The average salary for a Paramedic in San Antonio is 55,651 $ per year on a 40-hour full-time equivalent, or 4,638 $ gross per month and 26.76 $ gross per hour. The reported full-time salary range is 30,100 $ to 92,500 $. The analysis is based on 32 salary reports from workers and employers in San Antonio. 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 |
|---|---|---|---|---|---|---|---|
| 04/08/2026 | Flight Paramedic (Rotorwing) | 40.0 h | 92,500 $ | 92,500 $ | 7,708 $ | 44.47 $ | I'm a rotorwing flight paramedic with over a decade of experience. The position requires advanced certifications and irregular shifts but pays significantly more than ground EMS. |
| 10/03/2025 | Pediatric Critical Care Paramedic | 40.0 h | 82,300 $ | 82,300 $ | 6,858 $ | 39.57 $ | I specialize in pediatric critical care transports at a hospital-based program. I work full-time and the specialized nature of my role commands a higher salary. |
| 06/11/2025 | Clinical Manager - EMS | 45.0 h | 88,800 $ | 78,933 $ | 6,578 $ | 37.95 $ | I manage clinical operations for an EMS division and work around 45 hours per week. My role includes policy, training oversight, and clinical quality assurance. |
| 02/17/2025 | Emergency Medical Paramedic - Hospital | 40.0 h | 64,200 $ | 64,200 $ | 5,350 $ | 30.87 $ | I work full-time in a hospital-based EMS unit with five years' experience. The pay reflects hospital benefits and steady overtime opportunities; I don't have direct reports. |
| 11/05/2024 | Independent Contractor Paramedic (Part-time) | 30.0 h | 52,300 $ | 69,733 $ | 5,811 $ | 33.53 $ | I'm an independent contractor providing event and private transport coverage about 30 hours weekly. I'm part-time but charge higher hourly rates and manage my own schedule and billing. |
| 08/19/2024 | Clinical Coordinator - EMS | 40.0 h | 75,450 $ | 75,450 $ | 6,288 $ | 36.27 $ | I coordinate clinical education and QA for a busy EMS service and work full-time. The role includes training, protocol development, and occasional field audits. |
| 03/22/2024 | Community Paramedic | 38.0 h | 67,200 $ | 70,737 $ | 5,895 $ | 34.01 $ | I serve as a community paramedic working 38 hours weekly, focusing on preventive care and home visits. This role is newer, requires clinical judgment, and pays above standard field rates. |
| 12/02/2023 | Night Shift Senior Paramedic | 40.0 h | 61,350 $ | 61,350 $ | 5,113 $ | 29.50 $ | I work nights as a senior paramedic in a busy urban district. I have seven years of experience and the night differential boosts my overall pay. |
| 07/14/2023 | Event / Festival Paramedic (Part-time) | 22.0 h | 36,600 $ | 66,545 $ | 5,545 $ | 31.99 $ | I work part-time (about 22 hours/wk) covering large events and festivals. The hourly rate is higher than ride-along EMS, but work is seasonal and contract-based. |
| 04/12/2023 | Flight Paramedic | 40.0 h | 84,200 $ | 84,200 $ | 7,017 $ | 40.48 $ | I work as a rotorwing flight paramedic for a regional air medical service. I have ten years of critical care and flight experience; the job requires extra certifications and irregular shifts. |
| 09/30/2022 | Hospital ED Paramedic | 40.0 h | 58,100 $ | 58,100 $ | 4,842 $ | 27.93 $ | I work in the emergency department transport team at a large hospital, full-time with six years of experience. The hospital setting offers better pay and benefits than private contractors. |
| 06/20/2022 | Paramedic Supervisor | 42.0 h | 71,500 $ | 68,095 $ | 5,675 $ | 32.74 $ | I am a supervisor for a municipal EMS division, working 42 hours per week overseeing shifts, scheduling, and incident reviews. I've been in this leadership role for three years. |
| 11/27/2021 | Newly Certified Paramedic | 40.0 h | 42,100 $ | 42,100 $ | 3,508 $ | 20.24 $ | I'm newly certified and working full-time at a busy EMS station. This is my first year as a paramedic and the salary reflects entry-level full-time pay with room for growth. |
| 09/01/2021 | Senior Paramedic | 40.0 h | 56,200 $ | 56,200 $ | 4,683 $ | 27.02 $ | I'm a senior paramedic in a busy hospital-based transport unit with eight years experience. I take complex interfacility transfers and occasionally mentor newer medics. |
| 05/19/2021 | Shift Supervisor | 44.0 h | 78,200 $ | 71,091 $ | 5,924 $ | 34.18 $ | I am a shift supervisor for a large municipal EMS service, working 44 hours per week. I handle scheduling, incident review, and a small supervisory team. |
