Paramedic Jobs in Lexington-Fayette, KY: Pay and Who's Hiring

In Lexington-Fayette, the May 2025 median for paramedics is about $63.2K, 4% over the U.S. median. The middle half runs from $49.5K to $64.9K.

Pay

The median is the middle of paramedics already employed, not a starting wage. The 25th is the lower quarter of that group. The 75th is what the upper quarter already earns.

Percentile	Metro	KY	U.S.
25th	$49,480	$44,530	$49,660
Median	$63,210	$49,890	$60,600
75th	$64,890	$61,530	$73,470

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

Hiring difficulty and demand

Hiring difficulty

1.8

Metro employment

200

National growth, 2025 to 2035

5.7%

National openings a year

4.3 thousand

This is the same score as the free check.

Who's hiring

Baptist Healthcare System, 1 campuses
City of Winchester Office of Treasurer, 1 campuses
Georgetown-scott County Ambulance Service, 1 campuses
Harbor Behavioral Health, 1 campuses
Jessamine County Fiscal Court, 1 campuses
Lexington Fayette Urban County Government, 1 campuses

Campuses on file in the provider extract, not live job ads.

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

The work

You check the truck and its drugs, answer calls, treat the patient, and transport them to the right hospital. Then you write the report and restock before the next call comes in.

Shifts can be 12 or 24 hours long, depending on the service and the county. The work is physical, and some calls stay with you long after the shift ends.

Nearby metros

Louisville, KY · 65 miles
Cincinnati, OH · 76 miles
Huntington, WV · 113 miles
Dayton, OH · 121 miles

Related roles

One manager hiring: Hire a Paramedic in Lexington-Fayette.

Paramedics hiring pages

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Questions

Who hires paramedics in Lexington-Fayette?

Ambulance services, fire departments, and hospitals hire paramedics in Lexington-Fayette. Organizations on file in the provider extract include Baptist Healthcare System, City of Winchester Office of Treasurer, Georgetown-scott County Ambulance Service.

How do I get licensed as a paramedic in Kentucky?

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

What should an ambulance service in Lexington-Fayette weigh when hiring?

Ask about lead experience and shift fit. Lexington-Fayette has a deeper bench of these workers than a typical metro. This metro is 27% over the Kentucky median.