The average salary for a Paramedic in Las Vegas is 56,139 $ per year on a 40-hour full-time equivalent, or 4,678 $ gross per month and 26.99 $ gross per hour. The reported full-time salary range is 33,333 $ to 88,000 $. The analysis is based on 34 salary reports from workers and employers in Las Vegas. 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 |
|---|---|---|---|---|---|---|---|
| 06/05/2026 | Senior Critical Care Flight Paramedic | 40.0 h | 88,000 $ | 88,000 $ | 7,333 $ | 42.31 $ | I work full-time as a senior critical care flight paramedic for an advanced aeromedical program. I have extensive critical care experience and my pay reflects years of specialized clinical experience. |
| 04/28/2026 | Private Practice Paramedic | 40.0 h | 83,500 $ | 83,500 $ | 6,958 $ | 40.14 $ | I run a private practice transport team that handles high-acuity transfers. I am full-time (40 hours) and income reflects owning part of the operation and high-demand specialty work. |
| 03/11/2026 | Paramedic Manager | 45.0 h | 81,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I manage paramedic operations for a medium-sized provider. My role is managerial and involves budgeting and staffing; I work roughly 45 hours a week handling both field and office responsibilities. |
| 01/20/2026 | Flight Paramedic - Senior | 38.0 h | 78,500 $ | 82,632 $ | 6,886 $ | 39.73 $ | I work as a senior flight paramedic focusing on complex retrievals. My average weekly hours are about 38 because flights vary but pay is higher due to the specialty and risk. |
| 11/12/2025 | Paramedic Instructor - Lead | 40.0 h | 76,800 $ | 76,800 $ | 6,400 $ | 36.92 $ | I lead paramedic education for a regional training program and coordinate clinical placements. I work 40 hours a week and have responsibility for curriculum and instructor oversight. |
| 08/09/2025 | Mobile ICU Supervisor | 42.0 h | 74,500 $ | 70,952 $ | 5,913 $ | 34.11 $ | I supervise a mobile ICU team for interfacility critical transports. My workweek averages 42 hours because of administrative duties and on-call coordination. |
| 04/26/2025 | Senior Paramedic - Union | 40.0 h | 71,900 $ | 71,900 $ | 5,992 $ | 34.57 $ | I work as a senior paramedic under a union contract at a busy urban station. I do leadership on calls and mentor new paramedics. My schedule is full-time 40 hours with overtime available. |
| 01/18/2025 | Paramedic Team Lead - Large EMS | 44.0 h | 69,500 $ | 63,182 $ | 5,265 $ | 30.38 $ | I am a team lead at a large municipal EMS agency. I manage scheduling and quality assurance in addition to clinical duties and average around 44 hours per week due to meetings and admin work. |
| 09/02/2024 | Critical Care Flight Paramedic | 40.0 h | 67,000 $ | 67,000 $ | 5,583 $ | 32.21 $ | I was a full-time critical care flight paramedic with helicopter and fixed-wing shifts. I worked 40 hours per week on a rotating schedule; the job required multiple advanced certifications. |
| 05/07/2024 | Night Shift Lead Paramedic | 40.0 h | 64,800 $ | 64,800 $ | 5,400 $ | 31.15 $ | I worked nights as a lead paramedic for a large provider and had additional night differential pay. I worked full-time (40 hours) and managed team performance overnight. |
| 02/15/2024 | Private Clinic Paramedic | 38.0 h | 63,200 $ | 66,526 $ | 5,544 $ | 31.98 $ | I worked at a private urgent transport clinic doing non-emergent transfers and supervised medics. I averaged 38 hours a week and had training responsibilities for new hires. |
| 11/29/2023 | Paramedic Supervisor | 42.0 h | 61,500 $ | 58,571 $ | 4,881 $ | 28.16 $ | I served as a paramedic supervisor overseeing several crews and handled administrative duties. I worked approximately 42 hours weekly due to management responsibilities. |
| 07/11/2023 | Senior Critical Care Paramedic | 40.0 h | 59,500 $ | 59,500 $ | 4,958 $ | 28.61 $ | I was a senior critical care paramedic with a specialty transport team. I worked 40 hours a week and had significant responsibility for advanced therapies during transports. |
| 05/23/2023 | Corporate Event Paramedic - Part-time | 28.0 h | 37,200 $ | 53,143 $ | 4,429 $ | 25.55 $ | I worked part-time providing medical coverage for large corporate events and conventions. I averaged 28 hours per week during busy seasons, which boosted annual pay above a typical part-time ambulance role. |
| 03/28/2023 | Part-time Flight Paramedic | 30.0 h | 56,000 $ | 74,667 $ | 6,222 $ | 35.90 $ | I worked part-time as a flight paramedic on a rotor wing crew and averaged about 30 hours per week because flights are irregular. My pay reflects flight pay but my hours were below full-time. |
| 10/19/2022 | Field Paramedic - Large Provider | 40.0 h | 54,500 $ | 54,500 $ | 4,542 $ | 26.20 $ | I worked for a large regional EMS provider with benefits and a steady call volume. I was full-time (40 hours) and had several specialty endorsements that increased pay modestly. |
