Paramedic Salary in San Antonio, TX
Paramedics in the San Antonio-New Braunfels, TX metro area earn a median $54,700 a year — 10% less than the national median. After 2026 taxes, that is $46,131 take-home, or $3,844 a month.
Take-home pay calculator
Pre-filled with the median paramedic salary in San Antonio, TX. Enter your own offer to see your paycheck.
- Federal income tax$4,384
- Social Security (6.2%)$3,391
- Medicare (1.45%)$793
- Texas income tax$0
- Take-home pay$46,131
Marginal rate: 12% federal + 0.00% state
Paramedic pay by experience in San Antonio, TX
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $45,110 | $21.69 | $38,426 | $3,202 |
| 25th percentile | $47,700 | $22.93 | $40,507 | $3,376 |
| Median (50th) | $54,700 | $26.30 | $46,131 | $3,844 |
| 75th percentile | $60,990 | $29.32 | $51,185 | $4,265 |
| 90th percentile (top earners) | $68,250 | $32.81 | $56,844 | $4,737 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, Texas resident, 2026 tax rules.
What $54,700 buys in San Antonio, TX
Prices in San Antonio, TX are 5.3% lower than the U.S. average (housing costs are 5% below the national average). Adjusted for local prices, a median paramedic's $46,131 take-home pay has the buying power of $48,705 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
Paramedic jobs are less concentrated in San Antonio, TX than nationally (location quotient 0.68), so openings may be scarcer.
Best-paying cities for paramedics, adjusted for cost of living
San Antonio, TX ranks #31 of 40 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Seattle, WA | $123,310 | $95,548 | $85,977 |
| 2 | Memphis, TN | $66,830 | $55,845 | $60,583 |
| 3 | Chicago, IL | $77,670 | $59,771 | $57,697 |
| 4 | Austin, TX | $67,290 | $56,169 | $57,276 |
| 5 | Minneapolis, MN | $77,430 | $59,560 | $56,820 |
| 6 | Salt Lake City, UT | $71,440 | $56,839 | $56,350 |
| 7 | Nashville, TN | $63,450 | $53,162 | $55,183 |
| 8 | New York, NY | $79,550 | $61,095 | $54,276 |
| 31 | San Antonio, TX | $54,700 | $46,131 | $48,705 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 40 metros →
Paramedic salaries elsewhere in Texas
- Austin, TX — $67,290
- Houston, TX — $60,130
- Dallas, TX — $60,300
Frequently asked questions
How much does a paramedic make in San Antonio, TX?
The median paramedic salary in the San Antonio-New Braunfels, TX metro area is $54,700 a year, or about $26.30 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $47,700 and $60,990.
What is a paramedic’s take-home pay in San Antonio, TX?
On the median $54,700 salary, a single filer living in Texas takes home about $46,131 a year ($3,844 a month) after federal tax, Social Security, Medicare in 2026.
Is San Antonio, TX a good place to work as a paramedic?
Pay here is 10% below the national median of $60,600. Local prices are 5.3% below the U.S. average, so the take-home pay buys what $48,705 would in a typical U.S. city. San Antonio, TX ranks #31 of 40 metro areas for cost-of-living-adjusted pay in this job.
Can a paramedic afford rent in San Antonio, TX?
HUD’s fair market rent for a one-bedroom in San Antonio, TX is $1,171 a month ($1,419 for two bedrooms) — 30% of a median paramedic’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.
Related jobs in San Antonio, TX
- Physicians, All Other — $239,200+
- Family Medicine Physician — $233,780
- Dentists, General — $162,140
- Pharmacist — $150,500
- Physician Assistant — $140,160
- Nurse Practitioner — $131,770
- Veterinarian — $128,550
- Optometrist — $111,780
- Occupational Therapist — $107,650
- Physical Therapist — $106,010
- Dental Hygienist — $98,480
- Registered Nurse — $94,370