The average salary for a Paramedic in San Francisco is 101,309 $ per year on a 40-hour full-time equivalent, or 8,442 $ gross per month and 48.71 $ gross per hour. The reported full-time salary range is 62,000 $ to 160,000 $. The analysis is based on 42 salary reports from workers and employers in San Francisco. 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 |
|---|---|---|---|---|---|---|---|
| 06/30/2026 | Paramedic - Critical Care Transport | 40.0 h | 125,000 $ | 125,000 $ | 10,417 $ | 60.10 $ | I work full-time in critical care transport for a private operator. My duties include managing complex patients en route and operating advanced equipment. |
| 04/25/2026 | EMS Training Coordinator | 40.0 h | 129,000 $ | 129,000 $ | 10,750 $ | 62.02 $ | I coordinate training and certifications across several ambulance stations. Full-time managerial role, responsible for compliance and continuing education. |
| 03/12/2026 | Senior Paramedic / Training Officer | 40.0 h | 128,000 $ | 128,000 $ | 10,667 $ | 61.54 $ | I serve as senior paramedic and training officer for a city EMS system. Full-time role that includes education, QA, and occasional leadership on large incidents. |
| 01/07/2026 | Paramedic | 40.0 h | 98,000 $ | 98,000 $ | 8,167 $ | 47.12 $ | I work full-time on a public contract ambulance crew. I have six years of experience and overtime opportunities boosted my annual earnings last year. |
| 11/29/2025 | Paramedic (Weekend Part-Time) | 24.0 h | 50,000 $ | 83,333 $ | 6,944 $ | 40.06 $ | I work part-time on weekends averaging about 24 hours/week for a private ambulance company. I've been doing this for five years to supplement another job. |
| 10/21/2025 | Paramedic Program Coordinator | 44.0 h | 134,000 $ | 121,818 $ | 10,152 $ | 58.57 $ | I coordinate paramedic operations and scheduling for a multi-unit private EMS company. This is a full-time managerial position with on-call responsibilities averaging 44 hours/week. |
| 08/09/2025 | Paramedic - Private Contractor | 30.0 h | 64,000 $ | 85,333 $ | 7,111 $ | 41.03 $ | I contract part-time with a private ambulance company covering special events and transfers, averaging about 30 hours per week. I'm experienced but not staff-level. |
| 07/16/2025 | Paramedic - Lead Clinician | 40.0 h | 142,000 $ | 142,000 $ | 11,833 $ | 68.27 $ | I am the lead clinician for a critical care transport unit. Full-time role with clinical oversight, education duties, and policy input; over a decade in EMS. |
| 05/30/2025 | Senior Field Paramedic | 40.0 h | 118,000 $ | 118,000 $ | 9,833 $ | 56.73 $ | I serve as a senior field paramedic and preceptor for new hires at a major ambulance provider. Full-time, been in EMS for eleven years. |
| 02/14/2025 | Paramedic | 40.0 h | 105,000 $ | 105,000 $ | 8,750 $ | 50.48 $ | I'm a full-time paramedic at a large hybrid public-private EMS system. I have seven years' experience and received retention pay increases in the last two years. |
| 11/02/2024 | Paramedic - Interfacility Transport | 40.0 h | 99,000 $ | 99,000 $ | 8,250 $ | 47.60 $ | I work full-time on critical interfacility transports for a private company. My role requires experience with ventilators and ICU-level care during transport. |
| 10/22/2024 | Flight Paramedic | 40.0 h | 150,000 $ | 150,000 $ | 12,500 $ | 72.12 $ | I work full-time as a flight paramedic with extensive critical care experience and specialty certifications. My shifts are intense and compensated accordingly. |
| 07/05/2024 | Lead Paramedic | 40.0 h | 122,000 $ | 122,000 $ | 10,167 $ | 58.65 $ | I've been promoted to lead paramedic at a municipal EMS service. Full-time role with responsibility for clinical protocols and shift leadership, nine years experience. |
