Emergency Medical Technician Hourly Pay in Middletown, NY: $21.24 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in Middletown, NY runs $21.24 at the median for 2026 — annualizing to $44,180 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against Middletown's regional price level (BEA RPP 115.9, 16% above national), each hour of work buys what $18.32 nationally would. A 24-hour part-time schedule grosses $26,505 per year.
Based on BLS state-level estimates · View source

In Middletown, NY, the projected hourly wage for emergency medical technicians is $21.24, reflecting a slight deviation from the national median of $22.62. This median is particularly relevant for both part-time EMTs working three days a week and those in per-diem positions, who typically encounter varied working environments like ambulance patient compartments, fire engine medical bays, and venues requiring medical support during events. The hourly pay range in Middletown extends from $17.64 at the entry-level to as high as $29.37 for experienced technicians in high-demand situations. These hourly figures are derived from annual salary projections, offering a practical insight for those considering a career in emergency medical services in this region.
About the Middletown Market
Salary estimated from New York average ($46,000) adjusted for local cost of living.
Emergency Medical Technician Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $17.64 | $141.12 |
| Lower Range (P25) | $18.39 | $147.13 |
| Median (P50) | $21.24 | $169.90 |
| Upper Range (P75) | $23.90 | $191.24 |
| Top Earners (P90) | $29.37 | $234.92 |
Estimated Annual Income by Work Schedule in Middletown
Based on $21.24/hr median hourly rate · 2026 est.
At $21.24/hr, a emergency medical technician working full-time (40 hr/wk) in Middletown, NY can expect to earn approximately $44,175 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $25,486. With a cost-of-living index of 115.90 (above the national average), these earnings may be offset by higher expenses in Middletown.
Hourly Rate Calculator
Schedule Comparison in Middletown
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $849.52 | $3,681 | $44,175 |
| Part-Time (24 hrs) | $509.71 | $2,209 | $26,505 |
| Per Diem (16 hrs) | $339.81 | $1,473 | $17,670 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (Middletown) | $21.24 |
| 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 Middletown, NY earn a median of $44,180 per year (2026 est.), which is 6.12% lower than the national median of $47,058 and 3.30% below the New York state average of $45,688.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $21.24/hr = $26,505/year (purchasing power: $22,869).
Working 40h/week (full-time) = $44,175/year (purchasing power: $38,115).
CoL index: 115.9 (100 = national average).
2021 BLS Actual
$16.01/hr
2025 BLS Actual
$20.07/hr
2026 Current Est.
$21.24/hr
2021–2027 Growth
+40.4%
Hourly Rate Trajectory for Emergency Medical Technicians in Middletown (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $16.01/hr | Actual |
| 2022 | $16.55/hr | Actual |
| 2023 | $17.57/hr | Actual |
| 2024 | $24.77/hr | Actual |
| 2025 | $20.07/hr | Actual |
| 2026(current) | $21.24/hr | Estimated |
| 2027 | $22.47/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in Middletown grew 25.4% from $16.01/hr (2021) to $20.07/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $22.47/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 Middletown 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 Middletown
For a part-time emergency medical technician working 24 hours over three days weekly, the annual take-home earnings would amount to around $26,595, significantly lower compared to full-time counterparts. Meanwhile, per diem emergency medical technicians in Middletown might earn between $20 and $32 per hour with private companies, while those in oil-field positions can command pay rates ranging from $40 to $70 hourly depending on their deployment context. Variations in hourly pay also occur based on the type of employer; for instance, municipal fire departments, which often provide benefits, may offer lower wages compared to private ambulance services where rates tend to lag behind inflation. EMTs need to consider the trade-offs between higher wages and benefits such as health insurance when negotiating pay. Effective negotiation tactics include understanding local market rates and being ready to advocate for skills that align with NREMT standards.
More salary data for Middletown, NY:
Frequently Asked Questions
What is the hourly rate for emergency medical technicians in Middletown in 2026?
How much do part-time emergency medical technicians make in Middletown?
Are emergency medical technicians in Middletown paid hourly or salary?
How much does a full-time emergency medical technician make per year in Middletown?
Do emergency medical technicians earn more per hour working part-time in Middletown?
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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 Middletown. 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 Middletown 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