EMT Salary

Birmingham vs Gadsden: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Birmingham, AL and Gadsden, AL. All figures are 2026 estimates projected from BLS 2025 data.

Birmingham, AL
$41,185
$19.80/hr
Gadsden, AL
$38,832
$18.67/hr

Side-by-Side Comparison

MetricBirmingham, ALGadsden, AL
Median Salary$41,185$38,832
Hourly Rate$19.80$18.67
Entry Level (P10)$32,540$32,305
25th Percentile$34,095$34,528
75th Percentile$51,312$43,749
Top Earner (P90)$60,656$53,749
Total Employed4207
Side-by-side bar chart comparing Birmingham ($41,185) and Gadsden ($38,832) emergency medical technician salaries.BirminghamGadsdenMedian Salary$41,185$38,832Entry Level (P10)$32,540$32,305Top Earner (P90)$60,656$53,749US Median $47,058

Verdict

Birmingham, AL offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Gadsden.

The salary gap between Birmingham and Gadsden is $2,353 (6.06%). Birmingham's median is -12.48% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Birmingham spans $28,116,Gadsden spans $21,444. Birmingham has a wider pay range, meaning more potential for high earners but also more variation.

Birmingham
P10 (Entry)$32,540
P25$34,095
Median$41,185
P75$51,312
P90 (Top)$60,656
Gadsden
P10 (Entry)$32,305
P25$34,528
Median$38,832
P75$43,749
P90 (Top)$53,749

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Birmingham ($44,940 effective) pays 1.73% more than Gadsden ($44,177 effective).

Birmingham
Nominal: $41,185
CoL Index: 91.644
Adjusted: $44,940
Gadsden
Nominal: $38,832
CoL Index: 87.9
Adjusted: $44,177

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Birmingham if…

  • Higher median salary ($41,185/year)
  • Better top-earner potential ($60,656)
  • Larger job market (420 employed)
  • Better purchasing power (CoL-adjusted: $44,940)
  • You prefer the Alabama area and lifestyle

Choose Gadsden if…

  • You prefer the Alabama area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Birmingham grew 33.0% from 2021 to 2025, compared to 34.8% growth in Gadsden over the same period.

Birmingham, AL

+33.0%

$29,260 (2021) → $38,920 (2025)

Gadsden, AL

+34.8%

$27,213 (2024) → $36,696 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Birmingham or Gadsden?

Birmingham has a higher median emergency medical technician salary at $41,185/year, compared to Gadsden at $38,832/year — a difference of $2,353 (6.06%).

What is the hourly rate difference between Birmingham and Gadsden?

Birmingham emergency medical technicians earn $19.80/hr while Gadsden hygienists earn $18.67/hr (2026 est.).

Should I relocate from Birmingham to Gadsden as a emergency medical technician?

Consider more than just salary when comparing Birmingham and Gadsden. Factor in cost of living (CoL-adjusted: Birmingham = $44,940, Gadsden = $44,177), job availability (420 vs 7 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Birmingham vs Gadsden?

Entry-level (10th percentile) emergency medical technicians earn $32,540 in Birmingham and $32,305 in Gadsden. The Birmingham area offers higher starting salaries.
AP

Written by Aisha Patel, EMT-P

Career Analyst

Aisha has 10 years of experience as an emergency medical technician. She specializes in pre-hospital care and triage. Aisha works primarily in urban emergency services.

Clinically reviewed by Carlos Mendoza, EMT-BData verified by Fatima Ali, EMT-I

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.82% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, EMT-P, a licensed emergency medical technician with 10+ years of clinical experience. · View source data at BLS.gov