Emergency Medical Technician Hourly Pay in Honolulu, HI: $28.72 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in Honolulu, HI runs $28.72 at the median for 2026 — annualizing to $59,738 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $24.07 nationally would. A 24-hour part-time schedule grosses $35,842 per year.
Based on BLS state-level estimates · View source
In Honolulu, HI, the average hourly compensation for an emergency medical technician (EMT) is projected to hit $28.72 in 2026, significantly surpassing the national hourly median of $22.62. For EMTs working part-time—such as those on a typical three-day workweek—this translates to a potential earning of around $1,725 monthly if covering 24 hours. The hourly rate range for EMTs in Honolulu varies widely, with entry-level positions starting at approximately $20.58 and experienced professionals earning as much as $40.98. This data illustrates the financial viability of per-diem emergency medical technician pay in Honolulu since many opt for flexible shifts in environments like ambulance patient compartments, hospital emergency departments, and event venues. Individuals considering per-diem roles can expect varied hourly compensation depending on the specific employer and setting.
About the 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) | $20.58 | $164.66 |
| Lower Range (P25) | $23.40 | $187.17 |
| Median (P50) | $28.72 | $229.76 |
| Upper Range (P75) | $33.11 | $264.89 |
| Top Earners (P90) | $40.98 | $327.87 |
Estimated Annual Income by Work Schedule in Honolulu
Based on $28.72/hr median hourly rate · 2026 est.
At $28.72/hr, a emergency medical technician working full-time (40 hr/wk) in Honolulu, HI can expect to earn approximately $59,737 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $34,463. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Honolulu.
Hourly Rate Calculator
Schedule Comparison in Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,148.78 | $4,978 | $59,737 |
| Part-Time (24 hrs) | $689.27 | $2,987 | $35,842 |
| Per Diem (16 hrs) | $459.51 | $1,991 | $23,895 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (Honolulu) | $28.72 |
| 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 Honolulu, HI earn a median of $59,738 per year (2026 est.), which is 26.95% higher than the national median of $47,058 and 6.40% above the Hawaii state average of $56,144.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $28.72/hr = $35,842/year (purchasing power: $30,044).
Working 40h/week (full-time) = $59,737/year (purchasing power: $50,073).
CoL index: 119.3 (100 = national average).
2021 BLS Actual
$21.65/hr
2025 BLS Actual
$27.14/hr
2026 Current Est.
$28.72/hr
2021–2027 Growth
+40.4%
Hourly Rate Trajectory for Emergency Medical Technicians in Honolulu (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $21.65/hr | Actual |
| 2022 | $22.39/hr | Actual |
| 2023 | $23.76/hr | Actual |
| 2024 | $29.29/hr | Actual |
| 2025 | $27.14/hr | Actual |
| 2026(current) | $28.72/hr | Estimated |
| 2027 | $30.39/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in Honolulu grew 25.4% from $21.65/hr (2021) to $27.14/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $30.39/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 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 Honolulu
Part-time emergency medical technicians in Honolulu enjoy a unique earning landscape; those working 24 hours each week can factor in significant financial benefits compared to full-time positions. In contrast, per-diem emergency medical technicians often receive varied hourly rates depending on their work context. For example, while event EMTs may bill between $20 and $32 per hour at private companies, oil-field medics can earn even higher rates, roughly $40-$70 per hour based on their remote work arrangements. Differences in employer types can lead to wide disparities in pay, with private ambulance services usually offering less than municipal fire departments due to union contracts. As a result, many EMTs opt for slightly lower hourly wages for the benefits offered by more structured employment, such as health insurance. Negotiating hourly rates in this market can hinge on local demand and the specific scope of practice as regulated by NREMT guidelines while factoring in the competitive landscape of various forms of EMT employment in Honolulu.
More salary data for Honolulu, HI:
Frequently Asked Questions
What is the hourly rate for emergency medical technicians in Honolulu in 2026?
How much do part-time emergency medical technicians make in Honolulu?
Are emergency medical technicians in Honolulu paid hourly or salary?
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Do emergency medical technicians earn more per hour working part-time in Honolulu?
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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 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 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