The average salary for a Paramedic in Lexington is 48,143 $ per year on a 40-hour full-time equivalent, or 4,012 $ gross per month and 23.15 $ gross per hour. The reported full-time salary range is 29,000 $ to 68,000 $. The analysis is based on 35 salary reports from workers and employers in Lexington. 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 |
|---|---|---|---|---|---|---|---|
| 06/09/2026 | Paramedic (Career, 15+ years) | 40.0 h | 57,000 $ | 57,000 $ | 4,750 $ | 27.40 $ | I've been a career paramedic for over 15 years in the Lexington area. My experience has moved me into higher pay bands and mentorship roles. |
| 04/28/2026 | Community Paramedic (Pilot Program) | 36.0 h | 45,000 $ | 50,000 $ | 4,167 $ | 24.04 $ | I participate in a city pilot program focused on frequent 911 users and preventative visits. My role is full-time but clinic-heavy with steady hours. |
| 03/05/2026 | Paramedic (Experienced) | 40.0 h | 50,000 $ | 50,000 $ | 4,167 $ | 24.04 $ | I'm an experienced paramedic working full-time in a busy urban area. I've taken on advanced certifications that increased my responsibilities and pay. |
| 01/20/2026 | Self-employed EMS Contractor | 32.0 h | 52,000 $ | 65,000 $ | 5,417 $ | 31.25 $ | I contract part-time to several providers as an independent paramedic. I take shorter shifts, manage my own schedule, and handle variable call volumes. |
| 11/11/2025 | Flight Paramedic | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I've been a flight paramedic for several years; training and credentialing are extensive. The role is full-time and compensated above standard ground EMS rates. |
| 09/14/2025 | Paramedic Supervisor (Shift Manager) | 42.0 h | 62,000 $ | 59,048 $ | 4,921 $ | 28.39 $ | I'm a shift manager with responsibilities for staffing, clinical audits, and interfacing with hospital partners. I work full-time and often put in extra administrative hours. |
| 06/04/2025 | Paramedic Supervisor (County) | 44.0 h | 63,000 $ | 57,273 $ | 4,773 $ | 27.53 $ | I'm a county supervisor overseeing multiple stations and handling staffing logistics. I work longer hours due to meetings and coordination with other agencies. |
| 02/18/2025 | Paramedic (Night/Weekends) | 38.0 h | 42,000 $ | 44,211 $ | 3,684 $ | 21.26 $ | I'm full-time working a night and weekend rotation. The schedule is demanding but consistent, with overtime during peak seasons. |
| 09/02/2024 | EMS Training Officer | 40.0 h | 60,000 $ | 60,000 $ | 5,000 $ | 28.85 $ | I work as an EMS training officer for a mid-sized agency, developing continuing education and running competency checks. It's a full-time position with leadership responsibilities. |
| 05/12/2024 | Senior Paramedic - Urban Unit | 40.0 h | 52,000 $ | 52,000 $ | 4,333 $ | 25.00 $ | I'm a senior urban paramedic handling high-volume 911 response; I take advanced calls and act as an in-field team leader. |
| 03/08/2024 | Paramedic (Hybrid EMS/Clinic) | 38.0 h | 43,000 $ | 45,263 $ | 3,772 $ | 21.76 $ | I split time between field response and community clinic visits. The hybrid role is full-time but with varied duties and a steady schedule. |
| 01/30/2024 | Paramedic Instructor / Coordinator | 40.0 h | 56,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I coordinate training programs and teach paramedic classes. My role is full-time with administrative tasks and occasional evening classes. |
| 10/10/2023 | Part-time Paramedic / Reserve | 30.0 h | 27,000 $ | 36,000 $ | 3,000 $ | 17.31 $ | I'm part-time reserve staff who fill gaps and cover vacations. I maintain certifications and respond to high-acuity calls when scheduled. |
| 07/21/2023 | Paramedic - Private Contract | 40.0 h | 47,000 $ | 47,000 $ | 3,917 $ | 22.60 $ | I'm a full-time paramedic on contract with a private company that serves special events and interfacility transports. Schedule varies with event seasonality. |
| 03/15/2023 | Paramedic (Senior Lead) | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I've been a senior lead paramedic for over a decade. I take on clinical oversight, mentoring, and periodic administrative responsibilities for the station. |
| 01/25/2023 | Paramedic (Private Ambulance, Lead) | 40.0 h | 51,000 $ | 51,000 $ | 4,250 $ | 24.52 $ | I lead crews for a private ambulance outfit focusing on scheduled transports and special event coverage. Full-time with periodic overtime. |
| 11/05/2022 | Community Paramedic | 36.0 h | 38,000 $ | 42,222 $ | 3,519 $ | 20.30 $ | I work full-time in a community paramedicine pilot program focused on chronic care follow-up and reducing ER visits. My schedule includes clinic days and home visits. |
