Paramedic salary in North Carolina
What paramedics earn in North Carolina and its metro areas, compared with the rest of the country.
Median pay$57,320$27.56 per hour
vs U.S.−5%U.S. median $60,600
Middle half earn$48,630 – $63,820Top 10%: $75,170+
Jobs5,6601.77× the U.S. concentration
Paramedic pay in North Carolina cities
Metro areas as BLS defines them. Click a column to sort.
| Metro area | Median | Hourly | Jobs |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | $61,660 | $29.64 | 1,180 |
| Western North Carolina nonmetropolitan area | $48,110 | $23.13 | 680 |
| Eastern North Carolina nonmetropolitan area | $49,980 | $24.03 | 560 |
| Central North Carolina nonmetropolitan area | $48,090 | $23.12 | 510 |
| Raleigh-Cary, NC | $65,220 | $31.36 | 470 |
| Winston-Salem, NC | $58,110 | $27.94 | 420 |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | $64,120 | $30.83 | 400 |
| Greensboro-High Point, NC | $58,980 | $28.36 | 320 |
| Asheville, NC | $63,480 | $30.52 | 280 |
| Durham-Chapel Hill, NC | $64,310 | $30.92 | 230 |
| Wilmington, NC | $61,060 | $29.36 | 210 |
| Hickory-Lenoir-Morganton, NC | $49,460 | $23.78 | 180 |
| Fayetteville, NC | $68,220 | $32.80 | 130 |
| Rocky Mount, NC | $52,470 | $25.23 | 130 |
| Greenville, NC | $53,210 | $25.58 | 120 |
Hospitals and jobs in North Carolina
Paramedic pay in similar states
Arizona · $58,600 Tennessee · $57,690 Georgia · $57,660 Texas · $57,500 Nebraska · $56,230 Louisiana · $56,050
Other healthcare salaries in North Carolina
Registered Nurses · $84,350 Nursing Assistants · $38,460 Home Health and Personal Care Aides · $31,240 Medical Assistants · $45,140 Licensed Practical and Licensed Vocational Nurses · $63,270 Pharmacy Technicians · $44,530 Physicians, All Other · $260,330 Clinical Laboratory Technologists and Technicians · $60,650 Dental Assistants · $50,380 Pharmacists · $138,860 Nurse Practitioners · $128,990 Radiologic Technologists and Technicians · $74,450
Questions
How much does a paramedic make in North Carolina?
Paramedics in North Carolina earned a median of $57,320 a year ($27.56 an hour) in May 2025, 5% less than the national median of $60,600. The middle half earned $48,630 to $63,820.
Where in North Carolina do paramedics earn the most?
Among areas in North Carolina, pay was highest in Fayetteville, NC at $68,220.
Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, all industries. Pay doesn't reflect cost of living, overtime or shift differentials.