EMT/Paramedic Salary in Winston-Salem, NC: $33,480 (2026)

EMT/Paramedic Pay in Winston-Salem: What to Expect (2026)

Winston-Salem offers a median emt/paramedic salary of $33,480, which is $2,336 below the North Carolina state average of $35,816. Compared to the national median of $38,930, Winston-Salem pays below the national benchmark for this role.

One of Winston-Salem's biggest advantages is its low cost of living at 86% of the national average. This means the $33,480 salary stretches further here — equivalent to roughly $38,930 in an average-cost city. This makes Winston-Salem an attractive option for emt/paramedics seeking strong real-dollar compensation.

The salary range for emt/paramedics in Winston-Salem spans from $22,360 at the 10th percentile to $53,320 at the 90th percentile — a $30,960 spread. Entry-level professionals start around $24,080, while senior emt/paramedics with 8+ years of experience can earn up to $49,880. With a population of 249,545, Winston-Salem is a mid-sized metro with a growing job market.

EMT/Paramedic Salary in Winston-Salem by Experience

In Winston-Salem, an entry-level emt/paramedic earns around $24,080, while experienced professionals earn up to $49,880 per year. The local cost of living index is 86% of the national average.

Entry Level (0-2 yrs)

$24,080

$-3,920 vs national

Mid Level (3-7 yrs)

$34,400

$-5,600 vs national

Senior Level (8+ yrs)

$49,880

$-8,120 vs national

Percentile	Winston-Salem	NC State	National
10th Percentile	$22,360	$23,920	$26,000
25th Percentile	$26,660	$28,520	$31,000
Median (50th)	$33,480	$35,816	$38,930
75th Percentile	$43,000	$46,000	$50,000
90th Percentile	$53,320	$57,040	$62,000

Percentile

Winston-Salem

10th Percentile

$22,360

25th Percentile

$26,660

Median (50th)

$33,480

75th Percentile

$43,000

90th Percentile

$53,320

How to Become a EMT/Paramedic in Winston-Salem

Education

Most emt/paramedic positions require a postsecondary nondegree award. Winston-Salem and the surrounding North Carolina 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 Winston-Salem may vary based on local industry and population growth.

Frequently Asked Questions: EMT/Paramedic Salary in Winston-Salem

How much does a EMT/Paramedic make in Winston-Salem, NC? ▼

The median emt/paramedic salary in Winston-Salem, North Carolina is $33,480 per year, which is 14% below the national median of $38,930. Salaries range from $22,360 (10th percentile) to $53,320 (90th percentile).

How much does a EMT/Paramedic make per hour in Winston-Salem? ▼

Based on the median annual salary of $33,480, a emt/paramedic in Winston-Salem earns approximately $16 per hour assuming a standard 2,080-hour work year.

How does Winston-Salem compare to the North Carolina state average for emt/paramedic pay? ▼

Winston-Salem's median emt/paramedic salary of $33,480 is 6.5% below the North Carolina state average of $35,816. The local cost of living index is 86% of the national average.

What is the cost of living in Winston-Salem, NC? ▼

Winston-Salem has a cost of living index of 86% compared to the national average. This means a emt/paramedic salary of $33,480 in Winston-Salem has more purchasing power than the same salary in an average-cost city.

What qualifications do I need to become a emt/paramedic in Winston-Salem? ▼

Most emt/paramedic positions in Winston-Salem 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 Winston-Salem, North Carolina