| 12/21/2020 | Self-employed Event Paramedic (Part-time) | 25.0 h | 37,100 $ | 59,360 $ | 4,947 $ | 28.54 $ | I run my own event medic business part-time, averaging about 25 hours per week. I handle invoicing and scheduling myself; earnings vary but are solid for the hours I put in. |
| 10/09/2020 | Private Ambulance Lead | 40.0 h | 45,200 $ | 45,200 $ | 3,767 $ | 21.73 $ | I lead a crew for a private ambulance company and handle vehicle checks and basic oversight. I've been in this lead role for two years and work full-time shifts. |
| 03/15/2020 | Paramedic | 40.0 h | 48,500 $ | 48,500 $ | 4,042 $ | 23.32 $ | I worked full-time for a large city EMS during the early months of the pandemic and received hazard pay and steady overtime. I have about six years of experience and do clinical patient care only. |
| 12/01/2019 | Tactical EMS Paramedic (Part-time) | 30.0 h | 41,800 $ | 55,733 $ | 4,644 $ | 26.79 $ | I work part-time (30 hours) as a tactical EMS paramedic supporting law enforcement operations. The role requires specialized training and pays more than standard field work. |
| 07/29/2019 | Event Paramedic (Part-time) | 20.0 h | 24,600 $ | 49,200 $ | 4,100 $ | 23.65 $ | I work part-time (about 20 hours per week) providing medical coverage for concerts and festivals as a contractor. Income is higher per hour but the role is seasonal and I don't manage staff. |
| 06/06/2019 | Ambulance Paramedic | 40.0 h | 44,200 $ | 44,200 $ | 3,683 $ | 21.25 $ | I work full-time on a 12/24 ambulance schedule for a regional private ambulance company. I have five years experience and occasional overtime shifts. |
| 02/14/2019 | Relief Paramedic (Part-time) | 18.0 h | 26,200 $ | 58,222 $ | 4,852 $ | 27.99 $ | I'm a relief paramedic working part-time (around 18 hours/wk) filling in vacations and sick calls for a private ambulance service while I finish school. |
| 10/30/2018 | Critical Care Paramedic | 40.0 h | 47,250 $ | 47,250 $ | 3,938 $ | 22.72 $ | I work as a critical care paramedic for interfacility transports with specialized training and two years in this role. It's full-time and requires advanced certifications. |
| 07/07/2018 | Paramedic | 36.0 h | 37,400 $ | 41,556 $ | 3,463 $ | 19.98 $ | I am a full-time paramedic with four years experience working for a private ambulance provider. The pay has gradually increased with certifications and time on the job. |
| 05/10/2018 | Lead Paramedic | 40.0 h | 42,500 $ | 42,500 $ | 3,542 $ | 20.43 $ | I am the lead paramedic on a small squad in a suburban district. I've been here five years and handle training and equipment checks, though I don't have a formal managerial title. |
| 01/18/2018 | Paramedic | 36.5 h | 39,150 $ | 42,904 $ | 3,575 $ | 20.63 $ | I work 36.5 hours per week as a full-time paramedic for a mid-size EMS provider. I have about four years of experience and occasionally act as a training lead. |
| 11/03/2017 | Paramedic | 40.0 h | 35,900 $ | 35,900 $ | 2,992 $ | 17.26 $ | I've been with a mid-size municipal EMS agency for four years as a full-time paramedic. My patient load and responsibilities have increased but I am not a supervisor. |
| 08/23/2017 | Advanced EMT/Paramedic | 36.0 h | 33,800 $ | 37,556 $ | 3,130 $ | 18.06 $ | I hold an advanced EMT/paramedic certification and work 36 hours a week for a small private provider. I have three years' experience and cover basic and advanced calls. |
| 05/30/2017 | Paramedic | 38.0 h | 30,950 $ | 32,579 $ | 2,715 $ | 15.66 $ | I work full-time as a field paramedic for a small-town contract provider. I've been here three years and the pay is modest compared to city agencies. |
| 12/22/2016 | Paramedic (Part-time) | 24.0 h | 20,400 $ | 34,000 $ | 2,833 $ | 16.35 $ | I work part-time (about 24 hours/wk) covering weekend shifts for a private ambulance contractor while going to school. This is my annual gross income for the hours I work. |
| 09/15/2016 | Paramedic | 38.0 h | 32,800 $ | 34,526 $ | 2,877 $ | 16.60 $ | I'm an entry-level paramedic with about one year on the truck working full-time for a small private ambulance provider. The pay started low and I picked up some extra shifts, but I don't supervise anyone. |
| 08/10/2016 | Paramedic | 40.0 h | 30,100 $ | 30,100 $ | 2,508 $ | 14.47 $ | I'm a full-time field paramedic with under two years' experience at a small provider. Pay was lower in my early years but increased with time and certifications. |
