SOC 29-2043 · Sacramento-Roseville-Folsom, CA metro

Paramedics Salary in Sacramento, CA

The average salary for paramedics in Sacramento, California is $79,940 a year ($38.43 an hour), according to BLS estimates for May 2025. The median is $81,430: half of the 390 people in this job in the Sacramento-Roseville-Folsom, CA metro area earn more than that, half earn less. That average is 26% more than the U.S. average for this job ($63,360).

$79,940average per year

$38.43 / hourMedian $81,430Take-home ≈ $61,725

  • $55K10th
  • $67K25th
  • $81KMedian
  • $88K75th
  • $102K90th

median average · bar = middle 50% of workers · how to read it

390people in this job
+26%vs U.S. average
#7 of 16California metros
107cost of living (U.S. = 100)
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Paramedics pay range in Sacramento

New workers and the lowest-paid 10% earn about $54,930 a year or less, while the top 10% make $102,450 or more. The middle half of paramedics in Sacramento earn between $67,210 and $87,830.

  • $55K10th
  • $67K25th
  • $81KMedian
  • $88K75th
  • $102K90th

median average · bar = middle 50% of workers · how to read it

Pay levelPer yearPer monthPer hour*
Average$79,940$6,662$38.43
Median$81,430$6,786$39.15
Entry level (25th percentile)$67,210$5,601$32.31
Experienced (75th percentile)$87,830$7,319$42.23

*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.

Paramedics pay in Sacramento vs. California and the U.S.

Paramedics in Sacramento earn about the same as the California average ($77,740) and 26% more than the U.S. average ($63,360). At the median the gap is +34% against the U.S. median of $60,600.

AreaAverageMedian10th pct.90th pct.Jobs
Sacramento$79,940$81,430$54,930$102,450390
California$77,740$74,590$53,370$102,4505,190
United States$63,360$60,600$44,230$84,850100,610

State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.

Paramedics salary after taxes in Sacramento

On the average salary of $79,940, a single filer in Sacramento takes home about $61,725 a year, or $5,144 a month and $2,374 every two weeks. Taxes take 23% of gross pay.

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2025 rules). California State Disability Insurance (1.3% of wages, paid by employees) is not included.

California paycheck calculator: try your own salary

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Is Sacramento a good place for paramedics? Pay vs. cost of living

Prices in the Sacramento area are 7% above the U.S. average (BEA price parity 106.7), so the average $79,940 buys what about $74,941 would buy in a typical U.S. metro. This job pays 1.4 times the median wage of all jobs in Sacramento ($59,750). A typical home costs $582,707, or 7.3 years of this average salary before tax.

See what $79,940 is worth in another city

Paramedics salary in other California cities

Sacramento ranks 7th of 16 California metro areas for this job; San Francisco pays the most ($92,860).

All Paramedics salaries in California

Highest-paying cities for paramedics

Bellingham, WA pays this job the most of the metro areas we cover ($119,190).

Paramedics salary by city

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Reviewed before it counts. Paramedics in Sacramento, CA.

Paramedics salary in Sacramento: questions

How much do paramedics make an hour in Sacramento?

$38.43 an hour on average, and $39.15 at the median (BLS, May 2025).

What is the entry-level paramedics salary in Sacramento?

The lowest-paid 10% earn about $54,930 a year and the 25th percentile is $67,210, a fair guide to starting pay.

What is the paramedics take-home pay in Sacramento?

About $61,725 a year ($5,144 a month) for a single filer on the average salary of $79,940. California State Disability Insurance (1.3% of wages, paid by employees) is not included.

Do paramedics earn more in Sacramento than elsewhere?

The average here is 26% more than the U.S. average for this job ($63,360).

Sources and how to read this page

  • Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-2043; area Sacramento-Roseville-Folsom, CA (40900). Relative standard error of the mean wage: 2.6%.
  • U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
  • Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
  • Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
  • Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2025 rules). California State Disability Insurance (1.3% of wages, paid by employees) is not included.
  • Job concentration: location quotient 0.56, this job is less common than in the U.S. overall (location quotient 0.56).

Read the full methodology. Spotted an error? Tell us.