| 06/27/2022 | Flight Paramedic (Regional) | 40.0 h | 65,000 $ | 65,000 $ | 5,417 $ | 31.25 $ | I'm a flight paramedic based in the region; the role requires high acuity care and extensive training. Hours are shift-based and intense but compensated at a premium. |
| 03/16/2022 | Senior Paramedic / Preceptor | 40.0 h | 59,000 $ | 59,000 $ | 4,917 $ | 28.37 $ | I'm a senior paramedic and preceptor training new cohorts. My role includes leading practical training and overseeing field competency. |
| 02/08/2022 | Paramedic Supervisor | 42.0 h | 54,000 $ | 51,429 $ | 4,286 $ | 24.73 $ | I'm a supervisor managing a team of paramedics and coordinating with dispatch. I work slightly over typical hours due to administrative duties. |
| 08/19/2021 | County EMS Paramedic | 40.0 h | 48,000 $ | 48,000 $ | 4,000 $ | 23.08 $ | I've been with the county EMS for nine years and now earn a mid-career salary. I work full-time with regular overtime and hold certifications in advanced airway management. |
| 03/03/2021 | Paramedic (Part-time) | 30.0 h | 24,000 $ | 32,000 $ | 2,667 $ | 15.38 $ | I'm part-time covering weekday evenings while working another job during the day. My responsibilities are identical to full-time crew but with fewer hours. |
| 01/07/2021 | Paramedic (Rural Unit) | 40.0 h | 41,000 $ | 41,000 $ | 3,417 $ | 19.71 $ | I cover a rural response area with longer transports and fewer calls; it's full-time work with a different pace and lower cost-of-living adjustments. |
| 10/29/2020 | Lead Paramedic | 40.0 h | 46,000 $ | 46,000 $ | 3,833 $ | 22.12 $ | I'm the lead paramedic for a borough squad; I oversee clinical quality and help with scheduling. I work full-time and sometimes act as shift supervisor. |
| 08/01/2020 | Paramedic (Shift Lead) | 40.0 h | 47,000 $ | 47,000 $ | 3,917 $ | 22.60 $ | I'm the shift lead and act as the primary clinical contact on duty. I work full-time and handle both patient care and brief supervisory tasks. |
| 05/11/2020 | Paramedic Instructor | 35.0 h | 42,000 $ | 48,000 $ | 4,000 $ | 23.08 $ | I'm a paramedic instructor for a regional training center. I'm full-time but hours are slightly shorter due to class scheduling and prep work. |
| 12/09/2019 | Paramedic - Large Hospital Transport | 40.0 h | 54,000 $ | 54,000 $ | 4,500 $ | 25.96 $ | I do interfacility critical care transports for a large hospital system. The work is full-time with higher acuity and corresponding compensation. |
| 09/30/2019 | Paramedic (Night Shift) | 38.0 h | 36,000 $ | 37,895 $ | 3,158 $ | 18.22 $ | I cover night shifts on a full-time schedule. Night differential increases my effective hourly rate and the work is busier than daytime. |
| 02/14/2019 | Paramedic - Private Ambulance | 40.0 h | 34,000 $ | 34,000 $ | 2,833 $ | 16.35 $ | I work full-time for a private ambulance contractor handling both 911 and interfacility transports. The benefit package is limited but shifts are steady. |
| 10/22/2018 | Community Paramedic | 36.0 h | 35,500 $ | 39,444 $ | 3,287 $ | 18.96 $ | I work as a community paramedic focusing on non-emergency home visits and follow-ups. It's a full-time position with flexible scheduling. |
| 06/07/2018 | Senior Paramedic | 40.0 h | 39,000 $ | 39,000 $ | 3,250 $ | 18.75 $ | I'm a senior paramedic with seven years experience working in urban ambulance response. I run complex calls and mentor newer crew members. |
| 01/15/2018 | Paramedic (Per Diem) | 24.0 h | 30,000 $ | 50,000 $ | 4,167 $ | 24.04 $ | I'm a per diem paramedic picking up shifts to supplement income while pursuing graduate school. Hours vary by week but average around 24. |
| 11/18/2017 | Paramedic (Part-time) | 25.0 h | 20,000 $ | 32,000 $ | 2,667 $ | 15.38 $ | I'm part-time and cover weekend shifts for a municipal EMS service while I finish school. Pay is pro-rated for the hours I work. |
| 04/03/2017 | Field Paramedic | 38.0 h | 32,500 $ | 34,211 $ | 2,851 $ | 16.45 $ | I've been with a small private ambulance company for three years doing field response. I'm full-time and do rotating long shifts and overtime when available. |
| 09/12/2016 | Paramedic (Entry-level) | 40.0 h | 29,000 $ | 29,000 $ | 2,417 $ | 13.94 $ | I'm an entry-level paramedic; I started two months ago with the county EMS. I'm full-time and primarily run basic 911 calls while I complete additional training. |
The average salary for a Paramedic in Lexington is 48,143 $ per year on a 40-hour basis, or 4,012 $ 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 Lexington. They show reported cities or jobs with their difference from the average.
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