The average salary for a Paramedic in El Paso is 50,262 $ per year on a 40-hour full-time equivalent, or 4,188 $ gross per month and 24.16 $ gross per hour. The reported full-time salary range is 36,111 $ to 75,556 $. The analysis is based on 36 salary reports from workers and employers in El Paso. 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 |
|---|---|---|---|---|---|---|---|
| 06/14/2026 | Paramedic - Senior Leadership | 45.0 h | 85,000 $ | 75,556 $ | 6,296 $ | 36.32 $ | I'm in a senior leadership position overseeing operational strategy and multiple bases. I work about 45 hours/week and handle budgeting, staffing, and regional coordination. The role moved me out of daily responses. |
| 03/22/2026 | Paramedic - Tactical Medic | 40.0 h | 75,000 $ | 75,000 $ | 6,250 $ | 36.06 $ | I serve as a tactical medic in a specialized unit responding to high-risk operations. It's full time at 40 hours/week and requires advanced training and irregular deployments; compensation reflects the specialist nature. |
| 12/11/2025 | Paramedic - Independent Contractor | 40.0 h | 59,000 $ | 59,000 $ | 4,917 $ | 28.37 $ | I operate as an independent contractor providing ALS coverage to multiple clients including industrial and private events. I'm full time at 40 hours/week; income reflects combined contracts and specialty certifications. |
| 08/30/2025 | Paramedic - Night Supervisor | 42.0 h | 55,800 $ | 53,143 $ | 4,429 $ | 25.55 $ | I work as a night supervisor overseeing crews and handling escalated clinical decisions. This management role is roughly 42 hours/week and includes administrative reporting and schedule coordination. |
| 06/03/2025 | Paramedic - Clinical Lead | 44.0 h | 66,000 $ | 60,000 $ | 5,000 $ | 28.85 $ | I was hired into a clinical lead role overseeing protocol implementation and clinical reviews. I work about 44 hours/week and split time between administrative duties and field response. Experience and leadership drive pay. |
| 04/09/2025 | Paramedic - Specialized Transport | 40.0 h | 64,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I work fixed-wing and long-distance ground specialized transports. The job is full time at 40 hours/week with irregular schedules and additional certifications. Pay is higher than standard EMS due to transport complexity. |
| 02/18/2025 | Senior Field Paramedic | 40.0 h | 61,000 $ | 61,000 $ | 5,083 $ | 29.33 $ | I've been a senior field paramedic for over a decade in a large urban service. I frequently act as field commander on complex scenes. I'm full time at 40 hours/week and the salary reflects senior experience. |
| 10/21/2024 | EMS Supervisor / Shift Captain | 45.0 h | 67,500 $ | 60,000 $ | 5,000 $ | 28.85 $ | I serve as shift captain supervising multiple ambulances and making operational decisions. This is a management role at approximately 45 hours/week with responsibility for personnel and incident command. |
| 07/02/2024 | Paramedic - Private Contractor | 40.0 h | 53,000 $ | 53,000 $ | 4,417 $ | 25.48 $ | I work as a full-time private contractor providing ALS guard for industrial sites. I have ten years in EMS and took this role for better pay; I work 40 hours/week and do occasional overtime. |
| 04/16/2024 | Paramedic - Mobile Integrated Health | 40.0 h | 52,000 $ | 52,000 $ | 4,333 $ | 25.00 $ | I work in a mobile integrated health program coordinating chronic care follow-ups and urgent assessments. I'm full time at 40 hours/week and the role blends clinic work with field visits, including telehealth responsibilities. |
| 01/11/2024 | Flight Paramedic (Rotary Wing) | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I transitioned into flight paramedicine last year. My job is high-acuity and requires multiple advanced certifications; I'm full time at 40 hours/week and the pay is significantly higher due to the risk and training. |
| 12/02/2023 | Clinical Paramedic | 40.0 h | 48,500 $ | 48,500 $ | 4,042 $ | 23.32 $ | I work within a hospital-based EMS program providing clinical oversight and direct patient care. I'm full time at 40 hours/week with duties spanning documentation, quality assurance, and field response. |
| 09/09/2023 | Paramedic Supervisor | 44.0 h | 58,500 $ | 53,182 $ | 4,432 $ | 25.57 $ | I supervise a crew of paramedics and handle scheduling, investigations, and liaison with hospital partners. I work about 44 hours/week as a management-level employee at a midsize agency. |
| 05/22/2023 | Lead Paramedic | 42.0 h | 49,500 $ | 47,143 $ | 3,929 $ | 22.66 $ | I work as a lead paramedic at a large regional EMS provider. I manage shift assignments, QA review, and mentor staff while still responding clinically. I work about 42 hours/week and handle administrative duties. |
| 03/28/2023 | Paramedic - Outreach & Education | 38.0 h | 46,000 $ | 48,421 $ | 4,035 $ | 23.28 $ | I split time between field shifts and community education. I'm full time at 38 hours/week and coordinate public CPR/first aid programs in addition to responding to calls. |
| 12/07/2022 | Paramedic - Night Shift | 40.0 h | 44,500 $ | 44,500 $ | 3,708 $ | 21.39 $ | I work the night shift full time at 40 hours/week for a busy 911 provider. Night differential increases my effective hourly rate and the job has high call volume and circadian challenges. |
