuable patient-contact hours for applicants to physician assistant programs.

This is a long-term advancement path rather than an immediate EMT promotion. Candidates generally need a bachelor’s degree, prerequisite science courses, an accredited master’s-level physician assistant education and state licensure.

The U.S. Bureau of Labor Statistics reported a median annual wage of $133,260 for physician assistants in May 2024.

Locations to consider: Metropolitan areas with major hospital systems, outpatient centers and specialty practices. Government and outpatient-care employers may also offer strong compensation.

2. Emergency Management Director

Average salary: Approximately $86,130 per year

Emergency management directors develop plans for natural disasters, public health emergencies and large-scale incidents. They coordinate with police, fire departments, hospitals, government agencies and community organizations.

Experienced EMTs understand how emergency systems operate at the scene level. To transition into management, they may need a bachelor’s degree and several years of experience in emergency response, public administration or disaster planning.

The BLS reports a May 2024 median annual wage of $86,130 for emergency management directors.

Locations to consider: State capitals, large counties, major cities, hospitals, universities and areas exposed to hurricanes, wildfires or other natural hazards.

3. Emergency Medical Dispatcher

Average salary: Approximately $50,730 per year

Emergency medical dispatchers receive calls, determine the nature of an emergency, provide approved instructions and send appropriate responders. They must gather accurate information while helping callers remain calm.

EMT experience can be especially useful because it provides familiarity with medical terminology, scene safety and the information responders need before arrival. Some agencies require dispatcher certification or specialized emergency medical dispatch training.

Public safety telecommunicators earned a median annual wage of $50,730 in May 2024, according to the BLS.

Locations to consider: Large municipal dispatch centers, county emergency communication departments and regional 911 authorities.

4. Emergency Room Technician

Average salary estimate: Approximately $61,336 per year

Emergency room technicians support nurses and physicians in emergency departments. Their duties may include measuring vital signs, preparing equipment, transporting patients, collecting samples, performing CPR and documenting care.

Many hospitals accept EMT certification as relevant preparation, although requirements differ. Some positions require phlebotomy, electrocardiogram or basic life support credentials.

The current Indeed EMT career comparison lists an estimated national average salary of $61,336 for emergency room technicians.

Locations to consider: Major trauma centers, teaching hospitals and metropolitan hospital systems with high-volume emergency departments.

5. Medical Technologist

Average salary estimate: Approximately $59,561 per year

Medical technologists analyze blood, tissue and other laboratory samples. They operate diagnostic equipment, verify test quality, interpret results and maintain laboratory safety procedures.

An EMT background can help candidates understand clinical terminology and patient care, but medical technologist roles normally require additional laboratory education, certification or a related bachelor’s degree.

Indeed lists an estimated national average salary of $59,561 for this role. Candidates should compare this figure with current local postings because job titles and credential requirements vary.

Locations to consider: Hospital laboratories, diagnostic laboratories, academic medical centers and specialized research facilities.

6. Paramedic

Average salary: Approximately $58,410 per year

Paramedics deliver more advanced emergency care than basic-level EMTs. Depending on their scope of practice, they may administer medication, establish intravenous access, manage airways, interpret cardiac rhythms and perform advanced life support procedures.

This is one of the most direct advancement options for an EMT. Candidates usually complete an accredited paramedic program, pass required examinations and obtain state licensure.

The BLS EMT and paramedic profile reports a May 2024 median annual wage of $58,410 for paramedics. The highest 10% earned more than $82,420.

Locations to consider: Outpatient care centers, state and local government employers, fire-based EMS systems and areas experiencing shortages of advanced life support personnel.

7. Firefighter

Average salary: Approximately $59,530 per year

Firefighters respond to fires, vehicle crashes, hazardous-material incidents and medical emergencies. Many departments require firefighters to hold EMT certification because medical calls represent a significant part of emergency response work.

Candidates normally complete a fire academy, physical testing and department-specific training. Some departments prefer or require paramedic licensure.

According to the BLS firefighter profile, firefighters earned a median annual wage of $59,530 in May 2024.

Locations to consider: Career fire departments in large cities, suburban municipalities and industrial communities. Compare salaries with local housing costs, pension contributions and overtime policies.

