How to increase your EMT salary

EMS salaries aren't set in stone. Here's how to make more money.

The rumors are true: an EMT salary isn't going to buy you a mansion and a Mercedes. But you're a trained professional in a high stress job. You handle critical life and death issues on a daily — if not hourly — basis, and you'd like to be compensated at the highest level. Who can blame you?

According to the U.S. Department of Labor’s Bureau of Labor Statisticsthe median salary of EMS workers was $31,980 per year, or about $15.38 per hour in 2014. The lowest 10 percent earned less than $20,860, and the top 10 percent earned about $55,110.

EMT and paramedic salaries have increased across the board since 2012, but there are some proven ways you can maximize your salary.

Overtime and side jobs for EMTs
About one in three EMTs reported working more than 40 hours per week in 2014. The exact policies differ between agencies, but most employees earn 1.5 times their usual rate for every hour over 40 hours.

Don't underestimate how much this is. At least one paramedic doubled her salary by taking overtime shifts, and another paramedic made more money than the mayor of Baltimore by staying on the clock.

Many EMTs, especially those with families, also maintain second jobs to make ends meet. It’s possible to work standby on events for extra cash, but teaching, security and personal training are some examples of popular EMT side jobs

The Internet has also opened up a lot of opportunities to make money: think about wholesaling on Amazon, picking up work contracts or starting your own blog/vlog.

States with the highest-paid EMTs
EMT salary ranges depend largely on the state in which you're working. If you’re unhappy with your current department or how much money you’re making, you must be willing to move.

Of the top 10 cities with the highest EMT salaries, five are located in Washington State. First responders can make a lot of money working on the West Coast, but that may be offset by the higher costs of living.

EMT and paramedic salary by state

Average EMT salaries by state. (Source: Bureau of Labor and Statistics)

Search jobs by state

Continue your EMS education to make more money
Another factor in EMT salary levels is your level of training and professional designation. Training requirements and designations vary from state to state, but generally they are EMT, AEMT, and paramedic, with the latter being the highest level of EMS training.

Since an EMT can earn from $33,000 to $51,000 a year and a paramedic can earn anywhere from $40,000 to $70,000 a year, increasing your training and designation is one way to earn more money.

The transition from an EMT and a paramedic usually requires an additional one to two years of training, depending on your state's licensing requirements.

Research the type of EMS agency you want to work for
Another consideration in gauging EMT salary rates is the agency you work for.

Private ambulance companies generally have the lowest rates of pay, but may be more likely to hire newer or less experienced employees. Many EMTs start with private companies to get their feet wet.

Government agencies such as fire departments and state ambulance services generally pay the highest, but they’re more competitive to get into and may have higher education requirements. Some state police departments and the National Park Service staff also employ EMTs to respond to emergency medical situations.

Hospitals also employ EMS providers to transport patients when they require critical care, such as IV pump infusions and ventilator management, while moving from one medical facility to the next. They also sometimes use EMTs in place of nurses.

EMT salary rates at hospitals are usually in the mid to upper ranges of pay.

Although an EMT salary isn't going to make you rich, as an emergency health care professional you do have the satisfaction of knowing that the service you're providing is vital to the health and safety of your community.

About the author

EMS 101 articles are intended to educate a non-emergency medical services audience about the emergency medical services profession. These articles are written by EMS1 staff members and EMS1 contributors, and cover a wide range of topics from EMS protocols all paramedics & EMTs should follow to an overview of the necessary requirements for becoming a paramedic.

  1. Tags
  2. EMS Management
  3. EMT, EMS, Paramedic Jobs and Careers
  4. Evergreen
  5. Financial Planning

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