The average salary for a Paramedic in Louisville is 53,183 $ per year on a 40-hour full-time equivalent, or 4,432 $ gross per month and 25.57 $ gross per hour. The reported full-time salary range is 28,235 $ to 74,146 $. The analysis is based on 29 salary reports from workers and employers in Louisville. 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 |
|---|---|---|---|---|---|---|---|
| 01/14/2026 | Paramedic | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I am a senior paramedic with special certifications working for a major city EMS division. I work full time responding to the most critical calls and help lead clinical protocol development. |
| 11/29/2025 | Paramedic | 20.0 h | 36,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I switched to part-time to pursue further education and currently work about 20 hours weekly for a private transport service, doing primarily non-emergent patient moves. |
| 07/10/2025 | Paramedic | 41.0 h | 76,000 $ | 74,146 $ | 6,179 $ | 35.65 $ | I'm in a management position overseeing multiple ambulance stations while still taking clinical shifts occasionally; my schedule averages about 41 hours per week. |
| 03/22/2025 | Paramedic | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I work as a lead paramedic for a large county service. My full-time role includes supervising field staff, conducting training, and filling in for the operations chief when needed. |
| 12/07/2024 | Paramedic | 40.0 h | 65,000 $ | 65,000 $ | 5,417 $ | 31.25 $ | I am a tactical and critical care paramedic with a specialized role in a large hospital-affiliated EMS team. I work full time and take on complex transports and high-acuity field responses. |
| 08/19/2024 | Paramedic | 34.0 h | 47,000 $ | 55,294 $ | 4,608 $ | 26.58 $ | I shifted to a part-time schedule for family reasons and now work 34 hours per week doing clinical shifts for a private ambulance company. |
| 05/06/2024 | Paramedic | 40.0 h | 62,000 $ | 62,000 $ | 5,167 $ | 29.81 $ | I've been a senior paramedic for over nine years in a municipal EMS system, working full time with responsibilities that include community outreach and advanced clinical oversight. |
| 02/05/2024 | Paramedic | 40.0 h | 60,000 $ | 60,000 $ | 5,000 $ | 28.85 $ | I've got ten years of experience and work full time in a high-call-volume EMS system. I'm involved in training and quality assurance in addition to clinical duties. |
| 11/11/2023 | Paramedic | 36.0 h | 56,000 $ | 62,222 $ | 5,185 $ | 29.91 $ | I'm a senior field paramedic employed by a large regional provider. I work 36 hours per week and perform advanced clinical procedures while serving as a shift lead on occasion. |
| 06/27/2023 | Paramedic | 45.0 h | 73,000 $ | 64,889 $ | 5,407 $ | 31.20 $ | I work as an operations manager who still responds clinically when needed. My role mixes management and field work, averaging about 45 hours a week with significant supervisory responsibilities. |
| 03/29/2023 | Paramedic | 36.0 h | 51,000 $ | 56,667 $ | 4,722 $ | 27.24 $ | I've been a mid-level paramedic at a busy private ambulance service for six years. My schedule is 36 hours per week and includes both emergency response and interfacility transfers. |
| 01/18/2023 | Paramedic | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I am a senior paramedic with specialized critical care training working full time. I handle high-acuity calls and mentor less experienced staff. |
| 11/02/2022 | Paramedic | 40.0 h | 53,000 $ | 53,000 $ | 4,417 $ | 25.48 $ | I work full time for a municipal EMS division. I have five years' experience and focus on 911 response and community paramedicine initiatives. |
| 09/20/2022 | Paramedic | 30.0 h | 42,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I'm self-employed doing contract ambulance shifts and non-emergent transports, averaging about 30 hours per week. My income varies with contracts and overtime availability. |
| 03/08/2022 | Paramedic | 40.0 h | 54,000 $ | 54,000 $ | 4,500 $ | 25.96 $ | I work full time for a regional EMS provider and have seven years of experience. My duties include critical care transports and serving as a preceptor for new paramedics. |
