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Paramedic Salaries in New Hampshire — 2026 Overview

BLS 2026

New Hampshire pays paramedics a median wage of $60,540 per year — that's $29.11/hr based on the latest Bureau of Labor Statistics OEWS survey. The state's 400 paramedics make up a meaningful portion of the regional workforce.

Paramedic salaries in New Hampshire are above the national average by approximately $2,135. New Hampshire has no earned income tax.

New Hampshire's dense urban areas and high living costs translate into competitive paramedic salaries.

New Hampshire Paramedic Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in New Hampshire after federal tax, Social Security and Medicare. New Hampshire has no earned income tax.

Your annual gross salary ($)
Gross Annual
$60,540
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$50,615

Estimate based on 2026 federal tax brackets, single filer, standard deduction. New Hampshire has no earned income tax. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — New Hampshire Paramedic Check

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Enter your current salary to see how it compares to the New Hampshire median of $60,540.

Your annual salary ($)

Paramedic Salary by Experience — New Hampshire

Entry Level (0–2 years)$37,500/yr · $18.03/hr
Beginning career, developing core skills under supervision in New Hampshire.
Mid-Level (3–6 years)$53,880/yr · $25.90/hr
Established professional working independently in New Hampshire. Pursuing advanced certifications.
Experienced (7–12 years)$67,199/yr · $32.31/hr
Senior professional with specialised skills commanding above-average pay in New Hampshire.
Senior / Expert (12+ years)$87,200+/yr · $41.92/hr
Top earner. Leadership, management or highly specialised role in New Hampshire.
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Paramedic Salary Trend in New Hampshire — 2021 to 2026

5-Year Data

Paramedic salaries in New Hampshire 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 New Hampshire's emergency medical services.

2021
$53,154
2022
$56,241
+5.8%
2023
$58,844
+4.6%
2024
$59,813
+1.6%
2026
$60,540
+1.2%

Paramedic Salary by City — New Hampshire

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Manchester$67,200$32.31+11.0%140
Nashua$64,150$30.84+6.0%112
Concord$62,350$29.98+3.0%72
Derry$58,100$27.93-4.0%50
Dover$55,100$26.49-9.0%50
Rochester$52,650$25.31-13.0%50

Tip: Manchester offers the highest paramedic salaries in New Hampshire at $67,200/yr — +11.0% above the state average.

New Hampshire vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, New Hampshire compares favourably for paramedics.

New Hampshire — No state income tax$60,540 gross~$50,615 take-home
Vermont — 8.75%$53,010 gross-12.4% vs NH
Massachusetts — 5.0%$64,010 gross+5.7% vs NH
Maine — 7.15%$59,800 gross-1.2% vs NH

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. New Hampshire has no earned income tax.

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Paramedic Job Outlook in New Hampshire

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

Employment for paramedics in New Hampshire is projected to grow over the next decade, driven by strong demand across the New Hampshire job market. New Hampshire's dense urban areas and high living costs translate into competitive paramedic salaries.

How to Earn More as a Paramedic in New Hampshire

1. Pursue advanced certification or licensing. Moving from entry to senior level as a paramedic in New Hampshire typically adds $49,700 to your annual salary. Additional certifications from the State EMS Licensing Board can accelerate this progression.

2. Target the highest-paying city. Manchester pays paramedics $67,200/yr — +11.0% above the New Hampshire average. Simply relocating within New Hampshire 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 New Hampshire. Identifying growing niches within your field is one of the fastest paths to higher pay.

4. Consider neighbouring states. Vermont pays paramedics $53,010/yr — -12.4% vs New Hampshire.

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Frequently Asked Questions

What does a paramedic earn in New Hampshire on average?
The average paramedic salary in New Hampshire is $60,540 per year, or $29.11 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $37,500 while experienced professionals earn $87,200 or more.
Which New Hampshire city has the highest paramedic salary?
Manchester pays paramedics the most in New Hampshire at an average of $67,200 per year — +11.0% above the state average.
How does New Hampshire stack up nationally for paramedic pay?
New Hampshire paramedic salaries are above the calculated national average by approximately $2,135. New Hampshire has no earned income tax.
What's the after-tax salary for paramedics in New Hampshire?
A paramedic earning the New Hampshire average of $60,540 takes home approximately $50,615 per year after federal income tax, Social Security and Medicare. New Hampshire has no earned income tax.
Should you become a paramedic in New Hampshire?
Yes. Paramedic is a strong career choice in New Hampshire with steady demand projected over the next decade. New Hampshire's dense urban areas and high living costs translate into competitive paramedic salaries.
How do you become a licensed paramedic in New Hampshire?
In New Hampshire, 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.