The average salary for a Paramedic in Spokane is 64,234 $ per year on a 40-hour full-time equivalent, or 5,353 $ gross per month and 30.88 $ gross per hour. The reported full-time salary range is 39,000 $ to 102,000 $. The analysis is based on 43 salary reports from workers and employers in Spokane. 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 |
|---|---|---|---|---|---|---|---|
| 05/21/2026 | Senior EMS Administrator (Former Paramedic) | 40.0 h | 102,000 $ | 102,000 $ | 8,500 $ | 49.04 $ | I moved into senior administration after many years as a paramedic. I'm full-time and responsible for county-wide EMS strategy and large budgets. |
| 03/04/2026 | Part-Time Community Paramedic | 30.0 h | 30,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I work part-time in community paramedicine, averaging 30 hours weekly and focusing on follow-up care and home visits. |
| 01/10/2026 | Paramedic / Training Officer | 38.0 h | 70,000 $ | 73,684 $ | 6,140 $ | 35.43 $ | I balance field shifts and training responsibilities as a full-time training officer. I coordinate continuing education and maintain clinical competency among crews. |
| 11/21/2025 | Paramedic (Small Private Contractor) | 40.0 h | 52,000 $ | 52,000 $ | 4,333 $ | 25.00 $ | I work full-time for a small private contractor focused on non-emergent transports. Responsibilities include patient care and vehicle maintenance. |
| 10/09/2025 | Paramedic (Hybrid Fire/EMS Captain) | 42.0 h | 92,000 $ | 87,619 $ | 7,302 $ | 42.12 $ | I serve as a hybrid fire/EMS captain with leadership responsibilities and occasional administrative tasks. I'm full-time with a 42-hour average workweek. |
| 09/07/2025 | Part-Time Tactical Paramedic | 30.0 h | 45,000 $ | 60,000 $ | 5,000 $ | 28.85 $ | I work part-time as a tactical paramedic with local law enforcement support shifts, averaging about 30 hours per week in addition to other EMS work. |
| 06/29/2025 | Senior Critical Care Paramedic | 40.0 h | 82,000 $ | 82,000 $ | 6,833 $ | 39.42 $ | I lead critical care transports and train others on advanced ventilator and infusion management. I'm full-time and the role commands a premium. |
| 05/15/2025 | EMS Operations Manager | 40.0 h | 98,000 $ | 98,000 $ | 8,167 $ | 47.12 $ | I manage operations for a regional EMS organization. I'm full-time, oversee multiple teams, budgeting, and high-level planning rather than daily patient care. |
| 03/11/2025 | Paramedic (Night Shift Differential) | 40.0 h | 61,000 $ | 61,000 $ | 5,083 $ | 29.33 $ | I work nights full-time and receive a differential for night shift work. My responsibilities are the same but the pay is higher than day shift. |
| 01/22/2025 | Assistant EMS Manager | 40.0 h | 94,000 $ | 94,000 $ | 7,833 $ | 45.19 $ | I serve as assistant EMS manager for a large regional provider. I'm full-time, handle staffing and protocol implementation, and no longer ride regularly. |
| 12/02/2024 | Paramedic (Private Duty) | 36.0 h | 56,000 $ | 62,222 $ | 5,185 $ | 29.91 $ | I do private duty caregiving and some ambulance shifts. I'm nearly full-time at 36 hours and the private duty work pays a bit more hourly. |
| 09/14/2024 | Flight Nurse/Paramedic (Hybrid Role) | 40.0 h | 90,000 $ | 90,000 $ | 7,500 $ | 43.27 $ | I transitioned into a hybrid flight role combining nursing and paramedic skills. This position is full-time, high-acuity, and pays at the top end for the region. |
| 06/06/2024 | Paramedic Supervisor | 42.0 h | 88,000 $ | 83,810 $ | 6,984 $ | 40.29 $ | I supervise district operations and manage multiple crews. I'm full-time with administrative responsibilities and still occasionally cover field shifts. |
| 04/22/2024 | Senior Paramedic (Overtime Heavy) | 45.0 h | 82,000 $ | 72,889 $ | 6,074 $ | 35.04 $ | I'm full-time and work substantial overtime to pick up extra shifts; my hours often hit 45 a week and that increases my annual pay significantly. |
| 02/18/2024 | Per Diem Paramedic | 28.0 h | 34,000 $ | 48,571 $ | 4,048 $ | 23.35 $ | I average about 28 hours per week as a per diem medic. The schedule is flexible but my total annual pay reflects fewer guaranteed hours. |
| 01/05/2024 | Paramedic Supervisor (Small Agency) | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I supervise a small agency's clinical protocols and staffing. I still respond occasionally but mostly handle administrative duties full-time. |
| 10/31/2023 | Senior Field Paramedic | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I've been a senior field paramedic for several years and am often assigned to the busiest units. I'm full-time and take lead on complex scenes. |
| 08/09/2023 | Private Ambulance Paramedic | 40.0 h | 57,000 $ | 57,000 $ | 4,750 $ | 27.40 $ | I work full-time for a private ambulance service covering interfacility and 911 transports in Spokane. Pay is slightly higher here than municipal entry-level. |
| 07/18/2023 | Per Diem Critical Care Paramedic | 28.0 h | 48,000 $ | 68,571 $ | 5,714 $ | 32.97 $ | I work per diem critical care shifts averaging about 28 hours per week. The hourly rate is high but hours are variable. |