| 06/13/2024 | Paramedic - Special Events | 28.0 h | 58,000 $ | 82,857 $ | 6,905 $ | 39.84 $ | I work part-time covering special events and occasional ambulance overtime, averaging 28 hours/week. I'm experienced but prefer event medicine for flexibility. |
| 04/11/2024 | Paramedic Supervisor | 45.0 h | 130,000 $ | 115,556 $ | 9,630 $ | 55.56 $ | I supervise field operations for a regional EMS contractor. I'm full-time with managerial duties, oversee staffing and compliance, and average about 45 hours/week. |
| 01/28/2024 | Paramedic (Part-Time Event Medic) | 20.0 h | 46,000 $ | 92,000 $ | 7,667 $ | 44.23 $ | I work part-time as an event medic for private gigs and occasional ambulance shifts, averaging 20 hours/week. I have five years of experience and contract through agencies. |
| 12/05/2023 | Lead Flight Paramedic | 40.0 h | 160,000 $ | 160,000 $ | 13,333 $ | 76.92 $ | I'm the lead flight paramedic on our rotor wing program with many years of critical care and flight experience. Full-time with high responsibility. |
| 10/03/2023 | Senior Paramedic | 40.0 h | 116,000 $ | 116,000 $ | 9,667 $ | 55.77 $ | I am a senior paramedic at a large private EMS company with responsibility for mentoring and advanced procedures. Full-time, been here nine years. |
| 06/19/2023 | Paramedic - Community Paramedicine | 38.0 h | 101,000 $ | 106,316 $ | 8,860 $ | 51.11 $ | I work in a community paramedicine program full-time coordinating home visits and follow-ups. I have about eight years of experience and do less emergency response. |
| 02/06/2023 | Flight Paramedic | 40.0 h | 138,000 $ | 138,000 $ | 11,500 $ | 66.35 $ | I'm a flight paramedic employed full-time by an air-medical operator. I have twelve years of experience, advanced certifications, and handle critical transports. |
| 11/11/2022 | Paramedic | 40.0 h | 95,000 $ | 95,000 $ | 7,917 $ | 45.67 $ | I work full-time for a municipal EMS agency and received a cost-of-living and retention increase recently. I have seven years on the job and respond to high-acuity calls. |
| 07/27/2022 | Private Ambulance Paramedic | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I work full-time for a private ambulance company focusing on interfacility transfers and scheduled patient transport. I'm mid-career with four years' experience. |
| 03/18/2022 | Senior Paramedic / Shift Lead | 44.0 h | 112,000 $ | 101,818 $ | 8,485 $ | 48.95 $ | I work as a shift lead for a large ambulance provider, have ten years' experience, and manage clinical decisions on my shift. My schedule averages about 44 hours weekly. |
| 02/02/2022 | Senior Paramedic / QA Lead | 40.0 h | 131,000 $ | 131,000 $ | 10,917 $ | 62.98 $ | I manage quality assurance and serve as a senior paramedic for a municipal EMS program. Full-time position focused on protocols, training, and incident review. |
| 10/02/2021 | Paramedic (Per Diem/Part-Time) | 25.0 h | 52,000 $ | 83,200 $ | 6,933 $ | 40.00 $ | I'm a part-time per diem paramedic for event coverage and overflow shifts, averaging about 25 hours a week. I have five years' experience and take higher-risk calls for the pay. |
| 05/23/2021 | Advanced Life Support Paramedic | 40.0 h | 89,000 $ | 89,000 $ | 7,417 $ | 42.79 $ | I've been full-time for a private ambulance service for six years. My role is ALS lead on ambulances and I occasionally cover special event contracts. |
| 01/08/2021 | Paramedic - Private Ambulance | 40.0 h | 94,000 $ | 94,000 $ | 7,833 $ | 45.19 $ | I work full-time for a large private ambulance service. My role involves critical care transports and training new medics; I've been here eight years. |
| 11/17/2020 | Paramedic | 40.0 h | 86,000 $ | 86,000 $ | 7,167 $ | 41.35 $ | I was hired during the pandemic and am currently full-time with increased call volume. I have four years of experience and perform ALS care on scene and during transport. |
