SOC 29-2043 · Sioux City, IA-NE-SD metro

Paramedics Salary in Sioux City, IA

The average salary for paramedics in Sioux City, Iowa is $55,120 a year ($26.50 an hour), according to BLS estimates for May 2025. The median is $53,310: half of the 50 people in this job in the Sioux City, IA-NE-SD metro area earn more than that, half earn less. That average is 15% less than the U.S. metro average for this job ($65,089).

$55,120average per year

$26.50 / hourMedian $53,310Take-home ≈ $44,986

  • $48K10th
  • $51K25th
  • $53KMedian
  • $60K75th
  • $60K90th

median average · bar = middle 50% of workers

50people in this job
-15%vs U.S. metro average
#7 of 7Iowa metros
86cost of living (U.S. = 100)
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Paramedics pay range in Sioux City

New workers and the lowest-paid 10% earn about $48,060 a year or less, while the top 10% make $60,290 or more. The middle half of paramedics in Sioux City earn between $51,490 and $60,130.

  • $48K10th
  • $51K25th
  • $53KMedian
  • $60K75th
  • $60K90th

median average · bar = middle 50% of workers

Pay levelPer yearPer monthPer hour*
Average$55,120$4,593$26.50
Median$53,310$4,442$25.63
Entry level (25th percentile)$51,490$4,291$24.75
Experienced (75th percentile)$60,130$5,011$28.91

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

Paramedics salary after taxes in Sioux City

On the average salary of $55,120, a single filer in Sioux City takes home about $44,986 a year, or $3,749 a month and $1,730 every two weeks. Taxes take 18% of gross pay.

The Sioux City, IA-NE-SD metro area crosses state lines, so take-home pay depends on the state where you work:

StatePer yearPer month
Working in SD$46,469$3,872
Working in IA$44,986$3,749
Working in NE$44,840$3,737

Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules). Iowa school district surtaxes (a percentage of state tax in some districts) are not included.

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

Prices in the Sioux City area are 14% below the U.S. average (BEA price parity 86.5), so the average $55,120 buys what about $63,756 would buy in a typical U.S. metro. This job pays 1.1 times the median wage of all jobs in Sioux City ($47,030). A typical home costs $225,213, or 4.1 years of this average salary before tax.

See what $55,120 is worth in another city

Paramedics salary in other Iowa cities

Sioux City ranks 7th of 7 Iowa metro areas for this job; Iowa City pays the most ($67,160).

All Paramedics salaries in Iowa

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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Paramedics salary in Sioux City: questions

How much do paramedics make an hour in Sioux City?

$26.50 an hour on average, and $25.63 at the median (BLS, May 2025).

What is the entry-level paramedics salary in Sioux City?

The lowest-paid 10% earn about $48,060 a year and the 25th percentile is $51,490, a fair guide to starting pay.

What is the paramedics take-home pay in Sioux City?

About $44,986 a year ($3,749 a month) for a single filer on the average salary of $55,120. Iowa school district surtaxes (a percentage of state tax in some districts) are not included.

Do paramedics earn more in Sioux City than elsewhere?

The average here is 15% less than the U.S. metro average for this job ($65,089).

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 Sioux City, IA-NE-SD (43580). Relative standard error of the mean wage: 1.7%.
  • 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 (2026 rules). Iowa school district surtaxes (a percentage of state tax in some districts) are not included.
  • Job concentration: location quotient 0.99, this job is about as common as in the U.S. overall.

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