How Much Does a Paramedic Make in Wilmington, NC in 2026?
Typical pay for Paramedics in Wilmington, from federal wage data (May 2025), with the ten-year trend and how the city compares across North Carolina.
BLS OES May 2025 · Wilmington metro area
A typical Paramedic in Wilmington, North Carolina earns $29.36 per hour, or $61,060 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $5,088 a month. Entry-level positions typically offer around $39,200, and the top 10% of earners make over $80,170.
That pay is 7% above the North Carolina figure of $57,320 and 1% above the national figure of $60,600. Wilmington ranks 7th of 12 metro areas in North Carolina for Paramedic pay. About 210 Paramedics work in the Wilmington area.
Paramedic pay in Wilmington at a glance
- Typical pay is $29.36 an hour, or $61,060 a year.
- That is 7% above the North Carolina figure, ranking 7th of 12 metro areas in the state.
- Entry-level positions typically offer around $39,200; the top 10% make over $80,170.
BLS OES May 2025
How much does a Paramedic make in Wilmington?
Pay in Wilmington runs from entry-level positions at around $18.85 an hour to more than $38.54 for the top 10% of earners. The table sets each career stage against the North Carolina and national figures.
Paramedic pay by career stage in Wilmington
| Career stage | Wilmington | North Carolina | United States |
|---|---|---|---|
| Starting out | $39,200$18.85 an hour | $44,730$21.51 an hour | $44,230$21.27 an hour |
| First years | $46,960$22.58 an hour | $48,630$23.38 an hour | $49,660$23.88 an hour |
| Typical Paramedic | $61,060$29.36 an hour | $57,320$27.56 an hour | $60,600$29.13 an hour |
| Experienced | $70,210$33.75 an hour | $63,820$30.69 an hour | $73,470$35.32 an hour |
| Top 10% | $80,170$38.54 an hour | $75,170$36.14 an hour | $84,850$40.80 an hour |
BLS OES May 2025 · city figures cover the Wilmington area as BLS defines it
Paramedic pay growth in Wilmington
Typical (median) annual wage for Paramedics in the Wilmington area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change
In 2021, typical Paramedic pay in Wilmington was $38,020 a year. By 2025 it had reached $61,060.
How Wilmington compares with other North Carolina cities
Fayetteville pays Paramedics the most in North Carolina at $68,220 a year, $7,160 more than Wilmington. The lowest-paying area in the state is Lenoir at $49,460.
| # | City | Typical pay | Hourly | Vs Wilmington | Paramedics employed |
|---|---|---|---|---|---|
| 1 | Fayetteville | $68,220 | $32.80 | +12% | 130 |
| 2 | Raleigh metro incl. Cary | $65,220 | $31.36 | +7% | 470 |
| 3 | Chapel Hill metro incl. Durham | $64,310 | $30.92 | +5% | 230 |
| 4 | Chesapeake metro incl. Norfolk | $64,120 | $30.83 | +5% | 400 |
| 5 | Asheville | $63,480 | $30.52 | +4% | 280 |
| 6 | Charlotte | $61,660 | $29.64 | +1% | 1,180 |
| 7 | Wilmington | $61,060 | $29.36 | this city | 210 |
| 8 | Greensboro metro incl. High Point | $58,980 | $28.36 | -3% | 320 |
| 9 | Winston metro incl. Salem | $58,110 | $27.94 | -5% | 420 |
| 10 | Greenville | $53,210 | $25.58 | -13% | 120 |
| 11 | Rocky Mount | $52,470 | $25.23 | -14% | 130 |
| 12 | Hickory | $49,460 | $23.78 | -19% | 180 |
Every metro area in North Carolina with Paramedic wage data · BLS OES May 2025 · North Carolina typical pay $57,320
Is Wilmington a good place to work as a Paramedic?
Paramedic pay in Wilmington sits close to the national figure: $61,060 a year, 1% above the national rate. For every 1,000 jobs in the Wilmington area, about 1.1 are Paramedic positions; nationally, the figure is closer to 0.6. That makes the local economy more reliant on Paramedics than most places, and turnover keeps positions opening through the year.
Frequently asked questions
- How much does a Paramedic make in Wilmington, NC?
- A typical Paramedic in Wilmington earns $61,060 a year, or $29.36 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $39,200 and the top 10% earn over $80,170.
- How much does a Paramedic make an hour in Wilmington?
- Typical hourly pay for Paramedics in Wilmington is $29.36. Entry-level hourly pay runs about $18.85, and the top 10% earn over $38.54 an hour.
- What is the starting pay for a Paramedic in Wilmington?
- Entry-level Paramedic positions in Wilmington typically offer around $18.85 an hour, or $39,200 a year.
- Is Paramedic pay in Wilmington higher than in the rest of North Carolina?
- Wilmington pay is 7% above the North Carolina figure of $57,320 a year, ranking 7th of 12 metro areas in the state. Fayetteville pays the most in North Carolina at $68,220.