Paramedic Salaries in Hawaii — 2026 Overview
BLS 2026Paramedics in Hawaii earn an average of $55,000 per year ($26.44/hr) according to the latest BLS data. The state currently employs around 1,000 paramedics.
Paramedic salaries in Hawaii are below the national average by approximately $3,405. Hawaii has a state income tax rate of up to 11%.
Hawaii's strong economy and high demand for skilled workers drive competitive wages for paramedics.
Hawaii Paramedic Take-Home Pay Calculator
InteractiveEnter your gross annual salary to estimate take-home pay in Hawaii after federal tax, Social Security and Medicare. Hawaii has a state income tax rate of up to 11%.
Estimate based on 2026 federal tax brackets, single filer, standard deduction. Hawaii has a state income tax rate of up to 11%. Does not account for local taxes or benefit deductions.
Am I Paid Fairly? — Hawaii Paramedic Check
InteractiveEnter your current salary to see how it compares to the Hawaii median of $55,000.
Paramedic Salary by Experience — Hawaii
Paramedic Salary Trend in Hawaii — 2021 to 2026
5-Year Dataparamedics pay in Hawaii has risen approximately 13.9% since 2021, mirroring national trends across the paramedic workforce. The growth reflects broader workforce and economic conditions in Hawaii's emergency medical services.
Paramedic Salary by City — Hawaii
BLS Metro Data| City / Metro Area | Annual Median | Hourly | vs State | Jobs |
|---|---|---|---|---|
| Honolulu | $61,050 | $29.35 | +11.0% | 350 |
| Hilo | $58,300 | $28.03 | +6.0% | 280 |
| Kailua | $56,650 | $27.24 | +3.0% | 180 |
| Pearl City | $52,800 | $25.38 | -4.0% | 90 |
| Waipahu | $50,050 | $24.06 | -9.0% | 60 |
| Kaneohe | $47,850 | $23.00 | -13.0% | 50 |
Tip: Honolulu offers the highest paramedic salaries in Hawaii at $61,050/yr — +11.0% above the state average.
Hawaii vs Nearby States — Purchasing Power
Cost of Living AdjustedGross salary figures don't tell the whole story. After adjusting for state income tax, Hawaii sits in the mid-range for paramedics.
Take-home estimates based on single filer, standard deduction, 2026 federal brackets. Hawaii has a state income tax rate of up to 11%.
Paramedic Job Outlook in Hawaii
BLS ProjectionsEmployment for paramedics in Hawaii is projected to grow over the next decade, driven by strong demand across the Hawaii job market. Hawaii's strong economy and high demand for skilled workers drive competitive wages for paramedics.
How to Earn More as a Paramedic in Hawaii
1. Pursue advanced certification or licensing. Moving from entry to senior level as a paramedic in Hawaii typically adds $45,100 to your annual salary. Additional certifications from the State EMS Licensing Board can accelerate this progression.
2. Target the highest-paying city. Honolulu pays paramedics $61,050/yr — +11.0% above the Hawaii average. Simply relocating within Hawaii can meaningfully increase your income without changing careers.
3. Specialise in high-demand areas. Paramedics who specialise in emergency medical services typically command premium rates in Hawaii. Identifying growing niches within your field is one of the fastest paths to higher pay.
Find Paramedic Jobs in Hawaii
Live ListingsSearch current paramedic job vacancies in Hawaii:
🔍 Paramedic jobs in Hawaii — Indeed→ 🔍 Paramedic jobs in Hawaii — ZipRecruiter→ 🔍 Paramedic jobs — Honolulu, HI→Frequently Asked Questions
Paramedic Salary in Nearby States
No neighbouring state data available.