How Much Does a Paramedic Make in Washington in 2026?

A typical Paramedic in Washington earns about $50.15 per hour, or $104,310 per year, according to the latest government wage data (May 2025). That works out to roughly $8,692 a month, based on the annual figure. On a weekly basis, typical pay comes to about $2,006, calculated from the same annual number. These figures represent typical pay for full-time work across the state.

Washington's typical pay for Paramedics runs 72% above the national figure of $60,600 a year, according to the same wage data. That puts Washington 1st among all 51 states for Paramedic pay. Around 2,110 Paramedics work across the state, compared with 100,610 nationwide. The smaller in-state workforce doesn't change the fact that Washington's pay sits at the top of the national list.

Entry-level positions in Washington typically offer around $29.33 an hour, or about $61,010 a year, according to the latest wage data. That's the starting point for Paramedics new to the field or early in their careers. Pay tends to climb from there, moving toward the state's typical figure of $50.15 an hour within a few years on the job.

Experienced Paramedics in Washington often earn upwards of $59.28 an hour, and the top 10% of earners make over $63.96 an hour, or $133,040 a year. That leaves a spread of $72,030 a year between entry-level and top-tier pay. Setting, years of experience, and which city a Paramedic works in all factor into where someone lands within that range.

Washington's typical pay for Paramedics climbed from $93,640 in 2021 to $104,310 in 2025, according to the latest government wage data (May 2025). That's a gain of $10,670 over those five years. Pay didn't move in a straight line, dipping slightly in 2023 before climbing again in 2024 and 2025.

Nationally, Paramedic pay rose 30% over the same decade measure, according to the same wage data. Washington's dollar gain came from a higher starting point, since the state already paid well above the national figure in 2021. For someone starting out now, the trend shows pay has moved upward in recent years, though no future rise is guaranteed.

Pay runs highest in Bellevue, Tacoma, and Seattle, where Paramedics typically earn $123,310 a year, or $59.28 an hour. That's about 18% above the statewide figure. Olympia, Tumwater, and Lacey follow closely at $120,260 a year, and Bellingham isn't far behind at $119,970.

Pay runs lowest in East Wenatchee, where Paramedics typically earn $63,520 a year, or $30.54 an hour. That's a gap of $59,790 from the top-paying metro areas. Bellevue holds the largest Paramedic workforce among the state's metro areas, with 750 workers. These figures cover each city's full metro area, and higher pay in places like Bellevue and Seattle generally tracks a higher cost of living.

Washington pays its Paramedics considerably more than its neighbors. Oregon's typical pay comes to $74,840 a year, 28% below Washington's figure, while Idaho trails further at $60,380, 42% below. Alaska falls in between, at $71,860 a year, about 31% lower than Washington. A paramedic certification earned in one state can often be transferred or endorsed into a neighboring state, though requirements vary and should be confirmed with the receiving state's licensing board.

Washington Paramedics typically earn $104,310 a year, among the highest pay for this role in the country. That figure has climbed $10,670 since 2021, according to the latest government wage data (May 2025). For specific licensing or registry requirements, check Washington's state EMS or health department page. For pay in a particular city, from Bellevue to East Wenatchee, the city figures above offer a closer local look.