Paramedics pay range in Roanoke
New workers and the lowest-paid 10% earn about $43,610 a year or less, while the top 10% make $67,030 or more. The middle half of paramedics in Roanoke earn between $50,750 and $64,650.
- $44K10th
- $51K25th
- $59KMedian
- $65K75th
- $67K90th
median average · bar = middle 50% of workers
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $58,050 | $4,838 | $27.91 |
| Median | $59,020 | $4,918 | $28.38 |
| Entry level (25th percentile) | $50,750 | $4,229 | $24.40 |
| Experienced (75th percentile) | $64,650 | $5,388 | $31.08 |
*Hourly figures assume 2,080 paid hours a year.
Paramedics salary after taxes in Roanoke
On the average salary of $58,050, a single filer in Roanoke takes home about $46,299 a year, or $3,858 a month and $1,781 every two weeks. Taxes take 20% of gross pay.
Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2025 rules).
Is Roanoke a good place for paramedics? Pay vs. cost of living
Prices in the Roanoke area are 6% below the U.S. average (BEA price parity 93.6), so the average $58,050 buys what about $62,007 would buy in a typical U.S. metro. This job pays 1.3 times the median wage of all jobs in Roanoke ($47,140). A typical home costs $301,139, or 5.2 years of this average salary before tax.
Paramedics salary in other Virginia cities
Roanoke ranks 5th of 6 Virginia metro areas for this job; Virginia Beach pays the most ($64,500).
- Virginia Beach$64,500
- Richmond$63,700
- Winchester$59,540
- Charlottesville$58,570
- Roanoke$58,050
- Blacksburg$48,710
Highest-paying cities for paramedics
Bellingham, WA pays this job the most of the metro areas we cover ($119,190).
- Bellingham, WA$119,190
- Seattle, WA$117,660
- Bremerton, WA$110,800
- Olympia, WA$109,680
- Mount Vernon, WA$106,520
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Paramedics salary in Roanoke: questions
How much do paramedics make an hour in Roanoke?
$27.91 an hour on average, and $28.37 at the median (BLS, May 2025).
What is the entry-level paramedics salary in Roanoke?
The lowest-paid 10% earn about $43,610 a year and the 25th percentile is $50,750, a fair guide to starting pay.
What is the paramedics take-home pay in Roanoke?
About $46,299 a year ($3,858 a month) for a single filer on the average salary of $58,050.
Do paramedics earn more in Roanoke than elsewhere?
The average here is 11% 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 Roanoke, VA (40220). Relative standard error of the mean wage: 1.2%.
- 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).
- Job concentration: location quotient 1.04, this job is about as common as in the U.S. overall.
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