Emergency Medical Technician Hourly Pay in East Honolulu, HI: $26.46 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in East Honolulu, HI runs $26.46 at the median for 2026 — annualizing to $55,034 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against East Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $22.18 nationally would. A 24-hour part-time schedule grosses $33,016 per year.
Based on BLS state-level estimates · View source
In East Honolulu, the projected median hourly pay for emergency medical technicians stands at $26.46, a figure significantly above the national average of $22.62. This competitive hourly rate allows for a healthy earning potential even for those working part-time, such as a 3-day-a-week schedule, and can be particularly fruitful for per diem roles. EMTs in various environments—including ambulance services, fire engine medical bays, hospital emergency departments, and event medical tents—can expect entry-level hourly wages starting at $20.30 and can earn up to $37.30 at the higher end of the pay scale. The localized demand for skilled EMTs, paired with the cost of living in the region, contributes to the favorable conditions shaping their hourly compensation in HI.
About the East Honolulu Market
Salary estimated from Hawaii average ($48,000) adjusted for local cost of living.
Emergency Medical Technician Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $20.30 | $162.37 |
| Lower Range (P25) | $22.34 | $178.71 |
| Median (P50) | $26.46 | $211.64 |
| Upper Range (P75) | $28.66 | $229.25 |
| Top Earners (P90) | $37.30 | $298.41 |
Estimated Annual Income by Work Schedule in East Honolulu
Based on $26.46/hr median hourly rate · 2026 est.
At $26.46/hr, a emergency medical technician working full-time (40 hr/wk) in East Honolulu, HI can expect to earn approximately $55,026 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $31,746. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in East Honolulu.
Hourly Rate Calculator
Schedule Comparison in East Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,058.20 | $4,586 | $55,026 |
| Part-Time (24 hrs) | $634.92 | $2,751 | $33,016 |
| Per Diem (16 hrs) | $423.28 | $1,834 | $22,011 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (East Honolulu) | $26.46 |
| Paramedic (National Avg) | $27.18 |
| Nursing Assistant (National Avg) | $18.62 |
| Firefighter (National Avg) | $26.89 |
| Medical Assistant (National Avg) | $20.25 |
Emergency Medical Technicians in East Honolulu, HI earn a median of $55,034 per year (2026 est.), which is 16.95% higher than the national median of $47,058 and 2.00% below the Hawaii state average of $56,157.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $26.46/hr = $33,016/year (purchasing power: $27,675).
Working 40h/week (full-time) = $55,026/year (purchasing power: $46,124).
CoL index: 119.3 (100 = national average).
2021 BLS Actual
$19.94/hr
2025 BLS Actual
$25.00/hr
2026 Current Est.
$26.46/hr
2021–2027 Growth
+40.4%
Hourly Rate Trajectory for Emergency Medical Technicians in East Honolulu (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $19.94/hr | Actual |
| 2022 | $20.62/hr | Actual |
| 2023 | $21.89/hr | Actual |
| 2024 | $26.99/hr | Actual |
| 2025 | $25.00/hr | Actual |
| 2026(current) | $26.46/hr | Estimated |
| 2027 | $27.99/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in East Honolulu grew 25.4% from $19.94/hr (2021) to $25.00/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $27.99/hr by 2027. Part-time and per-diem emergency medical technicians can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the East Honolulu metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.82% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Emergency Medical Technician in East Honolulu
Looking deeper into the earning potential for those working fewer hours, a part-time emergency medical technician with a typical schedule of 24 hours per week can expect an annual take-home of approximately $32,000. In terms of per-diem or agency work, hourly rates can fluctuate widely; while local private companies may offer pay ranging from $20 to $32 per hour, specialized roles, such as oil-field medics, can command rates of $40 to $70 per hour depending on the work's remoteness. The pay varies across different employer types, highlighting the disparity between private ambulance services and municipal fire departments, where cross-trained firefighter-EMTs often enjoy significantly higher hourly wages due to union contracts. As such, emergency medical technicians in East Honolulu should be well-informed about their negotiating power when considering their options, weighing hourly compensation against potential benefits, and bonuses unique to full-time employment.
More salary data for East Honolulu, HI:
Frequently Asked Questions
What is the hourly rate for emergency medical technicians in East Honolulu in 2026?
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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
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.82% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for emergency medical technicians in East Honolulu. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for East Honolulu is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.82%, derived from historical BLS wage trends for emergency medical technicians (SOC 29-2042).
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