| 05/27/2023 | EMS Coordinator (Paramedic Background) | 40.0 h | 82,000 $ | 82,000 $ | 6,833 $ | 39.42 $ | I transitioned into an EMS coordinator role after 10 years on the ambulance. I'm full-time and handle operations, training, and budgeting for our small county program. |
| 03/30/2023 | Paramedic (Training & QA) | 38.0 h | 71,000 $ | 74,737 $ | 6,228 $ | 35.93 $ | I split time between QA reviews and field shifts. I'm full-time at 38 hours and this pay reflects the combined duties. |
| 01/13/2023 | Paramedic (Weekend Part-Time) | 20.0 h | 22,000 $ | 44,000 $ | 3,667 $ | 21.15 $ | I work weekends only as part-time staff, averaging around 20 hours weekly so I can pursue another job during the week. |
| 11/04/2022 | Critical Care Transport Paramedic | 40.0 h | 76,000 $ | 76,000 $ | 6,333 $ | 36.54 $ | I work full-time doing long-distance critical care transports for a private company. The steady high-acuity work and certifications increased my pay. |
| 10/12/2022 | Paramedic (Community Paramedicine) | 40.0 h | 66,000 $ | 66,000 $ | 5,500 $ | 31.73 $ | I work in a community paramedicine role doing home visits and chronic care follow-up. It's full-time and the scope has expanded over the past few years. |
| 07/19/2022 | Paramedic Educator | 38.0 h | 65,000 $ | 68,421 $ | 5,702 $ | 32.89 $ | I work full-time as an educator for new paramedic hires and coordinate in-service training while still responding occasionally to cover shifts. |
| 03/02/2022 | Lead Paramedic | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I was promoted to lead paramedic overseeing protocols and working with administration. I'm full-time at a large regional EMS provider and am involved in quality assurance. |
| 02/24/2022 | Paramedic (Weekend Supervisor) | 32.0 h | 52,000 $ | 65,000 $ | 5,417 $ | 31.25 $ | I supervise weekend operations part-time, averaging 32 hours per week. I handle liaison duties and help with higher-acuity calls on weekends. |
| 12/05/2021 | Lead Field Paramedic | 40.0 h | 74,000 $ | 74,000 $ | 6,167 $ | 35.58 $ | I lead a busy unit in Spokane and coordinate responses to multi-casualty incidents. I'm full-time and have significant on-scene responsibility. |
| 11/16/2021 | Part-Time Paramedic | 25.0 h | 26,000 $ | 41,600 $ | 3,467 $ | 20.00 $ | I work part-time nights to balance school. I average about 25 hours per week and respond to calls for a small private ambulance contractor. |
| 08/30/2021 | Shift Supervisor (Paramedic) | 40.0 h | 67,000 $ | 67,000 $ | 5,583 $ | 32.21 $ | I supervise crews on my shift, handle scheduling conflicts, and still respond to high-acuity calls. I'm full-time and this reflects supervisory pay. |
| 02/11/2021 | Senior Paramedic | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | After seven years in the field, I was listed as a senior paramedic. I'm full-time for a government-run EMS and mentor newer staff while running complex calls. |
| 09/25/2020 | Paramedic / Firefighter | 42.0 h | 54,000 $ | 51,429 $ | 4,286 $ | 24.73 $ | I'm cross-staffed as a firefighter and paramedic in a combined department. I work a rotating schedule averaging 42 hours and handle both fire and EMS calls. |
| 06/17/2020 | Paramedic (Union Member) | 40.0 h | 63,000 $ | 63,000 $ | 5,250 $ | 30.29 $ | I'm a unionized full-time paramedic; pay scales and raises are negotiated, which helped my salary climb steadily over the years. |
| 04/14/2020 | Critical Care Paramedic | 40.0 h | 62,000 $ | 62,000 $ | 5,167 $ | 29.81 $ | I hold a critical care certification and run inter-facility transports. I'm full-time at a medium-sized private ambulance service and responsibilities are more advanced. |
| 12/03/2019 | Paramedic (Per Diem) | 24.0 h | 30,000 $ | 50,000 $ | 4,167 $ | 24.04 $ | I work per diem and average about three 8-hour shifts per week. My schedule is part-time and I supplement with private transport shifts. |
| 07/08/2019 | Field Training Paramedic | 40.0 h | 48,000 $ | 48,000 $ | 4,000 $ | 23.08 $ | I was promoted to field training officer while still working patient-care shifts. I'm full-time and train new hires in addition to my normal duties. |
| 03/01/2019 | Paramedic (Part-Time School Coverage) | 20.0 h | 24,000 $ | 48,000 $ | 4,000 $ | 23.08 $ | I cover school-related medical transports part-time and average roughly 20 hours weekly during the school year. |
| 11/20/2018 | Advanced Paramedic | 40.0 h | 46,000 $ | 46,000 $ | 3,833 $ | 22.12 $ | I've been with a county EMS for three years. This was my salary after becoming certified for a few advanced skills; I'm full-time and regularly pick up extra shifts. |
| 03/29/2018 | Self-Employed Private Transport Paramedic | 35.0 h | 48,000 $ | 54,857 $ | 4,571 $ | 26.37 $ | I'm self-employed doing contract non-emergency medical transports and some private duty. I'm full-time-ish at about 35 hours and manage my own schedule and billing. |
| 10/05/2017 | Paramedic (Rural Unit) | 40.0 h | 45,000 $ | 45,000 $ | 3,750 $ | 21.63 $ | I cover a rural area with long transports. I'm full-time and the lower call volume but longer drives influence my effective earnings. |