| 10/04/2022 | Critical Care Paramedic | 40.0 h | 46,500 $ | 46,500 $ | 3,875 $ | 22.36 $ | I was promoted into a critical care transport role two years ago. I work full time at 40 hours/week handling interfacility transports with ventilated and complex patients; the position required additional certifications. |
| 06/29/2022 | Paramedic - Private ALS | 40.0 h | 47,000 $ | 47,000 $ | 3,917 $ | 22.60 $ | I work for a private ALS company covering both 911 and scheduled transfers. I have eight years' experience and work 40 hours/week. The pay increased after several years and additional certifications. |
| 03/15/2022 | Paramedic - Private Contract | 40.0 h | 43,500 $ | 43,500 $ | 3,625 $ | 20.91 $ | I work full time as a contractor providing ALS coverage for large events and private sites. I have six years of paramedic experience and work 40 hours/week with periodic overtime for special deployments. |
| 01/07/2022 | Paramedic - Senior Trainer | 40.0 h | 50,000 $ | 50,000 $ | 4,167 $ | 24.04 $ | I run internal training and continuing education for a regional EMS provider. I have extensive field experience and now work full time at 40 hours/week focusing on competency evaluation and training programs. |
| 11/03/2021 | Paramedic - Hospital Transport | 40.0 h | 42,000 $ | 42,000 $ | 3,500 $ | 20.19 $ | I work full time transporting patients between hospitals and to outpatient procedures. The work is lower acuity but consistent; I'm 40 hours/week with steady overtime opportunities. |
| 08/27/2021 | Paramedic Instructor | 38.0 h | 42,000 $ | 44,211 $ | 3,684 $ | 21.26 $ | I teach paramedic students at a local training center and also run clinical simulations. I'm full time at 38 hours per week and have seven years of field experience influencing curriculum and student assessment. |
| 02/09/2021 | Community Paramedic | 36.0 h | 40,500 $ | 45,000 $ | 3,750 $ | 21.63 $ | I work as a community paramedic in a small pilot program focused on non-emergent home visits. My hours average 36/week and the role requires coordination with clinics; it's full time but community-facing rather than standard 911 response. |
| 10/19/2020 | Paramedic - Per Diem / Contract | 24.5 h | 40,000 $ | 65,306 $ | 5,442 $ | 31.40 $ | I work per diem and average about 24.5 hours/week across multiple contracts. Pay per shift is higher than base, but hours are irregular and I don't receive employer benefits. |
| 07/04/2020 | Paramedic - Private Event Coverage | 34.0 h | 41,000 $ | 48,235 $ | 4,020 $ | 23.19 $ | I'm part-time covering weekend event medical teams, averaging 34 hours/week during event season. The role is primarily first-response and on-site triage; hours increase seasonally but remain part-time. |
| 05/18/2020 | Senior Paramedic | 40.0 h | 38,500 $ | 38,500 $ | 3,208 $ | 18.51 $ | I've been a senior paramedic for five years in a busy urban service. I supervise patient care on shifts and mentor newer techs. I'm full time at 40 hours/week and have taken on educational duties recently. |
| 11/02/2019 | Paramedic - Municipal | 40.0 h | 36,900 $ | 36,900 $ | 3,075 $ | 17.74 $ | I work for a city-run EMS agency in dispatch-area 24/7 rotation. After four years in the role I handle heavy call volumes and community events. This is a full-time position at 40 hours/week with standard municipal benefits. |
| 08/14/2019 | Paramedic - Private Ambulance (Rural Routes) | 40.0 h | 39,500 $ | 39,500 $ | 3,292 $ | 18.99 $ | I drive rural interfacility calls for a private ambulance company, working 40 hours/week. The job requires long transports and comfort with limited on-scene resources; pay improved modestly over the years. |
| 04/10/2019 | Paramedic - Small Clinic Outreach | 30.0 h | 38,000 $ | 50,667 $ | 4,222 $ | 24.36 $ | I'm part-time at 30 hours/week running an outreach program and providing basic emergency coverage for a small clinic. Part-time pay is lower but I value the flexible schedule while finishing school. |
| 11/20/2018 | Entry-Level Paramedic | 38.0 h | 35,500 $ | 37,368 $ | 3,114 $ | 17.97 $ | I recently completed my paramedic program and was hired by a smaller EMS provider. I'm full time at 38 hours/week, still building field experience and working under mentorship. |
| 06/05/2018 | Advanced Paramedic | 38.0 h | 35,500 $ | 37,368 $ | 3,114 $ | 17.97 $ | I work full time for a mid-size private EMS provider. I have about three years of experience and am responsible for advanced airway and cardiac care on scene. Hours are typically 38/week with some overtime. |
| 02/01/2018 | Paramedic - New Graduate | 38.0 h | 37,200 $ | 39,158 $ | 3,263 $ | 18.83 $ | I started as a new graduate paramedic and work full time at 38 hours/week. The employer provides structured field training and mentorship; salary is entry-level but I expect increases after certification and time in service. |
| 10/30/2017 | Paramedic - Border Community Unit | 38.0 h | 36,000 $ | 37,895 $ | 3,158 $ | 18.22 $ | I work in a high-volume border community unit with heavy call turnover. I'm full time at 38 hours/week and have been here three years; pay is modest but I value the experience and case variety. |
