Middletown vs Rochester: Emergency Medical Technician Salary (2026)
Compare emergency medical technician salaries between Middletown, NY and Rochester, NY. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Middletown, NY | Rochester, NY |
|---|---|---|
| Median Salary | $44,180 | $45,852▲ |
| Hourly Rate | $21.24 | $22.04▲ |
| Entry Level (P10) | $36,685 | $39,545▲ |
| 25th Percentile | $38,250 | $41,100▲ |
| 75th Percentile | $49,725▲ | $48,021 |
| Top Earner (P90) | $61,070▲ | $50,952 |
| Total Employed | 7 | 650▲ |
Verdict
Rochester, NY offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Middletown.
The salary gap between Middletown and Rochester is $1,672 (3.78%). Rochester's median is -2.56% compared to the US national median of $47,058.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Middletown spans $24,385,Rochester spans $11,407. Middletown has a wider pay range, meaning more potential for high earners but also more variation.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Rochester ($47,253 effective) pays 23.96% more than Middletown ($38,119 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Middletown if…
- ✓Better top-earner potential ($61,070)
- ✓You prefer the New York area and lifestyle
Choose Rochester if…
- ✓Higher median salary ($45,852/year)
- ✓Larger job market (650 employed)
- ✓Better purchasing power (CoL-adjusted: $47,253)
- ✓You prefer the New York area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Middletown grew -19.0% from 2024 to 2025, compared to 44.9% growth in Rochester over the same period.
Middletown, NY
$51,530 (2024) → $41,750 (2025)
Rochester, NY
$29,910 (2021) → $43,330 (2025)
View Full Salary Data
Middletown, NY
Rochester, NY
Frequently Asked Questions
Which city pays emergency medical technicians more: Middletown or Rochester?
What is the hourly rate difference between Middletown and Rochester?
Should I relocate from Middletown to Rochester as a emergency medical technician?
What do entry-level emergency medical technicians earn in Middletown vs Rochester?
Related Comparisons
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.
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