| 06/04/2022 | Lead Paramedic | 40.0 h | 52,800 $ | 52,800 $ | 4,400 $ | 25.38 $ | I worked as a lead paramedic on a larger private fleet. In addition to patient care, I handled scheduling and mentoring. I worked full-time, typically 40 hours per week, and had around eight years experience. |
| 01/14/2022 | Paramedic Specialist - Trauma Team | 40.0 h | 52,500 $ | 52,500 $ | 4,375 $ | 25.24 $ | I joined a trauma-focused team that required advanced cardiac and trauma certifications. I worked full-time (40 hours) and the specialist designation increased compensation. |
| 12/11/2021 | Mobile ICU Paramedic | 40.0 h | 50,500 $ | 50,500 $ | 4,208 $ | 24.28 $ | I was employed as a mobile ICU paramedic transferring complex patients between hospitals. I worked 40 hours weekly and needed additional critical care credentialing for this role. |
| 08/26/2021 | Union Paramedic | 40.0 h | 48,500 $ | 48,500 $ | 4,042 $ | 23.32 $ | I worked full-time for a unionized municipal EMS unit. My pay reflected negotiated increases and I worked standard 40-hour weeks with predictable overtime opportunities. |
| 05/03/2021 | Paramedic - Community Paramedicine | 36.0 h | 46,200 $ | 51,333 $ | 4,278 $ | 24.68 $ | I worked in a community paramedicine pilot program doing home visits and chronic care follow-up. I averaged 36 hours per week and had additional training in community health. |
| 03/17/2021 | Paramedic Instructor | 36.0 h | 46,500 $ | 51,667 $ | 4,306 $ | 24.84 $ | I worked as a paramedic instructor for a small training company and taught clinical skills and simulations. My schedule averaged 36 hours a week, including classroom prep time. |
| 11/09/2020 | Critical Care Paramedic | 38.0 h | 44,500 $ | 46,842 $ | 3,904 $ | 22.52 $ | I was a critical care paramedic on interfacility transports for a private company. I worked about 38 hours weekly and had additional certifications which raised pay slightly above basic field rates. |
| 05/21/2020 | Senior Paramedic | 40.0 h | 41,500 $ | 41,500 $ | 3,458 $ | 19.95 $ | I was a senior paramedic on a city contract crew with more responsibility for training junior staff. I worked full-time (40 hours) and had about six years in EMS when I reported this salary. |
| 01/30/2020 | Emergency Paramedic - Large Hospital Contract | 40.0 h | 40,200 $ | 40,200 $ | 3,350 $ | 19.33 $ | I was hired on a large hospital contract as an emergency paramedic. I worked 40 hours weekly with high call volume; benefits were standard but the starting pay was modest. |
| 09/03/2019 | Paramedic - Night Shift | 40.0 h | 39,000 $ | 39,000 $ | 3,250 $ | 18.75 $ | I worked full-time night shifts for a private EMS contractor. Night differential helped, and I worked exactly 40 hours/week with 12-hour blocks. I had roughly four years of field experience. |
| 06/25/2019 | Paramedic - Small Clinic Transport | 32.0 h | 34,200 $ | 42,750 $ | 3,563 $ | 20.55 $ | I worked part-time for a small clinic doing scheduled patient transfers. I averaged 32 hours a week and performed basic to intermediate care during rides. |
| 02/12/2019 | Clinical Paramedic | 37.5 h | 37,800 $ | 40,320 $ | 3,360 $ | 19.38 $ | I was in a clinical paramedic role supporting ED transfers at a small hospital-affiliated transport team. I worked about 37.5 hours per week and had duties that included charting and trauma assistance. |
| 12/07/2018 | Freelance Paramedic / Event Medic | 22.0 h | 29,500 $ | 53,636 $ | 4,470 $ | 25.79 $ | I freelance doing event medic and private security medical coverage about 22 hours weekly. Income varies by demand but this reflects a typical year when I combined freelance shifts with a second job. |
| 08/30/2018 | Ambulance Paramedic | 40.0 h | 36,500 $ | 36,500 $ | 3,042 $ | 17.55 $ | I worked full-time as an ambulance paramedic for a medium-sized company. I worked 40 hours per week, mainly 24-hour rotations consolidated into a 9/3 schedule. I had 3 years of experience at reporting time. |
| 04/16/2018 | Field Paramedic | 38.0 h | 35,000 $ | 36,842 $ | 3,070 $ | 17.71 $ | I was a full-time field paramedic at a small local EMS agency. My duties included patient care and basic vehicle maintenance. I averaged about 38 hours weekly and had occasional short-call overtime. |
| 11/05/2017 | Paramedic - Private Ambulance | 34.0 h | 33,000 $ | 38,824 $ | 3,235 $ | 18.67 $ | I worked part-time for a private ambulance provider covering event traffic and 911 fills. I averaged 34 hours a week and had several night shifts. There was little overtime available at the time. |
| 03/22/2017 | Entry-level Field Paramedic | 36.0 h | 30,000 $ | 33,333 $ | 2,778 $ | 16.03 $ | I was hired as an entry-level field paramedic by a small private ambulance company. I worked about 36 hours per week, mostly 12-hour day shifts. I had two years of experience as an EMT before getting my paramedic license. |