| 11/03/2021 | Paramedic | 20.0 h | 28,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I moved to part-time work due to school commitments and now cover about 20 hours per week with a private ambulance service. I still do advanced life support runs but don't supervise anyone. |
| 04/16/2021 | Paramedic | 38.0 h | 52,000 $ | 54,737 $ | 4,561 $ | 26.32 $ | I've been on the job for eight years with a county EMS service. My schedule averages 38 hours per week; I respond to high-acuity calls and act as a clinical resource on my shift. |
| 10/01/2020 | Paramedic | 42.0 h | 61,000 $ | 58,095 $ | 4,841 $ | 27.93 $ | I'm a senior paramedic and shift supervisor at a large EMS employer. I work about 42 hours weekly and handle team leadership, performance reviews, and complex case oversight. |
| 07/15/2020 | Paramedic | 40.0 h | 49,000 $ | 49,000 $ | 4,083 $ | 23.56 $ | I've worked as a paramedic in an urban EMS system for six years. I work full time (40 hours) and take higher-acuity calls; I assist with training new hires often. |
| 01/11/2020 | Paramedic | 30.0 h | 26,000 $ | 34,667 $ | 2,889 $ | 16.67 $ | I'm a part-time paramedic working about 30 hours per week for a private transport outfit. I've been here a couple of years doing non-emergent transfers; I don't have management duties. |
| 12/30/2019 | Paramedic | 42.0 h | 59,000 $ | 56,190 $ | 4,683 $ | 27.01 $ | I serve as a field supervisor/lead paramedic for a busy city contract unit. I work around 42 hours per week including supervisory duties, scheduling oversight, and clinical quality checks. |
| 05/03/2019 | Paramedic | 40.0 h | 35,000 $ | 35,000 $ | 2,917 $ | 16.83 $ | I was hired as a new grad paramedic three years ago at a regional ambulance company. I work standard 40-hour weeks and primarily handle 911 calls in urban areas. |
| 02/22/2019 | Paramedic | 40.0 h | 46,000 $ | 46,000 $ | 3,833 $ | 22.12 $ | I've been a paramedic for seven years and work full time for a medium-sized EMS agency. My role includes advanced procedures and training responsibilities; overtime is occasional. |
| 09/14/2018 | Paramedic | 40.0 h | 42,000 $ | 42,000 $ | 3,500 $ | 20.19 $ | I'm a mid-level paramedic at a local hospital-affiliated EMS unit. I work full time (40 hours) and have been here five years; I run critical patients and mentor newer crew members occasionally. |
| 01/24/2018 | Paramedic | 38.0 h | 39,000 $ | 41,053 $ | 3,421 $ | 19.74 $ | I'm a front-line paramedic employed by a small municipal contractor. I've been here four years working roughly 38 hours per week; I do a mix of 911 responses and interfacility transfers. |
| 10/09/2017 | Paramedic | 36.0 h | 37,000 $ | 41,111 $ | 3,426 $ | 19.76 $ | I've been a field paramedic at a mid-sized ambulance service for three years. My schedule is slightly under full-time at 36 hours per week; I run advanced life support calls and have growing responsibilities. |
| 11/19/2016 | Paramedic | 24.0 h | 21,000 $ | 35,000 $ | 2,917 $ | 16.83 $ | I work part time for a private transport company, covering weekend daytime shifts. I've been here two years and perform routine transfers; I'm not in a leadership role. |
| 08/17/2016 | Paramedic | 34.0 h | 24,000 $ | 28,235 $ | 2,353 $ | 13.57 $ | I work part time at about 34 hours per week for a small ambulance company and have been in this role two years; my duties include routine transports and basic emergency response. |
| 07/12/2016 | Paramedic | 40.0 h | 32,000 $ | 32,000 $ | 2,667 $ | 15.38 $ | I started here as an entry-level paramedic about a year ago at a small private EMS provider. I work full time on 12-hour shifts that average out to 40 hours and mainly handle basic ambulance calls; I do not supervise anyone. |
Louisville sits at the center of the Louisville/Jefferson County, KY–IN metropolitan area, a regional hub for healthcare, logistics, higher education, and large-scale events. That mix creates steady, year-round demand for Paramedics. The city’s integrated 9-1-1 dispatch (MetroSafe), multiple Level I and specialty hospitals, and a dense network of interstates (I‑64, I‑65, I‑71) shape a call profile that often includes high-acuity medical emergencies, trauma, cardiac events, and overdoses, along with frequent interfacility transports.
