Public Service Hilo, HI Pop. 45,703

EMT/Paramedic Salary in Hilo, Hawaii

The median emt/paramedic salary in Hilo, HI is $59,174 per year, which is 52.0% above the national median and 10.6% below the Hawaii state average.

City Median
$59,174
vs State Avg
$-7,007
vs National
+$20,244
Cost of Living
152%

EMT/Paramedic Pay in Hilo: What to Expect (2026)

Hilo offers a median emt/paramedic salary of $59,174, which is $7,007 below the Hawaii state average of $66,181. Compared to the national median of $38,930, Hilo pays above average for this role.

However, Hilo's cost of living index is 152%, significantly above the national average. After adjusting for local costs, the $59,174 salary has an effective purchasing power of approximately $38,930. Housing, transportation, and food costs in Hilo should be factored into any relocation or job-change decision.

The salary range for emt/paramedics in Hilo spans from $39,520 at the 10th percentile to $94,240 at the 90th percentile — a $54,720 spread. Entry-level professionals start around $42,560, while senior emt/paramedics with 8+ years of experience can earn up to $88,160. Hilo is a smaller market (pop. 45,703), which may mean fewer openings but also less competition for available positions.

EMT/Paramedic Salary in Hilo by Experience

In Hilo, an entry-level emt/paramedic earns around $42,560, while experienced professionals earn up to $88,160 per year. The local cost of living index is 152% of the national average.

Entry Level (0-2 yrs)
$42,560
+$14,560 vs national
Mid Level (3-7 yrs)
$60,800
+$20,800 vs national
Senior Level (8+ yrs)
$88,160
+$30,160 vs national

Salary Percentiles in Hilo, HI

Percentile Hilo
10th Percentile $39,520
25th Percentile $47,120
Median (50th) $59,174
75th Percentile $76,000
90th Percentile $94,240

EMT/Paramedic Salary in Other Hawaii Cities

Honolulu, HI
$68,128
Pop. 350,964
Kailua, HI
$66,181
Pop. 38,635
Pearl City, HI
$65,402
Pop. 47,698
Waipahu, HI
$63,067
Pop. 38,216

How to Become a EMT/Paramedic in Hilo

Education

Most emt/paramedic positions require a postsecondary nondegree award. Hilo and the surrounding Hawaii area have institutions offering relevant programs.

Key Skills

Emergency MedicineCPR/ALSPatient AssessmentTrauma CareCommunicationDriving

Job Outlook

Nationally, emt/paramedic employment is projected to grow 7% over the next decade (faster than average). Demand in Hilo may vary based on local industry and population growth.

Find EMT/Paramedic Jobs in Hilo

Browse open emt/paramedic positions in Hilo, HI:

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Frequently Asked Questions: EMT/Paramedic Salary in Hilo

How much does a EMT/Paramedic make in Hilo, HI? ▼
The median emt/paramedic salary in Hilo, Hawaii is $59,174 per year, which is 52.0% above the national median of $38,930. Salaries range from $39,520 (10th percentile) to $94,240 (90th percentile).
How much does a EMT/Paramedic make per hour in Hilo? ▼
Based on the median annual salary of $59,174, a emt/paramedic in Hilo earns approximately $28 per hour assuming a standard 2,080-hour work year.
How does Hilo compare to the Hawaii state average for emt/paramedic pay? ▼
Hilo's median emt/paramedic salary of $59,174 is 10.6% below the Hawaii state average of $66,181. The local cost of living index is 152% of the national average.
What is the cost of living in Hilo, HI? ▼
Hilo has a cost of living index of 152% compared to the national average. This means a emt/paramedic salary of $59,174 in Hilo has less purchasing power than the same salary in an average-cost city.
What qualifications do I need to become a emt/paramedic in Hilo? ▼
Most emt/paramedic positions in Hilo require a postsecondary nondegree award. Key skills include Emergency Medicine, CPR/ALS, Patient Assessment, Trauma Care. The job market is projected to grow 7% nationally over the next decade.