EMT Salary

Houston vs San Antonio: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between Houston, TX and San Antonio, TX. All figures are 2026 estimates projected from BLS 2025 data.

Houston, TX
$41,153
$19.79/hr
San Antonio, TX
$39,323
$18.90/hr

Side-by-Side Comparison

MetricHouston, TXSan Antonio, TX
Median Salary$41,153$39,323
Hourly Rate$19.79$18.90
Entry Level (P10)$34,508$33,481
25th Percentile$38,878$37,746
75th Percentile$48,952$46,106
Top Earner (P90)$56,815$51,217
Total Employed2,6801,100
Side-by-side bar chart comparing Houston ($41,153) and San Antonio ($39,323) emergency medical technician salaries.HoustonSan AntonioMedian Salary$41,153$39,323Entry Level (P10)$34,508$33,481Top Earner (P90)$56,815$51,217US Median $47,058

Verdict

Houston, TX offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to San Antonio.

The salary gap between Houston and San Antonio is $1,830 (4.65%). Houston's median is -12.55% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Houston spans $22,307,San Antonio spans $17,736. Houston has a wider pay range, meaning more potential for high earners but also more variation.

Houston
P10 (Entry)$34,508
P25$38,878
Median$41,153
P75$48,952
P90 (Top)$56,815
San Antonio
P10 (Entry)$33,481
P25$37,746
Median$39,323
P75$46,106
P90 (Top)$51,217

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Houston ($41,725 effective) pays 0.50% more than San Antonio ($41,517 effective).

Houston
Nominal: $41,153
CoL Index: 98.629
Adjusted: $41,725
San Antonio
Nominal: $39,323
CoL Index: 94.716
Adjusted: $41,517

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

Which City Is Right for You?

Choose Houston if…

  • Higher median salary ($41,153/year)
  • Better top-earner potential ($56,815)
  • Larger job market (2,680 employed)
  • Better purchasing power (CoL-adjusted: $41,725)
  • You prefer the Texas area and lifestyle

Choose San Antonio if…

  • You prefer the Texas area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Houston grew 7.0% from 2021 to 2025, compared to 10.0% growth in San Antonio over the same period.

Houston, TX

+7.0%

$36,360 (2021) → $38,890 (2025)

San Antonio, TX

+10.0%

$33,770 (2021) → $37,160 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: Houston or San Antonio?

Houston has a higher median emergency medical technician salary at $41,153/year, compared to San Antonio at $39,323/year — a difference of $1,830 (4.65%).

What is the hourly rate difference between Houston and San Antonio?

Houston emergency medical technicians earn $19.79/hr while San Antonio hygienists earn $18.90/hr (2026 est.).

Should I relocate from Houston to San Antonio as a emergency medical technician?

Consider more than just salary when comparing Houston and San Antonio. Factor in cost of living (CoL-adjusted: Houston = $41,725, San Antonio = $41,517), job availability (2,680 vs 1,100 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in Houston vs San Antonio?

Entry-level (10th percentile) emergency medical technicians earn $34,508 in Houston and $33,481 in San Antonio. The Houston 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