How Much Does a Paramedic Make in Maryland in 2026?

A typical Paramedic in Maryland earns about $32.05 per hour, translating to roughly $66,660 per year, according to the latest government wage data (May 2025). That breaks down to about $5,555 a month, or $1,282 a week, calculated from the annual figure. These figures reflect typical pay across experience levels and work settings statewide.

Maryland pay runs 10% above the national typical of $60,600 a year, or $29.13 an hour, according to the same May 2025 data. That places Maryland 11th among the 51 states and Washington, D.C. for Paramedic pay. The state employs 1,910 Paramedics, compared with 100,610 nationwide, giving context to how the state fits into the broader field.

Entry-level positions in Maryland typically offer around $24.53 an hour, or about $51,020 a year, for those just starting out. Pay tends to rise toward the statewide typical of $66,660 within the first several years on the job. New Paramedics often start in this range before taking on more responsibility or additional certifications. Experience, more than any single factor, tends to move pay upward over time.

Experienced Paramedics in Maryland often earn upwards of $48.97 an hour, or about $101,860 a year, once they reach the top of the field. The top 10% of earners make over that figure, a spread of $50,840 between the entry-level and top-earning groups. Work setting, years on the job, and city all play a part in where an individual Paramedic lands within that range.

Maryland's typical Paramedic pay climbed from $59,160 in 2021 to $66,660 in 2025, according to government wage data. That is a gain of $7,500, or 13%, over that span. The rise was not perfectly steady; pay peaked at $67,670 in 2024 before settling slightly lower in 2025. Even with that dip, pay remains well above where it stood in 2021.

Nationally, Paramedic pay rose about 30% over a comparable period, faster than Maryland's climb. Maryland's smaller increase still adds up to real money for anyone working in the field today. Pay has moved up in Maryland in recent years, though future gains are not guaranteed.

Pay runs highest in Alexandria, where Paramedics typically earn $75,190 a year, or $36.15 an hour, about 13% above the statewide figure. Lexington Park follows closely at $74,900 a year. These figures reflect the full metro area around each city, not just the city limits. Baltimore, Columbia, and Towson all report typical pay of $66,330 a year, or $31.89 an hour, close to the state figure.

Hagerstown and Martinsburg pay the least, with typical pay of $51,650 a year, or $24.83 an hour, a spread of $23,540 between the highest- and lowest-paying areas. Baltimore holds the largest Paramedic workforce in the state, with about 1,000 employed at a typical pay of $66,330 a year. Higher pay in places like Alexandria and Lexington Park generally tracks a higher cost of living in those areas.

Maryland's neighbors show a mixed picture. Washington, D.C. pays the most, at $78,550 a year, about 18% above Maryland. West Virginia pays the least, at $48,460 a year, about 27% below. Delaware ($64,240), Pennsylvania ($61,000), and Virginia ($60,480) all pay somewhat less than Maryland's $66,660. Paramedic licensure earned in one state can often be transferred or endorsed into a neighboring state, widening job options near the border.

Maryland Paramedics typically earn $66,660 a year, or $32.05 an hour, up 13% since 2021. Pay sits above the national figure and varies noticeably by city, from Alexandria's $75,190 to Hagerstown's $51,650. Anyone considering the field in Maryland can check the state licensing and registry requirements for specifics on certification, and review city-level pages for local pay figures before choosing where to work.