| 09/14/2016 | Part-time Paramedic | 20.0 h | 22,000 $ | 44,000 $ | 3,667 $ | 21.15 $ | I'm a part-time paramedic who started with basic ambulance runs and community events. I work 20 hours a week and take most weekday evening shifts. This was my first EMS job and I had limited certifications at the time. |
Las Vegas, part of the fast-growing Las Vegas–Henderson–Paradise metro area, offers a dynamic environment for paramedics. The city’s around-the-clock tourism, frequent large-scale events, and expanding suburbs in Henderson and North Las Vegas create steady prehospital demand. Population growth, an active visitor economy, and the region’s extreme summer heat all contribute to call volumes that often keep EMS agencies busy throughout the year.
Paramedics in Las Vegas typically work within a mixed system that blends fire-based first response with public and private ambulance transport. Many agencies emphasize rapid response in dense resort corridors as well as coverage for vast residential neighborhoods. Because the metro hosts everything from championship sports to international conventions, event medicine and standby coverage are also consistent sources of shifts.
The local labor market for paramedics is generally active. Fire departments in the area hire on set testing schedules and may seek firefighter-paramedics to staff rescue units and ambulances, while private providers and hospital-based transport programs often recruit year-round. Employers commonly look for current Nevada paramedic certification, which is overseen by the Nevada Division of Public and Behavioral Health’s EMS & Trauma System, along with NREMT Paramedic credentials. Advanced courses such as ACLS, PALS, and PHTLS (or ITLS) are frequently preferred. Driving records, background checks, and physical ability assessments are standard. Fire agencies may require CPAT or similar fitness testing.
Operational conditions in Southern Nevada can be intense. Summer heat waves, high pedestrian traffic on the Strip, and crowded special events keep response teams active. Paramedics regularly encounter medical and trauma calls ranging from heat-related illness and cardiac events to MVCs along busy corridors like I-15 and the 215 Beltway. High-rise hotels and large venues add unique logistics—such as navigating service corridors and elevators—so employers often value strong scene management and communications skills.
National projections indicate steady growth for EMTs and paramedics over the decade, and local factors—continued regional development, a significant retiree population, and a thriving event calendar—support ongoing hiring needs in Clark County. Many agencies report periodic openings for experienced medics and new graduates alike, particularly those willing to work nights, weekends, and holidays.
Las Vegas-area paramedics can find roles with municipal fire departments, private ambulance services, hospitals, and air medical providers. Notable employers include:
In Las Vegas, paramedics can pursue several pathways beyond traditional 911 response. Many agencies offer advancement to field training officer, clinical educator, or operations supervisor. Critical care transport and flight paramedic roles (such as FP-C–oriented positions) are options for those with strong experience in ventilator management and advanced pharmacology. Some organizations support specialty teams in hazmat, technical rescue, or tactical EMS alongside law enforcement.
Event medicine is a distinctive part of the Las Vegas market. Paramedics often staff large venues such as Allegiant Stadium, T-Mobile Arena, the Las Vegas Convention Center, the Sphere, and Las Vegas Motor Speedway. Seasonal surges, including major fight cards, concerts, and racing events like the Formula 1 Las Vegas Grand Prix, can create additional short-term hiring needs.
Continuing education is widely encouraged. Many employers support ongoing skills development, leadership training, and certifications in areas like pediatric care, cardiac care, and trauma. With experience, paramedics in Las Vegas can transition into emergency department technician roles, quality improvement, dispatch/communications, or EMS education. Given the metro’s growth and 24/7 operations, motivated clinicians generally find multiple avenues to build a long-term EMS career in Southern Nevada.
The average salary for a Paramedic in Las Vegas is 56,139 $ per year on a 40-hour basis, or 4,678 $ 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 Las Vegas. They show reported cities or jobs with their difference from the average.
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