Paramedic Salaries in North Dakota — 2026 Overview
BLS 2026North Dakota pays paramedics a median wage of $59,950 per year — that's $28.82/hr based on the latest Bureau of Labor Statistics OEWS survey. The state's 180 paramedics make up a meaningful portion of the regional workforce.
Paramedic salaries in North Dakota are above the national average by approximately $1,545. North Dakota has a flat state income tax rate of 2.5%.
North Dakota's manufacturing base and stable economy provide steady employment for paramedics.
North Dakota Paramedic Take-Home Pay Calculator
InteractiveEnter your gross annual salary to estimate take-home pay in North Dakota after federal tax, Social Security and Medicare. North Dakota has a flat state income tax rate of 2.5%.
Estimate based on 2026 federal tax brackets, single filer, standard deduction. North Dakota has a flat state income tax rate of 2.5%. Does not account for local taxes or benefit deductions.
Am I Paid Fairly? — North Dakota Paramedic Check
InteractiveEnter your current salary to see how it compares to the North Dakota median of $59,950.
Paramedic Salary by Experience — North Dakota
Paramedic Salary Trend in North Dakota — 2021 to 2026
5-Year DataParamedic salaries in North Dakota 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 North Dakota's emergency medical services.
Paramedic Salary by City — North Dakota
BLS Metro Data| City / Metro Area | Annual Median | Hourly | vs State | Jobs |
|---|---|---|---|---|
| Fargo | $66,550 | $32.00 | +11.0% | 62 |
| Bismarck | $63,550 | $30.55 | +6.0% | 50 |
| Grand Forks | $61,750 | $29.69 | +3.0% | 50 |
| Minot | $57,550 | $27.67 | -4.0% | 50 |
| West Fargo | $54,550 | $26.23 | -9.0% | 50 |
| Williston | $52,150 | $25.07 | -13.0% | 50 |
Tip: Fargo offers the highest paramedic salaries in North Dakota at $66,550/yr — +11.0% above the state average.
North Dakota vs Nearby States — Purchasing Power
Cost of Living AdjustedGross salary figures don't tell the whole story. After adjusting for state income tax, North Dakota sits in the mid-range for paramedics.
Take-home estimates based on single filer, standard deduction, 2026 federal brackets. North Dakota has a flat state income tax rate of 2.5%.
Paramedic Job Outlook in North Dakota
BLS ProjectionsEmployment for paramedics in North Dakota is projected to grow over the next decade, driven by strong demand across the North Dakota job market. North Dakota's manufacturing base and stable economy provide steady employment for paramedics.
How to Earn More as a Paramedic in North Dakota
1. Pursue advanced certification or licensing. Moving from entry to senior level as a paramedic in North Dakota typically adds $49,100 to your annual salary. Additional certifications from the State EMS Licensing Board can accelerate this progression.
2. Target the highest-paying city. Fargo pays paramedics $66,550/yr — +11.0% above the North Dakota average. Simply relocating within North Dakota 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 North Dakota. Identifying growing niches within your field is one of the fastest paths to higher pay.
4. Consider neighbouring states. Minnesota pays paramedics $68,000/yr — 13.4% vs North Dakota.
Find Paramedic Jobs in North Dakota
Live ListingsSearch current paramedic job vacancies in North Dakota:
🔍 Paramedic jobs in North Dakota — Indeed→ 🔍 Paramedic jobs in North Dakota — ZipRecruiter→ 🔍 Paramedic jobs — Fargo, ND→