How Much Does an EMT Make in Hawaii in 2026?
Typical pay for EMTs in Hawaii, from federal wage data (May 2025), with pay by city, the ten-year trend, and how the state compares.
BLS OES May 2025 · Hawaii · typical annual pay from the lowest-paid tenth to the highest-paid tenth
A typical EMT in Hawaii earns about $31.93 per hour, or $66,410 per year, according to the latest government wage data (May 2025). Calculated from that annual figure, pay works out to roughly $5,534 per month and $1,277 per week. These figures reflect EMTs working across the state, from ambulance services to hospital emergency departments.
That is 49% above the national typical pay of $21.38 an hour, or $44,470 a year. Hawaii ranks #1 among the 51 states and D.C. for EMT pay, according to the same wage data. About 560 EMTs work in the state, compared with 180,510 nationwide, giving a sense of scale for these figures.
EMT pay in Hawaii at a glance
- EMTs in Hawaii typically earn $31.93 per hour, or about $66,410 per year, according to the latest government wage data (May 2025).
- Hawaii's typical EMT pay runs 49% above the national figure, ranking the state #1 among 51 states and D.C.
- Urban Honolulu, the state's largest metro area, pays EMTs the most, with typical pay of $67,050 per year.
- Entry-level EMTs in Hawaii typically start around $51,140 per year, while the top 10% of earners make over $84,620.
- Nationally, EMT pay rose 25% over the past five years, while Hawaii's typical pay grew by $19,500 since 2021.
BLS OES May 2025
How much does an EMT make in Hawaii?
EMT pay by career stage in Hawaii
| Career stage | Hawaii | United States |
|---|---|---|
| Starting out | $51,140$24.59 an hour | $34,130$16.41 an hour |
| First years | $59,170$28.45 an hour | $37,960$18.25 an hour |
| Typical EMT | $66,410$31.93 an hour | $44,470$21.38 an hour |
| Experienced | $84,620$40.68 an hour | $50,100$24.09 an hour |
| Top 10% | $84,620$40.68 an hour | $62,500$30.05 an hour |
BLS OES May 2025 · starting out is the 10th percentile, first years the 25th, typical the median, experienced the 75th, top 10% the 90th
EMT pay by experience level in Hawaii
Entry-level positions in Hawaii typically offer around $24.59 an hour, or about $51,140 per year, for EMTs just starting out. Pay tends to rise toward the state's typical figure of $66,410 within the first few years on the job. Those with a bit more experience often see closer to $28.45 an hour, or $59,170 a year.
Experienced EMTs in Hawaii can reach the top of the pay range as they build years on the job. The top 10% of earners make over $84,620 a year, compared with $51,140 near the entry level, a gap of $33,480. That spread tends to reflect years of experience, the type of employer, and whether the position is based in Urban Honolulu or elsewhere in the state.
EMT pay growth in Hawaii
Typical (median) annual wage for EMTs in Hawaii · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change
Hawaii's typical EMT pay climbed from $46,910 in 2021 to $66,410 in 2025, according to the latest government wage data. That marks a gain of $19,500 over five years. Pay rose in each of those years rather than staying flat, moving from $46,910 to $50,870, then $59,300, $61,310, and finally $66,410.
Nationally, EMT pay rose 25% over roughly the same period, according to the same wage data. Hawaii's gain came from a higher starting point, reflecting the state's already elevated pay for the role. Pay for EMTs in Hawaii has moved up in recent years, and someone starting the job now enters at a higher point than in 2021, though future increases are not guaranteed.
EMT salary by city in Hawaii
The only metro area with EMT wage data in Hawaii is Urban Honolulu, where typical pay runs $67,050 a year, or $32.24 an hour. That is about 1% above the statewide figure of $66,410, meaning pay in Hawaii is fairly uniform across the state rather than varying widely by city. Urban Honolulu is also home to the largest EMT workforce in the state, with 460 of the state's 560 EMTs working there.
Hawaii's high cost of living plays a role in these figures; wages across the islands tend to run higher to help match local prices for housing and daily expenses. Because Urban Honolulu is the only metro area with published EMT wage data in the state, there is no meaningful city-to-city spread to report. EMTs elsewhere in Hawaii can expect pay close to the statewide figure of $66,410.
| # | City | Typical pay | Hourly | Vs Hawaii | EMTs employed |
|---|---|---|---|---|---|
| 1 | Urban Honolulu | $67,050 | $32.24 | +1% | 460 |
Each row is one BLS metro area; cities that share a metro share its figures · BLS OES May 2025 · Hawaii typical pay $66,410
Is Hawaii a good state for EMTs?
EMTs in Hawaii earn a strong wage by national standards: typical pay is $66,410 a year, 49% above the national figure and the 1st highest of 51. For every 1,000 jobs in Hawaii, about 0.9 are EMT positions; nationally, the figure is closer to 1.2. That makes EMTs a smaller part of the local job market than usual, so employers draw from a smaller pool of qualified candidates. Taken together, Hawaii is one of the better-paying states for EMTs.
Summary
EMTs in Hawaii typically earn $66,410 a year, a figure that has climbed by $19,500 since 2021 and now ranks highest in the nation. For details on licensing and registry requirements, readers can check Hawaii's state EMS licensing page; for pay specific to Urban Honolulu or other areas, city-level figures offer a closer look at local numbers within the state.
Frequently asked questions
- How much does an EMT make in Hawaii?
- EMTs in Hawaii typically earn $31.93 an hour, or about $66,410 a year, according to the latest government wage data (May 2025). That is well above the national typical pay of $44,470 a year, making Hawaii the highest-paying state in the country for this role.
- How much does an EMT make an hour in Hawaii?
- Typical hourly pay for EMTs in Hawaii is $31.93, according to the latest government wage data (May 2025). Entry-level workers tend to start closer to $24.59 an hour, while experienced EMTs in the top 10% earn upwards of $40.68 an hour.
- What is the starting pay for an EMT in Hawaii?
- Entry-level EMTs in Hawaii typically start around $24.59 an hour, or about $51,140 a year, according to the latest government wage data (May 2025). Pay tends to rise toward the state's typical figure of $66,410 a year within the first few years of experience.
- Which city in Hawaii pays EMTs the most?
- Urban Honolulu is the only metro area in Hawaii with published EMT wage data, and it also pays the most, at $67,050 a year, about 1% above the statewide figure. Pay elsewhere in the state runs close to that same level, making EMT pay fairly uniform across Hawaii.
- Is EMT pay in Hawaii higher than the national rate?
- Yes. Hawaii's typical EMT pay of $66,410 a year runs 49% above the national typical pay of $44,470, according to the latest government wage data (May 2025). Hawaii ranks #1 among the 51 states and D.C. for EMT pay.