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Hire · San Antonio, TX

Hire a Paramedic in San Antonio, TX

The fire department is hiring for the same certification you are. A paramedic who runs a truck as lead belongs at this metro's upper quarter. The nearest metro with its own page for this role is Austin, TX.

What to offer

An ambulance service that copies a national midpoint will lose paramedics to the fire department. Use this metro's median for someone new, and the 75th for someone who can run a truck as lead.

PercentileMetroTXU.S.
25th$47,700$47,740$49,660
Median$54,700$57,500$60,600
75th$60,990$63,510$73,470

Source: BLS Occupational Employment and Wage Statistics, May 2025.

How hard this is to fill

Hiring difficulty
5.6
Metro employment
490
National growth, 2025 to 2035
5.7%
National openings a year
4.3 thousand

This is the same score as the free check.

For one manager

Say the shift pattern, the call volume, and the protocols the crew works under. Ask how long the person has worked as the lead medic on a truck.

License and training

Every state licenses or certifies paramedics. Most use the National Registry paramedic exam as part of the path. Confirm your state EMS office's rules before you hire or start.

Sources: BLS Occupational Outlook Handbook, EMTs and paramedics

Nearby metros

Related roles

Job seekers: Paramedic jobs in San Antonio.

Paramedics hiring pages

Get the local report

Questions

What do paramedics earn in San Antonio, TX?

In San Antonio, the May 2025 median for paramedics is about $54.7K, 10% under the U.S. median. The middle half runs from $47.7K to $61.0K.

Who hires paramedics in San Antonio?

Ambulance services, fire departments, and hospitals hire paramedics in San Antonio. Organizations on file in the provider extract include Allen Ambulance Service, Bexar County Hospital District, Rocky Mountain Holdings.

How do I get licensed as a paramedic in Texas?

Start with the Texas EMS office. Most states use the National Registry exam as part of the path.

What should an ambulance service in San Antonio weigh when hiring?

Ask about lead experience and shift fit. San Antonio has about a third fewer of these workers than a typical metro. This metro is 5% under the Texas median.