EMT/Paramedic Salary in Honolulu, HI: $68,128 (2026)

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

Honolulu offers a median emt/paramedic salary of $68,128, which is $1,947 above the Hawaii state average of $66,181. Compared to the national median of $38,930, Honolulu pays above average for this role.

However, Honolulu's cost of living index is 175%, significantly above the national average. After adjusting for local costs, the $68,128 salary has an effective purchasing power of approximately $38,930. Housing, transportation, and food costs in Honolulu should be factored into any relocation or job-change decision.

The salary range for emt/paramedics in Honolulu spans from $45,500 at the 10th percentile to $108,500 at the 90th percentile — a $63,000 spread. Entry-level professionals start around $49,000, while senior emt/paramedics with 8+ years of experience can earn up to $101,500. With a population of 350,964, Honolulu is a mid-sized metro with a growing job market.

EMT/Paramedic Salary in Honolulu by Experience

In Honolulu, an entry-level emt/paramedic earns around $49,000, while experienced professionals earn up to $101,500 per year. The local cost of living index is 175% of the national average.

Entry Level (0-2 yrs)

$49,000

+$21,000 vs national

Mid Level (3-7 yrs)

$70,000

+$30,000 vs national

Senior Level (8+ yrs)

$101,500

+$43,500 vs national

Percentile	Honolulu	HI State	National
10th Percentile	$45,500	$44,200	$26,000
25th Percentile	$54,250	$52,700	$31,000
Median (50th)	$68,128	$66,181	$38,930
75th Percentile	$87,500	$85,000	$50,000
90th Percentile	$108,500	$105,400	$62,000

Percentile

Honolulu

10th Percentile

$45,500

25th Percentile

$54,250

Median (50th)

$68,128

75th Percentile

$87,500

90th Percentile

$108,500

How to Become a EMT/Paramedic in Honolulu

Education

Most emt/paramedic positions require a postsecondary nondegree award. Honolulu 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 Honolulu may vary based on local industry and population growth.

Frequently Asked Questions: EMT/Paramedic Salary in Honolulu

How much does a EMT/Paramedic make in Honolulu, HI? ▼

The median emt/paramedic salary in Honolulu, Hawaii is $68,128 per year, which is 75.0% above the national median of $38,930. Salaries range from $45,500 (10th percentile) to $108,500 (90th percentile).

How much does a EMT/Paramedic make per hour in Honolulu? ▼

Based on the median annual salary of $68,128, a emt/paramedic in Honolulu earns approximately $33 per hour assuming a standard 2,080-hour work year.

How does Honolulu compare to the Hawaii state average for emt/paramedic pay? ▼

Honolulu's median emt/paramedic salary of $68,128 is 2.9% above the Hawaii state average of $66,181. The local cost of living index is 175% of the national average.

What is the cost of living in Honolulu, HI? ▼

Honolulu has a cost of living index of 175% compared to the national average. This means a emt/paramedic salary of $68,128 in Honolulu has less purchasing power than the same salary in an average-cost city.

What qualifications do I need to become a emt/paramedic in Honolulu? ▼

Most emt/paramedic positions in Honolulu 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.

EMT/Paramedic Salary in Honolulu, Hawaii