The average salary for a Paramedic in Baltimore is 64,438 $ per year on a 40-hour full-time equivalent, or 5,370 $ gross per month and 30.98 $ gross per hour. The reported full-time salary range is 40,000 $ to 89,091 $. The analysis is based on 34 salary reports from workers and employers in Baltimore. Part-time salaries are proportionally converted to 40 weekly hours so the values are comparable.
| Date | Job title | Weekly hours | Reported gross/year | Normalized to 40h/year | Gross/month 40h | Gross/hour 40h | Note |
|---|---|---|---|---|---|---|---|
| 07/01/2026 | Paramedic - Entry Level (Academy Graduate) | 40.0 h | 47,000 $ | 47,000 $ | 3,917 $ | 22.60 $ | I recently graduated from the paramedic academy and work full time with a medium-sized provider. I'm still in probation but the salary is competitive for entry-level hires in Baltimore. |
| 06/30/2026 | Paramedic Supervisor - Hospital Transfer Unit | 44.0 h | 98,000 $ | 89,091 $ | 7,424 $ | 42.83 $ | I am a supervisor in a hospital transfer unit overseeing staffing, quality control, and critical transports. This leadership position averages about 44 hours per week and requires extensive clinical oversight. |
| 05/28/2026 | Senior Paramedic - City EMS | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I work full time as a senior-level paramedic with the city EMS. Over the past decade I moved into this role and my responsibilities include mentoring, advanced interventions, and high call volumes. |
| 04/12/2026 | Paramedic - Private Security/Events | 22.0 h | 35,000 $ | 63,636 $ | 5,303 $ | 30.59 $ | I do part-time medic work for private security and events, averaging about 22 hours a week. The pay per shift is decent and fits my schedule while I pursue a full-time EMS position. |
| 01/31/2026 | Lead Critical Care Paramedic | 40.0 h | 84,000 $ | 84,000 $ | 7,000 $ | 40.38 $ | I am the lead critical care paramedic for a regional transport team, mentoring crews and overseeing high-acuity transfers. This full-time role includes some off-shift administrative duties. |
| 11/15/2025 | Paramedic - Nonprofit Clinic Program | 36.0 h | 47,000 $ | 52,222 $ | 4,352 $ | 25.11 $ | I work full time with a nonprofit community health program offering home visits and clinic coverage. My hours average 36/week and include patient education and social resource referrals. |
| 09/27/2025 | Critical Care Transport Paramedic | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I work full time on the critical care transport team with advanced certifications in critical care and pediatric transport. My workload and responsibility level command higher pay. |
| 06/09/2025 | Independent Contract Paramedic | 32.0 h | 54,000 $ | 67,500 $ | 5,625 $ | 32.45 $ | I work as an independent contractor doing private standby events and supplemental ambulance coverage. I average about 32 hours weekly and manage my schedule and invoicing myself. |
| 03/20/2025 | Paramedic Supervisor - Regional EMS | 42.0 h | 91,000 $ | 86,667 $ | 7,222 $ | 41.67 $ | I serve as a paramedic supervisor responsible for crew oversight, incident management, and liaising with hospital command. This supervisory position averages around 42 hours/week and requires coordination across shifts. |
| 12/01/2024 | Paramedic - Large Private Ambulance Company | 40.0 h | 64,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I work full time for a large private ambulance company responding to 9-1-1 and non-emergency calls. I've been in the role six years and have seen modest pay increases with increasing demand. |
| 09/14/2024 | Part-time Paramedic - Private Clinic Support | 28.0 h | 28,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I do part-time ALS coverage for a private clinic and occasional ambulance shifts. My schedule is about 28 hours per week and I enjoy the mix of clinic and field work. |
| 06/10/2024 | Senior Flight Paramedic | 45.0 h | 98,000 $ | 87,111 $ | 7,259 $ | 41.88 $ | I work as a senior flight paramedic for a regional aero-medical service. My role involves leadership on complex transports and training; I average 45 hours a week including standby time. |
| 02/26/2024 | EMS Training Coordinator (Paramedic) | 40.0 h | 82,000 $ | 82,000 $ | 6,833 $ | 39.42 $ | I coordinate EMS training programs for a regional provider and still take occasional field shifts. This is a full-time role with administrative duties and classroom instruction in addition to clinical mentoring. |
| 11/02/2023 | Paramedic - Large Municipal EMS | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I work full time in the city's EMS system with about nine years' experience. The pay has increased in recent years due to staffing shortages and contract renegotiations. |
| 07/30/2023 | Per Diem Flight Paramedic | 20.0 h | 38,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I'm a per diem flight paramedic working about 20 hours weekly on a contract basis. Pay per mission is higher but my annual gross reflects fewer total hours compared to full-time staff. |
