Emergency Medical Technician Hourly Pay in Fredericksburg, TX: $17.41 (2026)
Quick Answer:Hourly pay for a emergency medical technician working in Fredericksburg, TX runs $17.41 at the median for 2026 — annualizing to $36,199 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-2042). Weighted against Fredericksburg's regional price level (BEA RPP 96.0, 4% below national), each hour of work buys what $18.13 nationally would. A 24-hour part-time schedule grosses $21,724 per year.
Based on BLS state-level estimates · View source

In Fredericksburg, TX, the projected median hourly pay for emergency medical technicians (EMTs) in 2026 is $17.41. This figure falls significantly below the national median of $22.62, highlighting a notable pay disparity in the region. For part-time EMTs working three days a week, which typically consists of about 24 hours, this hourly rate translates to a modest income. In Fredericksburg, the hourly range for EMTs varies from $14.52 for entry-level roles to as much as $23.48 for more experienced professionals. As such, EMTs deployed in diverse environments such as ambulance units, fire stations, hospital emergency departments, or specialized event medical teams must consider how these rates affect their take-home pay, particularly when weighing options in local healthcare markets.
About the Fredericksburg Market
Salary estimated from Texas average ($38,000) adjusted for local cost of living.
Emergency Medical Technician Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $14.52 | $116.15 |
| Lower Range (P25) | $15.42 | $123.34 |
| Median (P50) | $17.41 | $139.26 |
| Upper Range (P75) | $19.39 | $155.09 |
| Top Earners (P90) | $23.48 | $187.85 |
Estimated Annual Income by Work Schedule in Fredericksburg
Based on $17.41/hr median hourly rate · 2026 est.
At $17.41/hr, a emergency medical technician working full-time (40 hr/wk) in Fredericksburg, TX can expect to earn approximately $36,207 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $20,889. With a cost-of-living index of 96.00 (below the national average), these earnings stretch further in Fredericksburg.
Hourly Rate Calculator
Schedule Comparison in Fredericksburg
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $696.30 | $3,017 | $36,207 |
| Part-Time (24 hrs) | $417.78 | $1,810 | $21,724 |
| Per Diem (16 hrs) | $278.52 | $1,207 | $14,483 |
Compare EMT Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Emergency Medical Technician (Fredericksburg) | $17.41 |
| 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 Fredericksburg, TX earn a median of $36,199 per year (2026 est.), which is 23.08% lower than the national median of $47,058 and 5.90% below the Texas state average of $38,469.
Emergency Medical Technician Hourly Pay vs. Cost of Living
Working 24h/week at $17.41/hr = $21,724/year (purchasing power: $22,630).
Working 40h/week (full-time) = $36,207/year (purchasing power: $37,716).
CoL index: 96 (100 = national average). Your dollars stretch further here.
2021 BLS Actual
$13.12/hr
2025 BLS Actual
$16.45/hr
2026 Current Est.
$17.41/hr
2021–2027 Growth
+40.4%
Hourly Rate Trajectory for Emergency Medical Technicians in Fredericksburg (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.82% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2021 | $13.12/hr | Actual |
| 2022 | $13.57/hr | Actual |
| 2023 | $14.40/hr | Actual |
| 2024 | $16.51/hr | Actual |
| 2025 | $16.45/hr | Actual |
| 2026(current) | $17.41/hr | Estimated |
| 2027 | $18.42/hr | Projected |
Based on 5 years of BLS OEWS metropolitan area data, the median hourly rate for emergency medical technicians in Fredericksburg grew 25.4% from $13.12/hr (2021) to $16.45/hr (2025). At a 5.82% projected growth rate, hourly pay is expected to reach $18.42/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 Fredericksburg 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 Fredericksburg
The earning potential for emergency medical technicians in Fredericksburg can differ considerably based on various employment scenarios. A part-time EMT working just 24 hours a week can expect to take home around $19,000 annually, a stark contrast to full-time peers who enjoy higher financial benefits. Moreover, per diem emergency medical technician pay in Fredericksburg can range from $20 to $32 per hour, especially for private companies, while oil-field medics can command impressive rates of $40 to $70 hourly due to demand in remote locations. Factors such as employer type also play a significant role in determining pay levels. Municipal fire departments typically offer union-negotiated wages that are better than those of private ambulance services, which have lagged in wage increases. EMTs must weigh the trade-offs between higher hourly rates without benefits versus lower pay with health insurance when considering their options. For those seeking to negotiate pay effectively, understanding market rates in Fredericksburg and aligning with industry standards will enhance their bargaining power.
More salary data for Fredericksburg, TX:
Frequently Asked Questions
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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 Fredericksburg. 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 Fredericksburg 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