How Much Does a Paramedic Make in Hawaii in 2026?
Typical pay for Paramedics 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 Paramedic in Hawaii earns about $39.08 per hour ($81,280 per year), according to the latest government wage data (May 2025). That works out to roughly $6,773 a month and $1,563 a week, both figures calculated from the annual pay. This is the typical wage for paramedics working across the state today.
Hawaii's typical pay sits 34% above the national figure of $60,600 a year ($29.13 an hour), placing the state 3rd among the 51 states and territories tracked by the same survey. Only about 140 paramedics work in Hawaii, a small workforce reflecting the size of the islands' population. Even with that small number, pay in the state ranks near the top nationally.
Paramedic pay in Hawaii at a glance
- Paramedics in Hawaii typically earn $39.08 an hour ($81,280 a year), according to the latest government wage data (May 2025).
- That's 34% above the national typical pay, placing Hawaii 3rd among all 51 states and territories tracked.
- Pay runs fairly uniform across Hawaii's small paramedic workforce, with typical statewide pay near $81,280 a year.
- Entry-level paramedics start around $66,250 a year, while the top 10% of earners make over $81,440.
- Hawaii's typical pay rose about 8% between 2023 and 2025, from $75,500 to $81,280 a year.
BLS OES May 2025
How much does a Paramedic make in Hawaii?
Paramedic pay by career stage in Hawaii
| Career stage | Hawaii | United States |
|---|---|---|
| Starting out | $66,250$31.85 an hour | $44,230$21.27 an hour |
| First years | $75,930$36.51 an hour | $49,660$23.88 an hour |
| Typical Paramedic | $81,280$39.08 an hour | $60,600$29.13 an hour |
| Experienced | $81,280$39.08 an hour | $73,470$35.32 an hour |
| Top 10% | $81,440$39.15 an hour | $84,850$40.80 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
Paramedic pay by experience level in Hawaii
Entry-level positions for Paramedics in Hawaii typically offer around $31.85 an hour ($66,250 a year), according to the same wage data. Pay climbs from there: those with a few years of experience often move into the $36.51-an-hour range (about $75,930 a year) before reaching the typical pay level of $39.08 an hour. Most paramedics reach that typical figure within the first several years on the job.
Experienced Paramedics in Hawaii often earn upwards of $39.15 an hour, and the top 10% of earners make over $81,440 a year. That leaves a spread of $15,190 between entry-level and top pay in the state. The gap usually comes down to years on the job, the type of employer, and which part of the state someone works in.
Is Hawaii a good state for Paramedics?
Paramedics in Hawaii earn a strong wage by national standards: typical pay is $81,280 a year, 34% above the national figure and the 3rd highest of 51. For every 1,000 jobs in Hawaii, about 0.2 are Paramedic positions; nationally, the figure is closer to 0.7. That makes Paramedics 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 Paramedics.
Summary
Paramedics in Hawaii typically earn $81,280 a year, well above the national figure, with pay that has risen $5,780, about 8%, since 2023. The entry-level range starts near $66,250 and climbs toward $81,440 for the top 10% of earners with more experience. Anyone considering the field should check Hawaii's state licensing or EMS registry page for current certification requirements, and review city-level pages for local pay details where available.
Frequently asked questions
- How much does a Paramedic make in Hawaii?
- A typical Paramedic in Hawaii earns about $39.08 an hour, or $81,280 a year, according to the latest government wage data (May 2025). That's well above the national figure of $60,600 a year, and it places Hawaii 3rd among the 51 states and territories tracked.
- How much does a Paramedic make an hour in Hawaii?
- Paramedics in Hawaii typically earn $39.08 an hour, according to the latest government wage data (May 2025). Entry-level pay starts closer to $31.85 an hour, while the top 10% of earners make over $39.15 an hour.
- What is the starting pay for a Paramedic in Hawaii?
- Entry-level Paramedics in Hawaii typically start around $31.85 an hour, or about $66,250 a year, according to the latest government wage data (May 2025). Pay tends to rise toward the state's typical figure of $81,280 a year within the first several years of experience.
- Which city in Hawaii pays Paramedics the most?
- Hawaii doesn't publish separate pay figures for individual cities or metro areas for this occupation, so pay looks fairly uniform across the state. The statewide typical figure of $81,280 a year is the best available guide, whether someone works on Oahu, Maui, or the Big Island.
- Is Paramedic pay in Hawaii higher than the national rate?
- Yes. Hawaii's typical pay for Paramedics is $81,280 a year, about 34% above the national figure of $60,600, according to the latest government wage data (May 2025). That places Hawaii 3rd among the 51 states and territories tracked in the same survey.