How Much Does a Paramedic Make in San Antonio, TX in 2026?
Typical pay for Paramedics in San Antonio, from federal wage data (May 2025), with the ten-year trend and how the city compares across Texas.
BLS OES May 2025 · San Antonio · New Braunfels metro area
A typical Paramedic in San Antonio, Texas earns $26.30 per hour, or $54,700 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $4,558 a month. Entry-level positions typically offer around $45,110, and the top 10% of earners make over $68,250.
That pay is 5% below the Texas figure of $57,500 and 10% below the national figure of $60,600. San Antonio ranks 5th of 20 metro areas in Texas for Paramedic pay. About 490 Paramedics work in the San Antonio · New Braunfels area. San Antonio is part of the San Antonio · New Braunfels metro area, and BLS reports pay for the metro as a whole, so New Braunfels share these figures.
Paramedic pay in San Antonio at a glance
- Typical pay is $26.30 an hour, or $54,700 a year.
- That is 5% below the Texas figure, ranking 5th of 20 metro areas in the state.
- Entry-level positions typically offer around $45,110; the top 10% make over $68,250.
BLS OES May 2025
How much does a Paramedic make in San Antonio?
Pay in San Antonio runs from entry-level positions at around $21.69 an hour to more than $32.81 for the top 10% of earners. The table sets each career stage against the Texas and national figures.
Paramedic pay by career stage in San Antonio
| Career stage | San Antonio | Texas | United States |
|---|---|---|---|
| Starting out | $45,110$21.69 an hour | $41,030$19.72 an hour | $44,230$21.27 an hour |
| First years | $47,700$22.94 an hour | $47,740$22.95 an hour | $49,660$23.88 an hour |
| Typical Paramedic | $54,700$26.30 an hour | $57,500$27.65 an hour | $60,600$29.13 an hour |
| Experienced | $60,990$29.32 an hour | $63,510$30.53 an hour | $73,470$35.32 an hour |
| Top 10% | $68,250$32.81 an hour | $77,700$37.35 an hour | $84,850$40.80 an hour |
BLS OES May 2025 · city figures cover the San Antonio · New Braunfels area as BLS defines it
Paramedic pay growth in San Antonio
Typical (median) annual wage for Paramedics in the San Antonio · New Braunfels area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change
In 2021, typical Paramedic pay in San Antonio was $40,370 a year. By 2025 it had reached $54,700.
How San Antonio compares with other Texas cities
Round Rock pays Paramedics the most in Texas at $67,290 a year, $12,590 more than San Antonio. The lowest-paying area in the state is Sherman at $45,230.
| # | City | Typical pay | Hourly | Vs San Antonio | Paramedics employed |
|---|---|---|---|---|---|
| 1 | Round Rock metro incl. San Marcos · Austin | $67,290 | $32.35 | +23% | 890 |
| 2 | Dallas metro incl. Arlington · Fort Worth | $60,300 | $28.99 | +10% | 1,570 |
| 3 | The Woodlands | $60,130 | $28.91 | +10% | 1,980 |
| 4 | Waco | $58,390 | $28.07 | +7% | 60 |
| 5 | San Antonio metro incl. New Braunfels | $54,700 | $26.30 | this city | 490 |
| 6 | Abilene | $54,370 | $26.14 | -1% | 80 |
| 7 | Victoria | $54,370 | $26.14 | -1% | 50 |
| 8 | El Paso | $54,260 | $26.09 | -1% | 200 |
| 9 | Bryan metro incl. College Station | $54,030 | $25.98 | -1% | 60 |
| 10 | Amarillo | $52,390 | $25.19 | -4% | 120 |
| 11 | Midland | $51,850 | $24.93 | -5% | 80 |
| 12 | Beaumont metro incl. Port Arthur | $50,470 | $24.27 | -8% | 170 |
| 13 | Lubbock | $49,170 | $23.64 | -10% | 170 |
| 14 | Brownsville metro incl. Harlingen | $48,110 | $23.13 | -12% | 70 |
| 15 | Corpus Christi | $47,740 | $22.95 | -13% | 140 |
| 16 | Edinburg | $47,670 | $22.92 | -13% | 190 |
| 17 | Longview | $47,350 | $22.76 | -13% | 100 |
| 18 | Wichita Falls | $46,550 | $22.38 | -15% | 40 |
| 19 | Laredo | $46,180 | $22.20 | -16% | 50 |
| 20 | Denison metro incl. Sherman | $45,230 | $21.75 | -17% | 40 |
Every metro area in Texas with Paramedic wage data · BLS OES May 2025 · Texas typical pay $57,500
Is San Antonio a good place to work as a Paramedic?
Paramedics in San Antonio earn less than the national figure: typical pay is $54,700 a year, 10% below the national rate. For every 1,000 jobs in the San Antonio · New Braunfels area, about 0.4 are Paramedic positions; nationally, the figure is closer to 0.6. That makes Paramedics a smaller part of the local job market than usual, so employers draw from a smaller pool of qualified candidates.
Frequently asked questions
- How much does a Paramedic make in San Antonio, TX?
- A typical Paramedic in San Antonio earns $54,700 a year, or $26.30 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $45,110 and the top 10% earn over $68,250.
- How much does a Paramedic make an hour in San Antonio?
- Typical hourly pay for Paramedics in San Antonio is $26.30. Entry-level hourly pay runs about $21.69, and the top 10% earn over $32.81 an hour.
- What is the starting pay for a Paramedic in San Antonio?
- Entry-level Paramedic positions in San Antonio typically offer around $21.69 an hour, or $45,110 a year.
- Is Paramedic pay in San Antonio higher than in the rest of Texas?
- San Antonio pay is 5% below the Texas figure of $57,500 a year, ranking 5th of 20 metro areas in the state. Round Rock pays the most in Texas at $67,290.