EMT Salary

Costa Mesa vs San Francisco: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Costa Mesa, CA and San Francisco, CA. All figures are 2026 estimates projected from BLS 2025 data.

Costa Mesa, CA
$48,602
$23.37/hr
San Francisco, CA
$54,476
$26.19/hr

Side-by-Side Comparison

MetricCosta Mesa, CASan Francisco, CA
Median Salary$48,602$54,476
Hourly Rate$23.37$26.19
Entry Level (P10)$36,866$48,804
25th Percentile$40,942$49,079
75th Percentile$56,000$75,989
Top Earner (P90)$70,487$92,794
Total Employed233,580
Side-by-side bar chart comparing Costa Mesa ($48,602) and San Francisco ($54,476) emergency medical technician salaries.Costa MesaSan FranciscoMedian Salary$48,602$54,476Entry Level (P10)$36,866$48,804Top Earner (P90)$70,487$92,794US Median $47,058

Verdict

San Francisco, CA offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Costa Mesa.

The salary gap between Costa Mesa and San Francisco is $5,874 (12.09%). San Francisco's median is +15.76% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Costa Mesa spans $33,621,San Francisco spans $43,990. San Francisco has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.

Costa Mesa
P10 (Entry)$36,866
P25$40,942
Median$48,602
P75$56,000
P90 (Top)$70,487
San Francisco
P10 (Entry)$48,804
P25$49,079
Median$54,476
P75$75,989
P90 (Top)$92,794

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($47,119 effective) pays 9.65% more than Costa Mesa ($42,973 effective).

Costa Mesa
Nominal: $48,602
CoL Index: 113.1
Adjusted: $42,973
San Francisco
Nominal: $54,476
CoL Index: 115.613
Adjusted: $47,119

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

Which City Is Right for You?

Choose Costa Mesa if…

  • You prefer the California area and lifestyle

Choose San Francisco if…

  • Higher median salary ($54,476/year)
  • Better top-earner potential ($92,794)
  • Larger job market (3,580 employed)
  • Better purchasing power (CoL-adjusted: $47,119)
  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Costa Mesa grew -27.8% from 2024 to 2025, compared to 20.2% growth in San Francisco over the same period.

Costa Mesa, CA

+-27.8%

$63,639 (2024) → $45,929 (2025)

San Francisco, CA

+20.2%

$42,840 (2021) → $51,480 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Costa Mesa or San Francisco?

San Francisco has a higher median emergency medical technician salary at $54,476/year, compared to Costa Mesa at $48,602/year — a difference of $5,874 (12.09%).

What is the hourly rate difference between Costa Mesa and San Francisco?

Costa Mesa emergency medical technicians earn $23.37/hr while San Francisco hygienists earn $26.19/hr (2026 est.).

Should I relocate from Costa Mesa to San Francisco as a emergency medical technician?

Consider more than just salary when comparing Costa Mesa and San Francisco. Factor in cost of living (CoL-adjusted: Costa Mesa = $42,973, San Francisco = $47,119), job availability (23 vs 3,580 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Costa Mesa vs San Francisco?

Entry-level (10th percentile) emergency medical technicians earn $36,866 in Costa Mesa and $48,804 in San Francisco. The San Francisco area offers higher starting salaries.

Related Comparisons

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