| 05/03/2017 | Paramedic | 40.0 h | 42,000 $ | 42,000 $ | 3,500 $ | 20.19 $ | I work full-time on a 24/48 ambulance schedule. I had under two years' experience when I reported this salary and handled basic and intermediate calls. |
| 12/08/2016 | Paramedic (Recent Hire, Part-Time) | 18.0 h | 21,000 $ | 46,667 $ | 3,889 $ | 22.44 $ | I was recently hired part-time while finishing school. I average about 18 hours per week responding to local non-emergency and some 911 calls. |
| 09/12/2016 | Entry-Level Paramedic | 40.0 h | 39,000 $ | 39,000 $ | 3,250 $ | 18.75 $ | I started as an entry-level paramedic at a municipal EMS provider in Spokane. I'm full-time with typical ambulance shifts, have been here one year, and my responsibilities are basic patient care and transport. |
Spokane serves as the medical and logistics hub for much of eastern Washington and parts of north Idaho, which generally supports steady demand for licensed paramedics. The city’s combination of urban neighborhoods, expanding suburbs, and nearby rural communities means 911 responses range from high-acuity trauma and cardiac events to behavioral health and overdose calls. Because Spokane houses multiple regional hospitals and specialty centers, paramedics here often encounter complex cases and frequent interfacility transfers from outlying areas.
Local agencies report call volumes that reflect national trends: more medical calls relative to fires, persistent behavioral health needs, and seasonal surges related to outdoor activity and wildfire smoke. Spokane also hosts large public events—such as Bloomsday and Hoopfest—that typically require significant EMS planning and standby coverage. All of this shapes a labor market where paramedics with strong assessment skills, good customer service, and adaptability are frequently competitive candidates.
The Spokane–Spokane Valley metro is a regional referral center, so 911 ALS first response and ambulance transport both play important roles. Fire departments in the area commonly provide ALS first response with firefighter/paramedics, while private ambulance providers handle a mix of 911 transports, interfacility transfers, and standby work. This shared model can create multiple entry points for newly licensed paramedics and experienced clinicians alike.
Hiring cycles often follow agency budgets and civil service timelines for fire departments, while private ambulance companies recruit year-round based on call volume and turnover. Many employers in Spokane emphasize Washington State Department of Health paramedic certification, National Registry credentials, and local medical program director (MPD) accreditation. Candidates who bring strong driving records, clean backgrounds, and familiarity with regional protocols usually transition more smoothly.
Several factors drive ongoing demand: an aging population; steady influx of patients from rural hospitals to Spokane’s tertiary centers; continued behavioral health and substance-use incidents; and seasonal wildfire impacts that can strain resources. Community paramedicine and mobile integrated health initiatives—such as programs operated by Spokane Fire Department—also create roles that focus on prevention, high-utilizer outreach, and alternate destinations, expanding how paramedics practice locally.
Real organizations that often hire or utilize paramedics in Spokane include:
Regional coordination is supported by Spokane County EMS leadership and local MPD oversight, which help standardize protocols, QA/QI, and education across agencies.
Paramedics in Spokane can pursue several paths. Fire-based roles typically combine ALS care with truck and engine assignments, technical rescue, and wildland deployments during summer fire season. Private ambulance careers often include high-volume 911 transport experience and interfacility critical care transfers, which can be a stepping stone to CCT or flight positions. Hospitals in Spokane frequently hire paramedics into emergency department technician roles, where exposure to specialty services (cardiac, stroke, pediatrics) deepens clinical skill sets.
Advanced opportunities commonly include field training officer, clinical educator, QA/QI specialist, community paramedicine practitioner, and tactical or special operations team assignments. Experienced paramedics with additional certifications—such as critical care or flight credentials—may qualify for roles with air medical providers. Many Spokane-area clinicians also engage in ongoing continuing education through local training consortia and programs at Spokane Community College, which helps maintain competencies and meet state and MPD requirements.
Overall, Spokane’s position as a regional healthcare hub, the diversity of call types, and the presence of multiple hiring pathways generally make the city a solid market for paramedics who meet Washington licensing standards and are ready to work in a fast-paced, collaborative EMS system.
The average salary for a Paramedic in Spokane is 64,234 $ per year on a 40-hour basis, or 5,353 $ 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 Spokane. They show reported cities or jobs with their difference from the average.
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