How Much Does a Paramedic Make in Texas in 2026?

A typical Paramedic in Texas earns about $27.65 per hour ($57,500 per year), according to the latest government wage data (May 2025). That works out to roughly $4,792 a month or $1,106 a week, calculated from the annual figure. Pay varies by city, employer, and experience, but this is the typical figure for the state's Paramedic workforce.

Texas pay runs 5% below the national figure of $60,600 a year ($29.13 an hour). That places Texas 35th out of 51 states and D.C. for Paramedic pay. The state employs about 8,410 Paramedics, a large enough workforce to produce reliable local pay figures across its cities.

Entry-level positions in Texas typically offer around $19.72 an hour ($41,030 a year) for Paramedics just starting out. Some entry-level roles pay somewhat more, around $22.95 an hour ($47,740 a year), marking the next step up as workers gain experience. Pay tends to move toward the state's typical figure of $57,500 within the first few years on the job. Location and the type of employer both play a role in how quickly that happens.

Experienced Paramedics in Texas often earn upwards of $30.53 an hour ($63,510 a year), and the top 10% of earners make over $37.35 an hour ($77,700 a year). That is a spread of $36,670 between entry-level and top-tier pay. Setting, years on the job, and city all factor into where an individual Paramedic falls within that range.

Texas Paramedics saw pay climb from $44,610 a year in 2021 to $57,500 in 2025, a gain of $12,890. That amounts to a 29% increase over four years, according to government wage data. The increase followed broader wage growth across emergency medical services during that period.

Nationally, Paramedic pay rose about 30% over a comparable stretch, a similar pace to what Texas recorded. Pay for Paramedics in Texas has moved up in recent years, though past increases do not guarantee future ones. Anyone starting out today enters a market where wages have trended upward, even after accounting for the state's lower standing against the national figure.

Pay runs highest in Round Rock, Austin, and San Marcos, where Paramedics typically earn $67,290 a year ($32.35 an hour), about 17% above the state figure of $57,500. Dallas, Arlington, and Fort Worth follow close behind, with typical pay of $60,300 a year, still well above pay in many smaller Texas cities. These figures cover the full metro area around each city, not just the city limits.

Pay runs lowest in Sherman, tied with Denison, where Paramedics typically earn $45,230 a year ($21.75 an hour), a difference of $22,060 from the top-paying cities. The Woodlands, tied with Pasadena and Houston, employs the most Paramedics in the state at 1,980 workers, with typical pay of $60,130 a year. Cities with higher pay generally carry a higher cost of living, so the gap does not necessarily translate into more spending power.

Texas pay compares closely with neighboring Louisiana, where Paramedics typically earn $56,050 a year, about 3% below the Texas figure. New Mexico runs similarly at $55,530. Arkansas pays noticeably less at $50,310, and Oklahoma trails furthest at $46,790, about 19% below Texas. Paramedic licensure earned in one state can often be transferred or endorsed into a neighboring state, which can simplify a move across state lines.

Paramedics in Texas typically earn $57,500 a year, up from $44,610 in 2021. For specific licensing and registry requirements, the Texas Department of State Health Services EMS registry page has current details, and city-level pay pages cover local figures more closely. Those resources are the best next step for anyone planning a move or weighing a new position.