San Antonio’s fast-growing metro and extensive healthcare network create steady, year-round opportunities for paramedics. The city’s 911 system is fire-based, its hospital market is large and diverse, and the region hosts major military and tourism operations. These factors, combined with population growth in the San Antonio–New Braunfels metropolitan area, generally translate into consistent hiring needs for licensed paramedics across emergency response, hospital roles, and medical transport.
San Antonio Fire Department (SAFD) provides the city’s 911 EMS response, and call volumes in large Texas metros have often trended upward with population growth, chronic disease, and heat-related emergencies. The region’s trauma system is anchored by University Hospital and Brooke Army Medical Center, both with Level I trauma capabilities, which supports a high-acuity clinical environment. Paramedics in San Antonio can find roles not only on ambulances but also in emergency departments, critical care transport, and event medicine for large venues and festivals.
The San Antonio–New Braunfels area has expanded rapidly along the I-35 and I-10 corridors, with significant suburban development in Bexar, Comal, and Guadalupe counties. Growth typically increases EMS demand for both 911 response and interfacility transfers between hospitals, specialty centers, and post-acute facilities. Texas licensing is overseen by the Department of State Health Services (DSHS), and many employers prefer or require current National Registry Paramedic credentials. Local training pipelines, such as the EMS Professions program at San Antonio College (Alamo Colleges District), help supply new graduates and offer pathways to the Texas Licensed Paramedic designation.
Regional coordination also supports system readiness. The Southwest Texas Regional Advisory Council (STRAC), based in San Antonio, works with hospitals and EMS agencies on clinical guidelines, disaster preparedness, and trauma system performance. This environment encourages standardized protocols and quality improvement, which can benefit paramedics seeking progressive clinical practice and ongoing professional development.
Paramedics in San Antonio can pursue roles with public agencies, private transport providers, hospitals, and military-affiliated organizations. Employers commonly include:
Paramedics in San Antonio can follow several tracks. The 911 field role remains the most visible, offering high call volume, diverse acuity, and strong teamwork in a fire-based system. Interfacility and critical care transport agencies provide opportunities to work with ventilators, vasoactive infusions, and specialty teams, often requiring advanced certifications such as FP-C, CCP-C, or critical care transport courses. Hospitals commonly hire paramedics as ED technicians, cath lab or procedural support staff, and patient transport specialists, which can be attractive for those seeking a hospital-based schedule and multidisciplinary exposure.
The region also supports community paramedicine and mobile integrated healthcare initiatives aimed at reducing preventable 911 use and improving chronic disease management. Agencies in and around San Antonio have explored these models, creating roles for experienced medics interested in case management, patient education, and proactive outreach. Additional paths include communications (911 dispatch and medical call-taking), quality improvement and education (preceptor, field training officer, or EMS instructor), emergency management, and roles with regional coordination bodies like STRAC.
Local demand is reinforced by San Antonio’s large event calendar (for example, Fiesta), major sports and entertainment venues (the Alamodome and the AT&T Center), and significant tourism along the River Walk. These settings frequently need standby medical coverage and event medicine teams. Overall, paramedics in San Antonio, Texas, can generally expect a dynamic market with varied employers, complex clinical environments, and multiple avenues for advancement.
The average salary for a Paramedic in San Antonio is 55,651 $ per year on a 40-hour basis, or 4,638 $ 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 San Antonio. They show reported cities or jobs with their difference from the average.
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