How Much Does a Paramedic Make in Roanoke, VA in 2026?
Typical pay for Paramedics in Roanoke, from federal wage data (May 2025), with the ten-year trend and how the city compares across Virginia.
BLS OES May 2025 · Roanoke metro area
A typical Paramedic in Roanoke, Virginia earns $28.37 per hour, or $59,020 per year, according to the latest government wage data for the area (May 2025). Calculated from the annual figure, that is roughly $4,918 a month. Entry-level positions typically offer around $43,610, and the top 10% of earners make over $67,030.
That pay is 2% below the Virginia figure of $60,480 and 3% below the national figure of $60,600. Roanoke ranks 6th of 8 metro areas in Virginia for Paramedic pay. About 100 Paramedics work in the Roanoke area.
Paramedic pay in Roanoke at a glance
- Typical pay is $28.37 an hour, or $59,020 a year.
- That is 2% below the Virginia figure, ranking 6th of 8 metro areas in the state.
- Entry-level positions typically offer around $43,610; the top 10% make over $67,030.
BLS OES May 2025
How much does a Paramedic make in Roanoke?
Pay in Roanoke runs from entry-level positions at around $20.97 an hour to more than $32.23 for the top 10% of earners. The table sets each career stage against the Virginia and national figures.
Paramedic pay by career stage in Roanoke
| Career stage | Roanoke | Virginia | United States |
|---|---|---|---|
| Starting out | $43,610$20.97 an hour | $42,520$20.44 an hour | $44,230$21.27 an hour |
| First years | $50,750$24.40 an hour | $49,960$24.02 an hour | $49,660$23.88 an hour |
| Typical Paramedic | $59,020$28.37 an hour | $60,480$29.08 an hour | $60,600$29.13 an hour |
| Experienced | $64,650$31.08 an hour | $67,030$32.23 an hour | $73,470$35.32 an hour |
| Top 10% | $67,030$32.23 an hour | $77,280$37.15 an hour | $84,850$40.80 an hour |
BLS OES May 2025 · city figures cover the Roanoke area as BLS defines it
Paramedic pay growth in Roanoke
Typical (median) annual wage for Paramedics in the Roanoke area · BLS OES May estimates, 2021 to 2025 · hover a bar for the year-over-year change
In 2021, typical Paramedic pay in Roanoke was $45,490 a year. By 2025 it had reached $59,020.
How Roanoke compares with other Virginia cities
Arlington pays Paramedics the most in Virginia at $75,190 a year, $16,170 more than Roanoke. The lowest-paying area in the state is Bristol at $47,060.
| # | City | Typical pay | Hourly | Vs Roanoke | Paramedics employed |
|---|---|---|---|---|---|
| 1 | Arlington | $75,190 | $36.15 | +27% | 840 |
| 2 | Virginia Beach | $64,120 | $30.83 | +9% | 400 |
| 3 | Charlottesville | $63,870 | $30.71 | +8% | 100 |
| 4 | Richmond | $63,750 | $30.65 | +8% | — |
| 5 | Winchester | $60,600 | $29.14 | +3% | 50 |
| 6 | Roanoke | $59,020 | $28.37 | this city | 100 |
| 7 | Blacksburg metro incl. Christiansburg · Radford | $50,150 | $24.11 | -15% | 120 |
| 8 | Bristol | $47,060 | $22.63 | -20% | 160 |
Every metro area in Virginia with Paramedic wage data · BLS OES May 2025 · Virginia typical pay $60,480
Is Roanoke a good place to work as a Paramedic?
Paramedic pay in Roanoke sits close to the national figure: $59,020 a year, 3% below the national rate. For every 1,000 jobs in the Roanoke area, about 0.6 are Paramedic positions; nationally, the figure is closer to 0.6. Paramedic jobs make up about the same share of the job market as they do across the country.
Frequently asked questions
- How much does a Paramedic make in Roanoke, VA?
- A typical Paramedic in Roanoke earns $59,020 a year, or $28.37 an hour, according to BLS wage data for May 2025. Entry-level pay runs about $43,610 and the top 10% earn over $67,030.
- How much does a Paramedic make an hour in Roanoke?
- Typical hourly pay for Paramedics in Roanoke is $28.37. Entry-level hourly pay runs about $20.97, and the top 10% earn over $32.23 an hour.
- What is the starting pay for a Paramedic in Roanoke?
- Entry-level Paramedic positions in Roanoke typically offer around $20.97 an hour, or $43,610 a year.
- Is Paramedic pay in Roanoke higher than in the rest of Virginia?
- Roanoke pay is 2% below the Virginia figure of $60,480 a year, ranking 6th of 8 metro areas in the state. Arlington pays the most in Virginia at $75,190.