How Much Does a Paramedic Make in Massachusetts in 2026?

A typical Paramedic in Massachusetts earns about $31.89 per hour, which comes to $66,340 per year, according to the latest government wage data (May 2025). Calculated from that annual figure, pay works out to roughly $5,528 a month and $1,276 a week. These figures reflect statewide pay across all experience levels and work settings.

That is 9% above the national typical pay of $60,600 a year. This places Massachusetts 12th among the 51 states and D.C. for Paramedic pay. About 1,860 Paramedics work across the state, a workforce large enough to make these figures a reliable picture of local pay.

Entry-level positions for Paramedics in Massachusetts typically offer around $60,410 a year ($29.04 an hour), according to the same May 2025 wage data. Pay generally moves up toward the state typical figure of $66,340 within the first few years on the job. New Paramedics often start in this range regardless of the department or region they work in.

Experienced Paramedics in Massachusetts often earn upwards of $77,330 a year, and the top 10% of earners make over $84,540. That leaves a spread of $24,130 between entry-level and top pay. Setting, years on the job, and which city a Paramedic works in all play into where someone lands within that range.

Paramedic pay in Massachusetts rose from $57,360 in 2021 to $66,340 in 2025, a gain of $8,980. That is an increase of about 16% over four years, according to government wage data. The rise has been steady each year rather than a single jump.

Nationally, Paramedic pay has climbed about 30% over the past decade, a faster pace of increase than the recent gain in Massachusetts. Even so, Massachusetts pay sat well above the national figure throughout this period, so the state figure remains higher in dollar terms. Pay has moved up consistently in recent years, though this history is not a promise of future increases.

Pay runs highest in Barnstable Town, where Paramedics earn $73,570 a year, about 11% above the statewide figure. Boston, the state's largest job hub for this work, pays close to the state typical rate at $66,460 a year. Warwick and Pittsfield also post solid figures, at $66,370 and $64,750 a year.

Pay runs lowest in Amherst Town, at $61,890 a year, tied with nearby Northampton. That is a spread of $11,680 between the highest-paying and lowest-paying cities in the state. Boston carries the largest Paramedic workforce, with 1,240 employed there. These figures cover each city's full metro area, and cities with higher pay typically also carry a higher cost of living.

Massachusetts pay compares favorably with some neighbors and trails others. Connecticut pays Paramedics more, at $77,480 a year, about 17% above the Massachusetts figure, and New York also runs higher, at $73,200, about 10% above. New Hampshire ($64,210), Rhode Island ($63,550), and Vermont ($60,360) all pay somewhat less, by 3% to 9%. Paramedic licensure earned in one state can often be transferred or endorsed into a neighboring state, which can widen job options near the border.

Paramedics in Massachusetts typically earn $66,340 a year ($31.89 an hour), a figure that has risen $8,980, or about 16%, since 2021. Pay varies by city and experience, from entry-level figures near $60,410 up to $84,540 for the top 10% of earners. Readers weighing a move or a new certification can check the state licensing or registry page for requirements, and the city pages on this site for local pay figures.