Jobs · San Antonio, TX

Paramedic Jobs in San Antonio, TX: Pay and Who's Hiring

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.

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	TX	U.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.

Hiring difficulty and demand

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.

Who's hiring

Allen Ambulance Service, 2 campuses
Bexar County Hospital District, 2 campuses
Rocky Mountain Holdings, 2 campuses
1st Priority, 1 campuses
Absolute of Sa Ambulance Service, 1 campuses
Abundant Ambulance, 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

Austin, TX · 74 miles
Victoria, TX · 103 miles
Corpus Christi, TX · 144 miles
Laredo, TX · 144 miles

Related roles

One manager hiring: Hire a Paramedic in San Antonio.

Paramedics hiring pages

Upload your resume, see your match score, and let local employers find you

Questions

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.