How Much Does a Paramedic Make in New Hampshire in 2026?

A typical Paramedic in New Hampshire earns about $30.87 per hour, which works out to $64,210 per year, according to the latest government wage data (May 2025). That breaks down to roughly $5,351 a month and $1,235 a week, both calculated from the annual figure. Actual pay varies with employer, shift, and years on the job.

That figure sits 6% above the national typical pay of $60,600 a year ($29.13 an hour) for paramedics, and New Hampshire ranks 15th out of 51 states and D.C. for paramedic pay. About 420 paramedics work in the state, compared with roughly 100,610 nationwide. That ranking places New Hampshire among the higher-paying states for this work, though pay still varies by city and employer within the state.

Entry-level positions in New Hampshire typically offer around $25.57 an hour, or about $53,180 a year, for paramedics just starting out. Pay tends to move toward the state's typical figure of $64,210 within the first few years on the job. New hires often start in this range while completing additional certifications or gaining field experience.

Experienced paramedics in New Hampshire often earn upwards of $75,310 a year, and the top 10% make over $79,370 a year, which comes to about $38.16 an hour. That's a spread of $26,190 between entry-level and top pay, one of the widest gaps in the pay scale for this field. Setting, years of experience, and which city a paramedic works in all factor into where someone lands in that range.

Paramedic pay in New Hampshire climbed from $48,630 in 2021 to $64,210 in 2025, a gain of $15,580 over that stretch. That's a rise of 32% in five years, one of the larger jumps for this occupation. Pay moved up in each of those years, without a single decline along the way.

Nationally, paramedic pay rose 30% over the same kind of stretch. New Hampshire's climb of 32% outpaced that national trend by a couple of points. For someone starting out now, that history shows pay in this field has moved up in recent years, though past gains don't guarantee future ones.

Pay runs highest in the Cambridge-Newton metro area, where paramedics earn $66,460 a year, about 4% above the New Hampshire figure of $64,210. Manchester and Nashua follow at $61,060 a year, still a solid figure but below the state's higher-paying market. These figures reflect each area's full metro region, not just the city center.

Nashua and Manchester sit at the lower end within the state, at $61,060 a year, a spread of $5,400 between the highest- and lowest-paying areas. The Cambridge-Newton area also carries the largest paramedic workforce among the state's metro listings, with about 1,240 workers. Areas with higher pay typically carry a higher cost of living, so the gap doesn't always translate into more spending power.

New Hampshire's paramedic pay sits close to its neighbors. Massachusetts pays a bit more, at $66,340 a year, about 3% above New Hampshire. Maine and Vermont pay less, at $63,050 and $60,360 a year, running 2% and 6% below the New Hampshire figure. Paramedic licensure earned in one of these states can often be transferred or endorsed into a neighboring one, which can simplify a move across the border.

Paramedics in New Hampshire typically earn $64,210 a year, up from $48,630 in 2021, a rise that has outpaced the national trend over the same years. Pay varies by city, experience, and employer, from entry-level figures near $53,180 to top pay above $79,370. Readers weighing this field should check New Hampshire's EMS licensing or registry requirements and compare local city figures before deciding where to work.