| 04/08/2023 | Paramedic - University Medical Center Transport | 40.0 h | 67,000 $ | 67,000 $ | 5,583 $ | 32.21 $ | I work full time on the university hospital transport team. The caseload is complex and we frequently do long-distance transfers; healthcare employer is large and I receive good training opportunities. |
| 01/16/2023 | Lead Paramedic | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I am a lead paramedic for a large private EMS provider, responsible for mentorship, quality assurance, and high-acuity calls. This is a full-time position and I have about seven years' experience. |
| 10/29/2022 | Contract Critical Care Paramedic | 34.0 h | 68,000 $ | 80,000 $ | 6,667 $ | 38.46 $ | I'm a contract critical care paramedic working mostly interfacility flights and transports as a part-time contractor averaging 34 hours/week. I have substantial experience and specialized certifications. |
| 06/05/2022 | Community Health Paramedic | 36.0 h | 52,000 $ | 57,778 $ | 4,815 $ | 27.78 $ | I work as a full-time community health paramedic focused on home visits and chronic disease follow-up. My schedule averages 36 hours a week and I coordinate care with clinics and social services. |
| 02/20/2022 | Paramedic Supervisor | 42.0 h | 88,000 $ | 83,810 $ | 6,984 $ | 40.29 $ | I work as a paramedic supervisor overseeing multiple crews and handling scheduling and incident coordination. I'm full time and average about 42 hours weekly due to managerial responsibilities. |
| 11/12/2021 | Part-time Paramedic | 30.0 h | 30,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I'm a part-time paramedic working 30 hours a week at a private ambulance company. I handle regular calls and some special event work; the position provides flexibility for my family obligations. |
| 07/28/2021 | Senior Critical Care Paramedic | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I am a senior critical care paramedic with nine years' experience performing high-acuity interfacility transports. My training and additional certifications raise my compensation above the average. |
| 03/19/2021 | Paramedic - Small Private Ambulance Company | 38.0 h | 44,000 $ | 46,316 $ | 3,860 $ | 22.27 $ | I work full time at a small private ambulance company. My hourly schedule averages 38 hours weekly and responsibilities include ALS interventions and community transports. |
| 12/03/2020 | Field Training Officer (Paramedic) | 40.0 h | 70,000 $ | 70,000 $ | 5,833 $ | 33.65 $ | I'm a full-time field training officer; I run training shifts, evaluate new paramedics, and handle administrative tasks in addition to calls. I've been in this role for four years. |
| 09/15/2020 | Paramedic - Large Hospital Transfer Service | 40.0 h | 65,000 $ | 65,000 $ | 5,417 $ | 31.25 $ | I do full-time interfacility transfers for a large hospital's transport team. I have eight years in EMS and the workload is high, but the benefits and shift stability are good. |
| 04/30/2020 | Private Event Paramedic | 25.0 h | 26,000 $ | 41,600 $ | 3,467 $ | 20.00 $ | I work part time doing private event coverage and some ambulance shifts. I average 25 hours per week which fits my schedule while I pursue additional certifications. |
| 11/22/2019 | Flight Paramedic | 45.0 h | 78,000 $ | 69,333 $ | 5,778 $ | 33.33 $ | I work as a flight paramedic covering regional medevac flights. I'm a full-time field-level manager for patient care and average around 45 hours a week because of standby and mission demands. |
| 08/07/2019 | Senior Paramedic | 40.0 h | 57,500 $ | 57,500 $ | 4,792 $ | 27.64 $ | I am a senior paramedic with six years of experience at a large EMS employer. I mentor new hires and take lead on complex calls; my salary reflects experience but not a management role. |
| 02/14/2019 | Community Paramedic | 36.0 h | 48,000 $ | 53,333 $ | 4,444 $ | 25.64 $ | I'm a community paramedic working a full-time schedule of 36 hours/week with a focus on follow-up visits and preventative care. I have four years' experience and coordinate with local clinics. |
| 10/11/2018 | Critical Care Paramedic | 40.0 h | 62,000 $ | 62,000 $ | 5,167 $ | 29.81 $ | I work full time as a critical care paramedic for an interfacility transport service. I have seven years' experience and advanced certifications; responsibilities include ventilator management and medication infusions. |
| 03/29/2018 | Paramedic - Municipal EMS | 40.0 h | 54,000 $ | 54,000 $ | 4,500 $ | 25.96 $ | I work full time for a municipal EMS unit. I've been here five years, respond to high call volumes, and receive standard benefits. Overtime fluctuates but this is my base annual gross salary. |
