Emergency Medical Technician Salary in Fredericksburg, TX: $36,199 (2026)
Quick Answer:A full-time emergency medical technician in Fredericksburg, TX earns a median $36,199/year (≈ $17.41/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2042). Once you factor in Fredericksburg's price level (4% below national, BEA RPP 96.0), that paycheck buys what $37,707 would nationally. Nominal pay sits 5.9% below the Texas state average.
Based on BLS state-level estimates · View source
In Fredericksburg, TX, the projected median annual salary for an emergency medical technician in 2026 is $36,199, significantly lower than the national median of $47,058. Local salaries range from $30,208 at the 10th percentile to as much as $48,838 at the 90th percentile. These figures are based on state-level data and regional cost adjustments, reflecting the local job market dynamics. While the compensation may not match larger urban centers, there are opportunities within specific sectors, particularly in industrial and oil-field settings, where medics can often command higher rates due to demand, thereby enhancing overall salary potential for EMTs in the area.
About the Fredericksburg Market
Salary estimated from Texas average ($38,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $30,208 | $14.52 |
| Lower Range (P25) | $32,066 | $15.42 |
| Median (P50)(typical) | $36,199 | $17.41 |
| Upper Range (P75) | $40,323 | $19.39 |
| Top Earners (P90) | $48,838 | $23.48 |
Median Salary Position
23.08% below the national average
2026 Salary Percentile Distribution in Fredericksburg
In Fredericksburg, TX, the emergency medical technician salary spread from the 10th to 90th percentile is $18,630 (2026 est.). At $36,199, the local median is 23.08% below the national median of $47,058.
Salary Calculator
At 40 hours/week in Fredericksburg: You'd be in the lower-middle range
How Fredericksburg Emergency Medical Technician Pay Compares
Fredericksburg median: $36,199/year (2026)
| Compared To | Median Salary | Fredericksburg Pays |
|---|---|---|
| Texas Average | $38,469 | -5.90% less |
| National Average | $47,058 | -23.08% less |
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.
Cost-of-Living Adjusted Salary
Fredericksburg has a cost of living 4.00% below the national average, meaning your salary goes further here.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Fredericksburg, TX has a cost-of-living index of 96 (below the national average of 100). A emergency medical technician earning $36,199 nominally has purchasing power equivalent to $37,707 in an average-cost city — an effective 4.17% boost.
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2021 BLS Actual
$27,285
2025 BLS Actual
$34,208
2026 Current Est.
$36,199
2021–2027 Growth
+40.4%
Salary 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 | Annual Salary | Status |
|---|---|---|
| 2021 | $27,285 | Actual |
| 2022 | $28,216 | Actual |
| 2023 | $29,946 | Actual |
| 2024 | $34,345 | Actual |
| 2025 | $34,208 | Actual |
| 2026(current) | $36,199 | Estimated |
| 2027 | $38,306 | Projected |
Based on 5 years of BLS OEWS data for the Fredericksburg metropolitan area, the median emergency medical technician salary grew 25.4% from $27,285 (2021) to $34,208 (2025). At a 5.82% compound annual growth rate, salaries are projected to reach $38,306 by 2027 — a total increase of $11,021 (40.39%) from 2021.
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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $30,208 – $32,066 |
| 3-5 years (Mid Career) | $32,066 – $36,199 |
| 5+ years (Experienced) | $36,199 – $40,323 |
| 10+ years (Top Earner) | $40,323 – $48,838 |
EMT salary ranges estimated from BLS percentile data. Individual emergency medical technician compensation varies by employer, certifications, and specialization.
Emergency Medical Technician Job Market in Fredericksburg
With only five emergency medical technicians currently employed in Fredericksburg, the job market is relatively small, which may impact competitiveness among employers. The area's cost of living index stands at 96, indicating that local housing and expenses are below the national average, which can enhance the take-home pay for EMTs. Among the local employers, municipal fire departments typically offer the highest salaries, benefitting from union contracts compared to private ambulance companies. Factors such as shift differentials, overtime opportunities, and career advancement through the EMT-to-paramedic bridge play significant roles in salary variations. For those looking to maximize their earning potential in Fredericksburg, pursuing employment in fire departments, seeking additional certifications, or exploring shift work in industrial settings could prove beneficial.
More salary data for Fredericksburg, TX:
Frequently Asked Questions
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Can emergency medical technicians make $100K in Fredericksburg?
What is the cost-of-living adjusted emergency medical technician salary in Fredericksburg?
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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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $34,208 for emergency medical techniciansin the Fredericksburg metropolitan area. A 5.82% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
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