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Paramedic Salaries in Montana — 2026 Overview

BLS 2026

How much does a paramedic make in Montana? The Bureau of Labor Statistics reports a median salary of $49,360/yr ($23.73/hr), with around 400 people working in this field statewide.

Paramedic salaries in Montana are below the national average by approximately $9,045. Montana has a state income tax rate of up to 6.75%.

Montana's mix of natural resources, tourism, and tech keeps paramedic demand steady.

Montana Paramedic Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in Montana after federal tax, Social Security and Medicare. Montana has a state income tax rate of up to 6.75%.

Your annual gross salary ($)
Gross Annual
$49,360
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$39,400

Estimate based on 2026 federal tax brackets, single filer, standard deduction. Montana has a state income tax rate of up to 6.75%. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — Montana Paramedic Check

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Enter your current salary to see how it compares to the Montana median of $49,360.

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Paramedic Salary by Experience — Montana

Entry Level (0–2 years)$30,600/yr · $14.71/hr
Beginning career, developing core skills under supervision in Montana.
Mid-Level (3–6 years)$43,930/yr · $21.12/hr
Established professional working independently in Montana. Pursuing advanced certifications.
Experienced (7–12 years)$54,789/yr · $26.34/hr
Senior professional with specialised skills commanding above-average pay in Montana.
Senior / Expert (12+ years)$71,100+/yr · $34.18/hr
Top earner. Leadership, management or highly specialised role in Montana.
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Paramedic Salary Trend in Montana — 2021 to 2026

5-Year Data

Paramedic salaries in Montana have grown an estimated 13.9% over the past five years, reflecting broader workforce and economic conditions. The growth reflects broader workforce and economic conditions in Montana's emergency medical services.

2021
$43,338
2022
$45,855
+5.8%
2023
$47,977
+4.6%
2024
$48,767
+1.6%
2026
$49,360
+1.2%

Paramedic Salary by City — Montana

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Billings$54,800$26.35+11.0%140
Missoula$52,300$25.14+6.0%112
Great Falls$50,850$24.45+3.0%72
Bozeman$47,400$22.79-4.0%50
Butte$44,900$21.59-9.0%50
Helena$42,950$20.65-13.0%50

Tip: Billings offers the highest paramedic salaries in Montana at $54,800/yr — +11.0% above the state average.

Montana vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, Montana sits in the mid-range for paramedics.

Montana — 6.75% state income tax$49,360 gross~$39,400 take-home
Idaho — 5.8%$62,640 gross+26.9% vs MT
Wyoming — no state tax$61,600 gross+24.8% vs MT
North Dakota — 2.5%$59,950 gross+21.5% vs MT

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. Montana has a state income tax rate of up to 6.75%.

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Paramedic Job Outlook in Montana

BLS Projections
+10%Job growth 2026–33
400Currently employed
100+New jobs projected

Employment for paramedics in Montana is projected to grow over the next decade, driven by strong demand across the Montana job market. Montana's mix of natural resources, tourism, and tech keeps paramedic demand steady.

How to Earn More as a Paramedic in Montana

1. Pursue advanced certification or licensing. Moving from entry to senior level as a paramedic in Montana typically adds $40,500 to your annual salary. Additional certifications from the State EMS Licensing Board can accelerate this progression.

2. Target the highest-paying city. Billings pays paramedics $54,800/yr — +11.0% above the Montana average. Simply relocating within Montana 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 Montana. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. Idaho pays paramedics $62,640/yr — 26.9% vs Montana.

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Frequently Asked Questions

How much do paramedics earn in Montana?
The average paramedic salary in Montana is $49,360 per year, or $23.73 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $30,600 while experienced professionals earn $71,100 or more.
Where do paramedics earn the most in Montana?
Billings pays paramedics the most in Montana at an average of $54,800 per year — +11.0% above the state average.
Is paramedic pay in Montana above or below the US average?
Montana paramedic salaries are below the calculated national average by approximately $9,045. Montana has a state income tax rate of up to 6.75%.
What's the after-tax salary for paramedics in Montana?
A paramedic earning the Montana average of $49,360 takes home approximately $39,400 per year after federal income tax, Social Security and Medicare. Montana has a state income tax rate of up to 6.75%.
Is paramedic a good career in Montana?
Yes. Paramedic is a strong career choice in Montana with steady demand projected over the next decade. Montana's mix of natural resources, tourism, and tech keeps paramedic demand steady.
How do you get a paramedic licence in Montana?
In Montana, paramedics are licensed through the State EMS Licensing Board. Requirements vary by specialisation level — contact the State EMS Licensing Board for current examination and experience requirements.
DATA SOURCE All salary data from Bureau of Labor Statistics OEWS May 2024 survey. Employment projections from BLS Occupational Outlook Handbook. Full methodology →

Important disclaimer: Salary and wage data on WageByState is provided for informational purposes only. Figures are sourced from the Bureau of Labor Statistics OEWS programme and represent median values across large populations — your individual earnings will vary. Take-home pay calculations are estimates and do not constitute tax advice. WageByState accepts no liability for decisions made based on information on this site. Not affiliated with the Bureau of Labor Statistics or any government agency.