Roanoke vs Winchester: Emergency Medical Technician Salary (2026)
Compare emergency medical technician salaries between Roanoke, VA and Winchester, VA. All figures are 2026 estimates projected from BLS 2025 data.
Side-by-Side Comparison
| Metric | Roanoke, VA | Winchester, VA |
|---|---|---|
| Median Salary | $44,116 | $44,557▲ |
| Hourly Rate | $21.21 | $21.42▲ |
| Entry Level (P10) | $37,746▲ | $35,498 |
| 25th Percentile | $42,974▲ | $38,494 |
| 75th Percentile | $49,471▲ | $49,125 |
| Top Earner (P90) | $55,492 | $59,744▲ |
| Total Employed | 170▲ | 4 |
Verdict
Winchester, VA offers better overall compensation for emergency medical technicians, winning 3 out of 4 metrics compared to Roanoke.
The salary gap between Roanoke and Winchester is $441 (1.00%). Winchester's median is -5.31% compared to the US national median of $47,058.
Salary Range Comparison
The full salary range (10th to 90th percentile) in Roanoke spans $17,746,Winchester spans $24,246. Winchester has a wider pay range, suggesting more variation in pay between entry-level and experienced emergency medical technicians.
Cost-of-Living Adjusted Comparison
After cost-of-living adjustment, Roanoke ($47,123 effective) pays 9.14% more than Winchester ($43,175 effective).
Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.
Which City Is Right for You?
Choose Roanoke if…
- ✓Larger job market (170 employed)
- ✓Better purchasing power (CoL-adjusted: $47,123)
- ✓You prefer the Virginia area and lifestyle
Choose Winchester if…
- ✓Higher median salary ($44,557/year)
- ✓Better top-earner potential ($59,744)
- ✓You prefer the Virginia area and lifestyle
Historical Salary Growth Comparison
Based on BLS OEWS metropolitan area data, emergency medical technician salaries in Roanoke grew 43.9% from 2021 to 2025, compared to 13.3% growth in Winchester over the same period.
Roanoke, VA
$28,980 (2021) → $41,690 (2025)
Winchester, VA
$37,152 (2024) → $42,106 (2025)
View Full Salary Data
Roanoke, VA
Winchester, VA
Frequently Asked Questions
Which city pays emergency medical technicians more: Roanoke or Winchester?
What is the hourly rate difference between Roanoke and Winchester?
Should I relocate from Roanoke to Winchester as a emergency medical technician?
What do entry-level emergency medical technicians earn in Roanoke vs Winchester?
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