| 03/21/2017 | Paramedic | 34.0 h | 33,800 $ | 39,765 $ | 3,314 $ | 19.12 $ | I'm a part-time paramedic covering weekend shifts for a municipal department. I have two years' experience and work roughly 34 hours per week; benefits are minimal but the schedule fits my schooling. |
| 12/30/2016 | Per-Diem Paramedic | 20.0 h | 29,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I'm a per-diem paramedic at a private ambulance company; I take shifts when available and average about 20 hours per week. Pay is decent per shift but I don't get benefits and hours fluctuate. |
| 09/12/2016 | Paramedic | 36.0 h | 32,500 $ | 36,111 $ | 3,009 $ | 17.36 $ | I was hired as an entry-level paramedic at a small private ambulance service and have been working 36 hours per week on 24/48 rotation. I have my NREMT-P and still learning the bulk of ALS skills; this is my first full-time EMS job. |
El Paso’s position on the Texas–New Mexico–Mexico border creates a distinctive environment for paramedics. The metro blends a large urban center with fast-growing suburbs and wide desert spaces, anchored by major healthcare systems, the University of Texas at El Paso, and one of the nation’s largest military installations at Fort Bliss. This mix typically keeps paramedic hiring steady across 911 response, interfacility transport, and specialty care transport. Bilingual skills in English and Spanish are often valued, and familiarity with desert heat emergencies and highway incidents along I-10, US-54, and Loop 375 can be an advantage.
Healthcare is a leading sector in the El Paso economy, and the region’s hospitals frequently coordinate with EMS for high-acuity transfers, cardiac and stroke alerts, trauma activations, and pediatric care. Many employers seek Texas Department of State Health Services (DSHS) licensure at the Paramedic level, National Registry credentials, and advanced cards such as ACLS, PALS, and ITLS or PHTLS. Because agencies serve 24/7, openings can appear on a recurring basis as departments staff multiple shifts.
El Paso’s EMS system is largely fire-based for 911 calls, with the El Paso Fire Department (EPFD) providing most emergency medical response within the city. Surrounding parts of the county are covered by separate districts and municipal departments, creating additional opportunities for licensed paramedics. Private ambulance services handle a significant volume of interfacility and non-emergency transports between hospitals, specialty clinics, and long-term care centers, which helps stabilize demand even when 911 hiring cycles pause.
Regional characteristics shape call types and workflows. Hot summers typically bring dehydration, heat illness, and outdoor-related injuries. Heavy cross-border trade and freight movement contribute to highway incidents. Proximity to Fort Bliss means paramedics may encounter training-related injuries and calls on or near the installation. The local hospital network includes trauma, cardiac, stroke, and neonatal centers, so paramedics frequently interface with specialty teams for time-sensitive handoffs. State and national projections point to continued need for EMTs and paramedics, and local educators such as El Paso Community College routinely graduate new cohorts, helping replenish the workforce.
Paramedics in El Paso, Texas, can find roles with a range of public, private, and federal organizations. Notable employers often include:
Career paths for paramedics in El Paso often start in 911 response or interfacility transport and can advance into field training officer, supervisor, clinical educator, or operations manager roles. With added experience and certifications like CCP-C or FP-C, some paramedics move into critical care ground or flight teams. Others transition into hospital-based positions in emergency departments, cath labs, or specialty transport coordination. Because the region hosts frequent large events—college sports, concerts, and downtown festivals—event medicine and standby coverage also present supplemental opportunities.
Paramedics considering El Paso should expect standard Texas requirements: an active DSHS EMS license, current NREMT (commonly preferred), immunizations, background screening, and a clean driving record. Agencies may also look for PALS, ACLS, ITLS/PHTLS, and CE documentation. Bilingual capability is often viewed as a strong asset given El Paso’s binational community. Some local agencies have developed mobile integrated healthcare or community paramedicine initiatives to reduce preventable 911 use and improve chronic disease management, creating roles that blend field care, patient navigation, and follow-up.
Overall, the El Paso market typically offers a steady pipeline of opportunities across public safety, hospital systems, private transport, and military-affiliated employers. Candidates who keep credentials current, maintain strong patient communication skills, and understand the region’s climate and border dynamics are well-positioned for long-term success.
The average salary for a Paramedic in El Paso is 50,262 $ per year on a 40-hour basis, or 4,188 $ 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 El Paso. They show reported cities or jobs with their difference from the average.
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