EMT Salary

San Francisco vs Santa Rosa: Emergency Medical Technician Salary (2026)

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

San Francisco, CA
$54,476
$26.19/hr
Santa Rosa, CA
$48,413
$23.28/hr

Side-by-Side Comparison

MetricSan Francisco, CASanta Rosa, CA
Median Salary$54,476$48,413
Hourly Rate$26.19$23.28
Entry Level (P10)$48,804$43,206
25th Percentile$49,079$48,413
75th Percentile$75,989$74,846
Top Earner (P90)$92,794$82,603
Total Employed3,580350
Side-by-side bar chart comparing San Francisco ($54,476) and Santa Rosa ($48,413) emergency medical technician salaries.San FranciscoSanta RosaMedian Salary$54,476$48,413Entry Level (P10)$48,804$43,206Top Earner (P90)$92,794$82,603US Median $47,058

Verdict

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

The salary gap between San Francisco and Santa Rosa is $6,063 (12.52%). 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 San Francisco spans $43,990,Santa Rosa spans $39,397. San Francisco has a wider pay range, meaning more potential for high earners but also more variation.

San Francisco
P10 (Entry)$48,804
P25$49,079
Median$54,476
P75$75,989
P90 (Top)$92,794
Santa Rosa
P10 (Entry)$43,206
P25$48,413
Median$48,413
P75$74,846
P90 (Top)$82,603

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, San Francisco ($47,119 effective) pays 4.90% more than Santa Rosa ($44,917 effective).

San Francisco
Nominal: $54,476
CoL Index: 115.613
Adjusted: $47,119
Santa Rosa
Nominal: $48,413
CoL Index: 107.784
Adjusted: $44,917

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

Which City Is Right for You?

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

Choose Santa Rosa if…

  • You prefer the California area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in San Francisco grew 20.2% from 2021 to 2025, compared to 28.8% growth in Santa Rosa over the same period.

San Francisco, CA

+20.2%

$42,840 (2021) → $51,480 (2025)

Santa Rosa, CA

+28.8%

$35,520 (2021) → $45,750 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: San Francisco or Santa Rosa?

San Francisco has a higher median emergency medical technician salary at $54,476/year, compared to Santa Rosa at $48,413/year — a difference of $6,063 (12.52%).

What is the hourly rate difference between San Francisco and Santa Rosa?

San Francisco emergency medical technicians earn $26.19/hr while Santa Rosa hygienists earn $23.28/hr (2026 est.).

Should I relocate from San Francisco to Santa Rosa as a emergency medical technician?

Consider more than just salary when comparing San Francisco and Santa Rosa. Factor in cost of living (CoL-adjusted: San Francisco = $47,119, Santa Rosa = $44,917), job availability (3,580 vs 350 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in San Francisco vs Santa Rosa?

Entry-level (10th percentile) emergency medical technicians earn $48,804 in San Francisco and $43,206 in Santa Rosa. 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