Paramedics pay range in Winston-Salem
New workers and the lowest-paid 10% earn about $41,030 a year or less, while the top 10% make $62,610 or more. The middle half of paramedics in Winston-Salem earn between $48,720 and $61,280.
- $41K10th
- $49K25th
- $58KMedian
- $61K75th
- $63K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $55,680 | $4,640 | $26.77 |
| Median | $58,110 | $4,842 | $27.94 |
| Entry level (25th percentile) | $48,720 | $4,060 | $23.42 |
| Experienced (75th percentile) | $61,280 | $5,107 | $29.46 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Paramedics pay in Winston-Salem vs. North Carolina and the U.S.
Paramedics in Winston-Salem earn about the same as the North Carolina average ($57,320) and 12% less than the U.S. average ($63,360). At the median the gap is -4% against the U.S. median of $60,600.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Winston-Salem | $55,680 | $58,110 | $41,030 | $62,610 | 420 |
| North Carolina | $57,320 | $57,320 | $44,730 | $75,170 | 5,660 |
| United States | $63,360 | $60,600 | $44,230 | $84,850 | 100,610 |
State and U.S. rows: BLS statewide and national estimates, May 2025, which include rural areas.
Paramedics salary after taxes in Winston-Salem
On the average salary of $55,680, a single filer in Winston-Salem takes home about $45,206 a year, or $3,767 a month and $1,739 every two weeks. Taxes take 19% of gross pay.
Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).
Is Winston-Salem a good place for paramedics? Pay vs. cost of living
Prices in the Winston-Salem area are 8% below the U.S. average (BEA price parity 92.0), so the average $55,680 buys what about $60,493 would buy in a typical U.S. metro. This job pays 1.3 times the median wage of all jobs in Winston-Salem ($46,380). A typical home costs $283,871, or 5.1 years of this average salary before tax.
Paramedics salary in other North Carolina cities
Winston-Salem ranks 8th of 11 North Carolina metro areas for this job; Fayetteville pays the most ($66,630).
- Fayetteville$66,630
- Raleigh$64,390
- Durham$64,290
- Charlotte$63,240
- Asheville$61,910
- Wilmington$60,210
- Greensboro$56,750
- Winston-Salem$55,680
- Greenville$54,060
- Rocky Mount$52,470
Highest-paying cities for paramedics
Bellingham, WA pays this job the most of the metro areas we cover ($119,190).
- Bellingham, WA$119,190
- Seattle, WA$117,660
- Bremerton, WA$110,800
- Olympia, WA$109,680
- Mount Vernon, WA$106,520
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Paramedics salary in Winston-Salem: questions
How much do paramedics make an hour in Winston-Salem?
$26.77 an hour on average, and $27.94 at the median (BLS, May 2025).
What is the entry-level paramedics salary in Winston-Salem?
The lowest-paid 10% earn about $41,030 a year and the 25th percentile is $48,720, a fair guide to starting pay.
What is the paramedics take-home pay in Winston-Salem?
About $45,206 a year ($3,767 a month) for a single filer on the average salary of $55,680.
Do paramedics earn more in Winston-Salem than elsewhere?
The average here is 12% less than the U.S. average for this job ($63,360).
Sources and how to read this page
- Wages: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates for metropolitan areas. SOC code 29-2043; area Winston-Salem, NC (49180). Relative standard error of the mean wage: 0.3%.
- U.S. and statewide figures: BLS OEWS national and state estimates, May 2025, every employer including rural areas.
- Cost of living: Bureau of Economic Analysis regional price parities (RPP), 2024; 100 = U.S. average.
- Home value: Zillow Home Value Index. Typical-wage figure: OEWS all occupations, same metro.
- Take-home pay: Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and state income tax (2026 rules).
- Job concentration: location quotient 2.39, this job is 2.4 times as concentrated as in the U.S. overall.
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