How Much Does a Paramedic Make in Idaho in 2026?

A typical Paramedic in Idaho earns about $29.03 per hour ($60,380 per year), according to the latest government wage data (May 2025). That breaks down to roughly $5,032 a month and about $1,161 a week, both calculated from the annual figure. For a full-time schedule, that hourly figure adds up consistently across a standard 40-hour week.

Idaho's typical pay is nearly identical to the national figure of $60,600 a year, sitting less than one percent below it. Among all 51 states and the District of Columbia, Idaho ranks 25th for paramedic pay, placing it in the middle of the national list. About 440 paramedics work across the state, a small workforce compared with the more than 100,000 counted nationwide.

Entry-level positions in Idaho typically offer around $23.53 an hour, or about $48,940 a year, for paramedics just starting out. Some new hires progress to about $53,040 a year as they gain initial experience. Pay generally moves toward the state's typical figure of $60,380 within the first several years on the job. Newer paramedics can expect steady increases as they build experience and take on more responsibility.

Experienced Paramedics in Idaho often earn upwards of $75,940 a year, and the top 10% make over $83,510 a year. That puts as much as $34,570 between entry-level and top-tier pay in the state. The gap usually comes down to years on the job, work setting, and which city a paramedic is based in. Those differences add up quickly across a career in emergency medicine.

Idaho paramedic pay rose from $46,460 in 2021 to $60,380 in 2025, a gain of $13,920. That amounts to a 30% increase over four years, according to the same government wage data. Pay climbed most years over that stretch, with the steepest jump between 2023 and 2024. The rise reflects broader wage trends across emergency medical services rather than any single cause.

Nationally, paramedic pay rose about 30% over a comparable stretch, putting Idaho's increase roughly in line with the country as a whole. Neither figure guarantees future gains, but pay for paramedics in Idaho has moved up substantially in recent years. Someone starting out now enters a field where typical earnings have already climbed well above where they stood in 2021.

Pay runs highest in Coeur d'Alene, where paramedics typically earn $82,310 a year, or $39.57 an hour. That figure sits 36% above the statewide figure of $60,380. Wage figures for each city cover the full metro area, not just the city center. Coeur d'Alene has a smaller paramedic workforce than Boise City, with about 40 employed there.

Boise City pays less than Coeur d'Alene, at $60,380 a year, matching the statewide figure exactly. That's a $21,930 spread between the highest- and lowest-paying cities with published figures in Idaho. Boise City also has the largest paramedic workforce in the state, with about 220 employed there. Lower pay in Boise City likely tracks its lower cost of living compared with Coeur d'Alene.

Idaho's neighbors show a wide range in paramedic pay. Washington pays the most nearby, with paramedics there earning $104,310 a year, about 73% more than in Idaho. Montana pays the least among neighboring states, at $50,890 a year, about 16% below Idaho's figure. Oregon, Utah, and Wyoming all pay somewhat more than Idaho as well. Paramedic licensure earned in one state can often be transferred or endorsed into a neighboring state.

Paramedics in Idaho typically earn $60,380 a year, or $29.03 an hour, a figure that has risen $13,920, about 30%, since 2021. Pay is close to the national figure and varies by city, with Coeur d'Alene paying well above the state figure and Boise City near it. Anyone weighing a move or new certification should check Idaho's EMS licensing and registry requirements, along with city-level pay figures, before deciding where to work.