| 11/03/2017 | Per Diem Paramedic | 20.0 h | 22,000 $ | 44,000 $ | 3,667 $ | 21.15 $ | I do per diem shifts as a part-time paramedic for event coverage and supplemental ambulance shifts. I average about 20 hours a week and prefer the flexibility while studying for certifications. |
| 05/22/2017 | Advanced Life Support Paramedic | 40.0 h | 46,000 $ | 46,000 $ | 3,833 $ | 22.12 $ | I work full time as an ALS paramedic for a medium-sized provider. This is my third year on the job and I regularly take extra training; pay is on the lower side for the region but stable. |
| 09/18/2016 | Paramedic | 40.0 h | 42,000 $ | 42,000 $ | 3,500 $ | 20.19 $ | I'm an entry-level paramedic working full time for a small private ambulance service. I've been here two years and do 12-hour shifts that average 40 hours a week with basic ALS responsibilities. |
Baltimore is one of the country’s most active EMS hubs, anchored by the R Adams Cowley Shock Trauma Center and the statewide EMS authority, the Maryland Institute for Emergency Medical Services Systems (MIEMSS). For Paramedics, the city and surrounding counties offer steady demand in both 911 response and interfacility critical care transport. Urban density, a large hospital network, major sporting and cultural events, and ongoing public health needs all contribute to frequent hiring cycles and varied clinical experiences.
Paramedics in Baltimore typically encounter a broad mix of calls: medical and cardiac emergencies, trauma associated with urban traffic and industry, behavioral health incidents, and opioid-related overdoses. The presence of multiple tertiary-care hospitals means frequent advanced-level transfers to specialty centers, giving experienced medics opportunities to work in high-acuity environments.
The Baltimore metropolitan area includes Baltimore City and nearby counties such as Baltimore, Anne Arundel, Howard, and Harford. Most 911 operations are fire-based, with career departments often supplemented by volunteers in the suburbs. Agencies in and around the city regularly recruit to maintain 24/7 coverage, backfill retirements, and staff additional transport units. Hospital offload delays and growing interfacility transport volumes can also create additional staffing needs for both public and private providers.
Licensure in Maryland is administered by MIEMSS, and employers commonly seek candidates who hold Maryland Paramedic credentials. Many agencies also prefer or require current National Registry Paramedic (NRP) certification, a clean driving record, EVOC/CEVO training, and the ability to pass background and medical clearances. Local education options are strong: the Community College of Baltimore County (CCBC) and UMBC’s Department of Emergency Health Services are well-known in the region for paramedic education and advanced certifications.
Hiring for Paramedics in Baltimore, Maryland, often centers on these public and private organizations:
Additional opportunities can be found with county emergency communications centers and special event medical teams serving Orioles and Ravens games, marathons, festivals, and conventions.
Paramedics in Baltimore can tailor careers to high-acuity 911 work, critical care transport, or hospital-based roles. Within fire/EMS departments, advancement often includes Field Training Officer, EMS Lieutenant/Captain, quality improvement, and training academy instructor positions. Many agencies also support tactical or special operations assignments, rescue task force participation, and disaster response teams.
The regional hospital network creates pathways into critical care transport, neonatal/pediatric specialty transport teams (typically alongside nurses and respiratory therapists), and emergency department technician roles where paramedic skills are valued. Some jurisdictions in the metro area are exploring or running mobile integrated health/community paramedicine programs, which can appeal to clinicians interested in proactive, preventive care and frequent patient outreach.
For professional development, Paramedics in Baltimore generally have access to continuing education through MIEMSS-approved courses, local colleges, and health system programs. Certifications in critical care (such as advanced transport courses) and instructor credentials can enhance competitiveness for specialized positions. Overall, the combination of a dense, diverse call environment and world-class hospitals makes Baltimore a strong market for Paramedics seeking both day-one experience and long-term career growth.
The average salary for a Paramedic in Baltimore is 64,438 $ per year on a 40-hour basis, or 5,370 $ gross per month.
Part-time and full-time reports are normalized to a 40-hour workweek so salary reports can be compared fairly.
You can find more comparisons on the profession overview for Paramedic and the city overview for Baltimore. They show reported cities or jobs with their difference from the average.
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