Paramedics in Louisville typically work within a system that combines municipal 9-1-1 response, hospital-based critical care transport, and private or regional EMS partners. The presence of major venues like Churchill Downs, the KFC Yum! Center, Louisville Slugger Field, and the Kentucky Exposition Center also drives recurring event coverage needs, particularly during the spring and summer festival and sports seasons.
The local labor market for Paramedics is generally tight, with ongoing demand tied to 24/7 staffing requirements, retirements, and career mobility (many clinicians advance into flight, critical care, nursing, or leadership roles). Employers in Louisville frequently post openings for both experienced paramedics and recent graduates who meet Kentucky licensure requirements. The Kentucky Board of Emergency Medical Services (KBEMS) regulates certification, and many employers also look for National Registry (NREMT) credentials, a clean driving record, and current ACLS, PALS, and trauma certifications (e.g., PHTLS or ITLS). EVOC/CEVO and incident command coursework are often preferred for field roles.
Demand is supported by several regional factors: an aging population, recurring overdose responses, and a large hospital footprint that generates interfacility and specialty transports. Seasonal spikes around major events and extreme weather (heat waves, severe storms) can add surge demand. Candidates who are flexible with shifts (nights, weekends, holidays) and comfortable operating in urban and suburban settings tend to be competitive in the Louisville area. Local training pipelines—such as the paramedic program at Jefferson Community and Technical College (JCTC)—help supply the market, while continuing education through hospitals and KBEMS keeps skills current.
Louisville’s EMS ecosystem includes city-run services, hospital systems, and regional providers. Real-world employers that commonly hire Paramedics in and around the city include:
Paramedics in Louisville can pursue diverse pathways. Field roles range from 9-1-1 response with LMEMS to interfacility and specialty transports with hospital-based or regional teams. Many clinicians transition into critical care transport after gaining experience and advanced credentials (e.g., CCP, FP-C), and some move into flight medicine with air medical providers serving the broader Kentucky market. Within hospitals, paramedics often work in emergency departments, cardiac cath prep/monitoring roles, or as part of rapid response teams, depending on institutional policies.
Leadership and education tracks are also common. Field training officer, preceptor, operations supervisor, and quality improvement positions are typically available to seasoned paramedics. Education roles with local colleges or hospital-based academies can be attractive to clinicians with a passion for instruction and protocol development. As agencies in Kentucky explore mobile integrated health/community paramedicine, experienced medics may find roles in patient navigation, chronic disease follow-up, and post-discharge support aimed at reducing readmissions.
Louisville’s geography and event calendar provide unique professional experiences. Paramedics frequently collaborate with large hospital systems, specialty pediatric centers, and trauma services, gaining exposure to high-acuity care and complex logistics. Event medicine around Churchill Downs and the city’s arenas offers structured overtime opportunities and diversified clinical scenarios, from mass-gathering preparedness to on-site ALS coverage. Overall, the region offers a robust mix of prehospital practice settings, steady hiring, and multiple avenues for advancement for Paramedics who maintain strong clinical skills, communication, and a community-focused mindset.
The average salary for a Paramedic in Louisville is 53,183 $ per year on a 40-hour basis, or 4,432 $ 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 Louisville. They show reported cities or jobs with their difference from the average.
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