Paramedics pay range in Sioux Falls
New workers and the lowest-paid 10% earn about $42,030 a year or less, while the top 10% make $59,290 or more. The middle half of paramedics in Sioux Falls earn between $49,860 and $58,380.
- $42K10th
- $50K25th
- $51KMedian
- $58K75th
- $59K90th
median average · bar = middle 50% of workers · how to read it
| Pay level | Per year | Per month | Per hour* |
|---|---|---|---|
| Average | $51,410 | $4,284 | $24.72 |
| Median | $50,550 | $4,212 | $24.30 |
| Entry level (25th percentile) | $49,860 | $4,155 | $23.97 |
| Experienced (75th percentile) | $58,380 | $4,865 | $28.07 |
*Hourly figures assume 2,080 paid hours a year. Hourly to annual salary.
Paramedics pay in Sioux Falls vs. South Dakota and the U.S.
Paramedics in Sioux Falls earn 6% more than the South Dakota average ($48,290) and 19% less than the U.S. average ($63,360). At the median the gap is -17% against the U.S. median of $60,600.
| Area | Average | Median | 10th pct. | 90th pct. | Jobs |
|---|---|---|---|---|---|
| Sioux Falls | $51,410 | $50,550 | $42,030 | $59,290 | 80 |
| South Dakota | $48,290 | $48,830 | $30,950 | $58,380 | 280 |
| 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 Sioux Falls
On the average salary of $51,410, a single filer in Sioux Falls takes home about $43,488 a year, or $3,624 a month and $1,673 every two weeks. Taxes take 15% of gross pay.
The Sioux Falls, SD-MN metro area crosses state lines, so take-home pay depends on the state where you work:
| State | Per year | Per month |
|---|---|---|
| Working in SD | $43,488 | $3,624 |
| Working in MN | $41,515 | $3,460 |
Single filer, standard deduction: federal income tax (2026 brackets), Social Security, Medicare and no state income tax.
Is Sioux Falls a good place for paramedics? Pay vs. cost of living
Prices in the Sioux Falls area are 9% below the U.S. average (BEA price parity 90.6), so the average $51,410 buys what about $56,725 would buy in a typical U.S. metro. This job pays 1.1 times the median wage of all jobs in Sioux Falls ($47,970). A typical home costs $342,936, or 6.7 years of this average salary before tax.
Paramedics salary in other South Dakota cities
Sioux Falls ranks 1st of 2 South Dakota metro areas for this job, the best-paid in the state.
- Sioux Falls$51,410
- Rapid City$47,650
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 Sioux Falls: questions
How much do paramedics make an hour in Sioux Falls?
$24.71 an hour on average, and $24.31 at the median (BLS, May 2025).
What is the entry-level paramedics salary in Sioux Falls?
The lowest-paid 10% earn about $42,030 a year and the 25th percentile is $49,860, a fair guide to starting pay.
What is the paramedics take-home pay in Sioux Falls?
About $43,488 a year ($3,624 a month) for a single filer on the average salary of $51,410. South Dakota has no state income tax.
Do paramedics earn more in Sioux Falls than elsewhere?
The average here is 19% 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 Sioux Falls, SD-MN (43620). Relative standard error of the mean wage: 3.9%.
- 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 no state income tax.
- Job concentration: location quotient 0.71, this job is less common than in the U.S. overall (location quotient 0.71).
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