8. Surgical Technician

Average salary estimate: Approximately $53,917 per year

Surgical technicians prepare operating rooms, sterilize equipment, organize instruments and support clinical teams during procedures. Their ability to remain calm and follow protocols makes EMT experience relevant, although a surgical technology program or certification may be required.

Indeed’s career comparison lists an estimated national average salary of $53,917 for surgical technicians.

Locations to consider: Surgical hospitals, outpatient surgery centers, trauma hospitals and metropolitan health systems.

9. Health Information Technician

Average salary estimate: Approximately $49,601 per year

Health information technicians organize, update and protect patient records. They may review documentation, assign medical codes, process record requests and verify that data complies with privacy standards.

This path may suit EMTs who want to remain in healthcare while moving away from physically demanding fieldwork. Candidates may need education in health information technology, medical coding or health administration.

Indeed lists an estimated national average salary of $49,601 for the occupation.

Locations to consider: Hospitals, insurers, government health agencies, medical groups and remote-friendly healthcare administration teams.

Where Can EMTs Earn More?

Location can have a significant effect on compensation. Indeed’s June 2026 comparison identified several cities with relatively high EMT and paramedic salary estimates, including:

• Tacoma, Washington: $64,166 per year
• Seattle, Washington: $61,325 per year
• Louisville, Kentucky: $60,421 per year
• Juneau, Alaska: $58,850 per year
• Minneapolis, Minnesota: $55,626 per year
• Washington, D.C.: $53,862 per year
• Hartford, Connecticut: $53,130 per year
• San Francisco, California: $52,521 per year
• New Orleans, Louisiana: $51,898 per year
• Honolulu, Hawaii: $51,831 per year

A larger salary does not automatically produce greater purchasing power. Candidates should compare housing, transportation, taxes, licensing costs and employee benefits before relocating.

Industries That May Pay EMTs More

EMTs do not work exclusively for ambulance companies. Potential employers include:

• State and local government agencies
• Hospitals and outpatient centers
• Fire departments
• Industrial facilities
• Construction and engineering companies
• Casinos and entertainment venues
• Airports
• Colleges and universities
• Medical and diagnostic laboratories

The BLS reported a median annual EMT wage of $41,340 in May 2024. EMTs in outpatient care centers had a substantially higher industry median of $67,990, although jobs in that category may be limited and requirements can vary.

How To Increase Your EMT Earning Potential

Earn advanced credentials

Paramedic education, advanced cardiac life support training and specialized rescue certifications can qualify you for additional responsibilities.

Consider public-sector positions

Municipal fire departments and government EMS agencies may offer pensions, health insurance, overtime and structured pay progression.

Build experience in high-acuity settings

Emergency departments, trauma centers and critical-care transport teams may value candidates with extensive patient-care experience.

Evaluate the complete compensation package

Compare base wages, scheduled hours, overtime, differentials, retirement benefits, paid leave and insurance. A position with a lower hourly rate may provide better overall compensation.

Develop leadership skills

Field training officer, shift supervisor, operations coordinator and emergency management roles may offer stronger long-term earning potential.

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Users can apply custom templates, edit the generated material and export the finished presentation as an editable PowerPoint file. Dokie can help EMTs, instructors and emergency-service leaders turn complex protocols or career research into clear visual content without manually designing every slide.

Frequently Asked Questions

1. What is the highest-paying career path for an EMT?

Physician assistant and emergency management leadership can be among the highest-paying long-term paths, but they require substantial education and experience. Paramedic is typically a more direct advancement route for working EMTs.

2. Is an EMT the same as a paramedic?

No. Both provide prehospital emergency care, but paramedics complete more advanced education and can perform procedures beyond the usual EMT scope of practice. Exact responsibilities are determined by state regulations and medical protocols.

3. What factors affect an EMT’s salary?

Important factors include location, certification level, employer, experience, shift differential and overtime. Government agencies, hospitals and specialized work environments may offer different compensation packages from private ambulance companies.

4. Can EMT experience help with other healthcare careers?

Yes. EMT work provides patient-care experience, medical knowledge and exposure to clinical decision-making. It can support applications for nursing, physician assistant, fire service, emergency management and hospital technician programs.