EMT/Paramedic Salary in Hawaii
The median emt/paramedic salary in Hawaii is $66,181 per year, which is 70.0% above the national median of $38,930.
EMT/Paramedic Salary Overview in Hawaii (2026)
Hawaii ranks #1 out of 50 states for emt/paramedic compensation. This places Hawaii in the top tier nationally, making it one of the best states for emt/paramedics seeking high pay. At $66,181 per year, emt/paramedics in Hawaii earn $27,251 more than the national median of $38,930.
It's worth noting that Hawaii's cost of living is 170% of the national average, which reduces the real purchasing power of the $66,181 salary. After adjusting for cost of living, the effective salary is closer to $38,930.
The salary spread in Hawaii is significant: emt/paramedics at the 10th percentile earn $44,200, while those at the 90th percentile bring home $105,400 — a $61,200 gap that reflects differences in experience, specialization, employer type, and metro area. The highest-paying city in Hawaii for this role is Honolulu, where the median reaches $68,128.
Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). This steady growth indicates stable demand for emt/paramedics across the country.
EMT/Paramedic Salary in Hawaii by Experience
In Hawaii, an entry-level emt/paramedic earns around $47,600, while experienced professionals earn up to $98,600 per year. The cost of living index in Hawaii is 170% of the national average.
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See Investment Options →Salary Percentiles in Hawaii
| Percentile | HI Salary |
|---|---|
| 10th Percentile | $44,200 |
| 25th Percentile | $52,700 |
| Median (50th) | $66,181 |
| 75th Percentile | $85,000 |
| 90th Percentile | $105,400 |
EMT/Paramedic Salary by City in Hawaii
The largest employment areas for emt/paramedics in Hawaii include Honolulu, Pearl City, Hilo, and Kailua. Salaries vary by city based on local cost of living and demand.
How to Become a EMT/Paramedic in Hawaii
Education
Most emt/paramedic positions require a postsecondary nondegree award. Hawaii has several accredited institutions offering relevant programs.
Key Skills
Job Outlook in Hawaii
Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). Hawaii's demand may vary based on local industry trends.
Negotiate Your Way to Senior Pay
Data shows EMT/Paramedics who negotiate earn 7–15% more. A single negotiation could add $32,419 over your career trajectory.
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