| 07/09/2020 | Paramedic Supervisor | 44.0 h | 104,000 $ | 94,545 $ | 7,879 $ | 45.45 $ | I work in a supervisory role for a mid-size regional EMS provider. Full-time management duties and clinical oversight; been in charge of scheduling and QA for five years. |
| 02/28/2020 | Firefighter Paramedic | 42.0 h | 98,000 $ | 93,333 $ | 7,778 $ | 44.87 $ | I'm a firefighter paramedic with a municipal fire department, working a schedule with long shifts that average 42 hours/week. I have about nine years' experience and perform both fire and ALS duties. |
| 08/19/2019 | Paramedic | 36.0 h | 78,000 $ | 86,667 $ | 7,222 $ | 41.67 $ | I work part-time-ish hours (around 36) for a private ambulance contractor while finishing school. I do 911 responses but am still early-career. |
| 04/12/2019 | EMS Field Training Officer | 40.0 h | 92,000 $ | 92,000 $ | 7,667 $ | 44.23 $ | I work full-time as an FTO for a large municipal EMS agency. I have eight years' experience and split time between training shifts and clinical response. |
| 01/29/2019 | Paramedic - Community Outreach | 38.0 h | 87,000 $ | 91,579 $ | 7,632 $ | 44.03 $ | I work full-time in a community outreach-focused paramedic role delivering home visits and preventative care. I have six years' experience. |
| 12/08/2018 | Paramedic (Flexible/Per Diem) | 20.0 h | 45,000 $ | 90,000 $ | 7,500 $ | 43.27 $ | I take per diem shifts and average about 20 hours a week doing event coverage and fill-in ambulance shifts. I enjoy the flexibility and supplemental income. |
| 09/30/2018 | Senior Paramedic | 40.0 h | 84,000 $ | 84,000 $ | 7,000 $ | 40.38 $ | I'm a senior paramedic with about seven years' experience at a large private provider. Full-time, I mentor newer medics and run the tougher ALS calls. |
| 05/14/2018 | Paramedic | 38.0 h | 76,000 $ | 80,000 $ | 6,667 $ | 38.46 $ | I work full-time (closer to 38 hours/week) for a city-contracted ambulance company. I had two promotions over five years and occasionally act as an informal lead on shifts. |
| 02/20/2018 | Supervisor - EMS Operations | 42.0 h | 99,000 $ | 94,286 $ | 7,857 $ | 45.33 $ | I supervise day-to-day EMS operations for a mid-size provider. Full-time managerial duties with occasional overtime, been in this role for four years. |
| 11/21/2017 | Field Paramedic | 40.0 h | 73,000 $ | 73,000 $ | 6,083 $ | 35.10 $ | I've been a field paramedic at a nonprofit ambulance service for four years. Full-time schedule, primary duties are 911 response; I don't supervise others. |
| 06/14/2017 | Paramedic II | 40.0 h | 71,000 $ | 71,000 $ | 5,917 $ | 34.13 $ | I work full-time as a Paramedic II at a smaller private EMS company. I have three years' experience and handle both 911 and scheduled transports. |
| 03/05/2017 | Advanced EMT/Paramedic | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I'm an early-career paramedic working full-time for a medium-sized private EMS provider. I have about three years of experience and do ALS calls and interfacility transfers. |
| 12/05/2016 | Paramedic (Per Diem) | 15.0 h | 38,000 $ | 101,333 $ | 8,444 $ | 48.72 $ | I work strictly per diem and average about 15 hours/week covering weekend shifts and events. I have several years of experience but prefer the flexibility. |
| 08/12/2016 | Paramedic | 40.0 h | 62,000 $ | 62,000 $ | 5,167 $ | 29.81 $ | I started as a newly licensed paramedic at a small private ambulance company. I'm full-time and have been here for about a year handling 911 transports and event standby. No supervisory duties. |
The average salary for a Paramedic in San Francisco is 101,309 $ per year on a 40-hour basis, or 8,442 $ 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 Francisco. They show reported cities or jobs with their difference from the average.
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