Paramedic salary in South Dakota
What paramedics earn in South Dakota and its metro areas, compared with the rest of the country.
Median pay$48,830$23.48 per hour
vs U.S.−19%U.S. median $60,600
Middle half earn$42,710 – $51,490Top 10%: $58,380+
Jobs2800.94× the U.S. concentration
Paramedic pay in South Dakota cities
Metro areas as BLS defines them. Click a column to sort.
| Metro area | Median | Hourly | Jobs |
|---|---|---|---|
| Sioux Falls, SD-MN | $50,550 | $24.31 | 80 |
| East South Dakota nonmetropolitan area | $44,780 | $21.53 | 70 |
| West South Dakota nonmetropolitan area | $42,740 | $20.55 | 70 |
| Sioux City, IA-NE-SD | $53,310 | $25.63 | 50 |
| Rapid City, SD | $47,810 | $22.99 | 40 |
Hospitals and jobs in South Dakota
Paramedic pay in similar states
Montana · $50,890 Arkansas · $50,310 Kentucky · $49,890 Alabama · $48,540 West Virginia · $48,460 Oklahoma · $46,790
Other healthcare salaries in South Dakota
Registered Nurses · $78,060 Nursing Assistants · $38,800 Home Health and Personal Care Aides · $37,740 Licensed Practical and Licensed Vocational Nurses · $52,750 Medical Assistants · $41,870 Dental Assistants · $47,900 Clinical Laboratory Technologists and Technicians · $60,890 Pharmacists · $146,790 Pharmacy Technicians · $46,170 Physical Therapists · $92,660 Nurse Practitioners · $128,840 Radiologic Technologists and Technicians · $65,240
Questions
How much does a paramedic make in South Dakota?
Paramedics in South Dakota earned a median of $48,830 a year ($23.48 an hour) in May 2025, 19% less than the national median of $60,600. The middle half earned $42,710 to $51,490.
Where in South Dakota do paramedics earn the most?
Among areas in South Dakota, pay was highest in Sioux City, IA-NE-SD at $53,310.
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.