Emergency Medical Technician Hourly Pay in Urban Honolulu, HI: $34.12 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in Urban Honolulu, HI runs $34.12 at the median for 2026 — annualizing to $70,952 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against Urban Honolulu's regional price level (BEA RPP 111.0, 11% above national), each hour of work buys what $30.75 nationally would. A 24-hour part-time schedule grosses $42,577 per year.
Official BLS data · View source
In Urban Honolulu, the emergency medical technician hourly pay reaches a median of $34.12, significantly higher than the national average of $22.62. This solid hourly rate supports not only full-time professionals but also those working part-time or on a per-diem basis. For example, part-time EMTs working three days a week can effectively benefit from this lucrative hourly wage while handling diverse responsibilities in various environments, from ambulance units to event medical tents. Entry-level technicians can expect to earn around $26.41 per hour, while top earners in the field can command rates up to $43.05. This data, derived from 2025 BLS OEWS projections, illustrates the competitive nature of emergency medical technician positions in Urban Honolulu, particularly in comparison to national figures.
Emergency Medical Technician Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $26.41 | $211.30 |
| Lower Range (P25) | $30.77 | $246.18 |
| Median (P50) | $34.12 | $272.93 |
| Upper Range (P75) | $43.05 | $344.38 |
| Top Earners (P90) | $43.05 | $344.38 |
Estimated Annual Income by Work Schedule in Urban Honolulu
Based on $34.12/hr median hourly rate · 2026 est.
At $34.12/hr, a emergency medical technician working full-time (40 hr/wk) in Urban Honolulu, HI can expect to earn approximately $70,962 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $40,940. With a cost-of-living index of 110.96 (above the national average), these earnings may be offset by higher expenses in Urban Honolulu.
Hourly Rate Calculator
Schedule Comparison in Urban Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $1,364.65 | $5,914 | $70,962 |
| Part-Time (24 hrs) | $818.79 | $3,548 | $42,577 |
| Per Diem (16 hrs) | $545.86 | $2,365 | $28,385 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (Urban Honolulu) | $34.12 |
| 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 Urban Honolulu, HI earn a median of $70,952 per year (2026 est.), which is 50.78% higher than the national median of $47,058 and 26.40% above the Hawaii state average of $56,133.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $34.12/hr = $42,577/year (purchasing power: $38,371).
Working 40h/week (full-time) = $70,962/year (purchasing power: $63,952).
CoL index: 110.961 (100 = national average).
2021 BLS Actual
$28.19/hr
2025 BLS Actual
$32.24/hr
2026 Current Est.
$34.12/hr
2021–2027 Growth
+28.1%
Hourly Rate Trajectory for Emergency Medical Technicians in Urban Honolulu (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $28.19/hr | Actual |
| 2022 | $26.86/hr | Actual |
| 2023 | $30.78/hr | Actual |
| 2024 | $30.71/hr | Actual |
| 2025 | $32.24/hr | Actual |
| 2026(current) | $34.12/hr | Estimated |
| 2027 | $36.10/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in Urban Honolulu grew 14.4% from $28.19/hr (2021) to $32.24/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $36.10/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 Urban 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 Urban Honolulu
Understanding the implications of part-time and per-diem work is essential for those considering an emergency medical technician career in HI. A typical part-time schedule of 24 hours each week could yield around $42,261 annually, in contrast to a full-time commitment that may significantly increase earnings. Meanwhile, per-diem emergency medical technician pay in Urban Honolulu varies, with rates typically ranging from $20 to $32 per hour through private companies, while oil-field medics can see compensation soar to $40-$70 per hour based on the location's remoteness. Employment within municipal fire departments tends to offer more stability and benefits; this often attracts EMTs who would prefer the security of a lower hourly wage, even though private ambulance companies generally pay less due to union negotiation disparities. For those navigating employer options, understanding the compensation structure and negotiating effectively is crucial, especially as the growth rate for positions in Urban Honolulu is projected at 5.82% through 2026.
More salary data for Urban Honolulu, HI:
Frequently Asked Questions
What is the hourly rate for emergency medical technicians in Urban Honolulu in 2026?
How much do part-time emergency medical technicians make in Urban Honolulu?
Are emergency medical technicians in Urban Honolulu paid hourly or salary?
How much does a full-time emergency medical technician make per year in Urban Honolulu?
Do emergency medical technicians earn more per hour working part-time in Urban 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 Urban 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
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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