San Bernardino County paramedic and EMT salary, 2025

123 people worked as paramedics and EMTs for San Bernardino County in 2025. Those who worked the full year earned an average of $113,714, overtime included.

What is the average paramedic and EMT salary at San Bernardino County?

Official pay range, paramedics¹

$44,699 to $53,102

from the lowest entry salary to the top of the highest title for paramedics, the largest group

Average total pay, full-year paramedics and EMTs¹

$113,714

average base pay $42,138

Based on the 59 of 123 paramedics and EMTs who worked the full year.

Most of San Bernardino County's paramedics and EMTs (65 of 123) hold the title Ambulance Op-Paramed 24 Hrshift, with an official range of $44,699 to $53,102. Those who worked the full year earned an average of $129,781, $76,679 above the top of the range.

Median total pay: $110,571; the middle paramedic and EMT: half earned more, half less
Overtime: $70,007; average per full-year paramedic and EMT
Starting salary: $39,562; bottom of the Ambulance Oprtr-Emt 24 Hrshift range
Average pay rank: 4th; of 30 California employers

What does each paramedic and EMT title at San Bernardino County pay?

Each bar is the official range for one title, lowest first. The dot marks the average total pay of full-year staff in that title, where at least 5 people stand behind it.¹

Paramedics

Ambulance Op-Paramed 24 Hrshift$44,699 to $53,102 · 65 people
$129,781

EMTs

Ambulance Oprtr-Emt 24 Hrshift$39,562 to $44,803 · 58 people
$99,203

official range average total pay, full year. "Fewer than 5" means too few full-year people in that title to show.

Firefighter-paramedic pay at San Bernardino County

Counted on their own, kept out of the paramedic and EMT figures on this page. Firefighter-paramedics are firefighters whose title names paramedic duties. Range: the middle reported bottom and top of each group's official ranges. Pay: average total pay of full-year staff, overtime included.¹

Staff	People	Official range	Average total pay
Paramedics and EMTs	123	$44,699 to $53,102	$113,714
Firefighter-paramedics	161	$60,590 to $108,597	$177,732

Full-year firefighter-paramedics averaged $177,732, $64,018 more than paramedics and EMTs.

Does San Bernardino County pay paramedics and EMTs more than other employers in San Bernardino County?

Average total pay of full-year paramedics and EMTs: San Bernardino County next to every employer in the county together, and the whole state.¹

San Bernardino County$113,714
All employers in San Bernardino County$112,118
All employers in California$92,008

Full-year paramedics and EMTs at San Bernardino County earned $1,596 more than the San Bernardino County average and $21,706 more than the California average.

Where does San Bernardino County rank among California employers?

Every employer with at least 5 full-year paramedics and EMTs, by average total pay.¹

All 30 California employers

San Bernardino County ranks 4th of 30, above the middle employer.

San Bernardino County

$60k$80k$100k$120k

Middle employer: $87,424

Each bar counts the employers whose average total pay falls in a $5,000 band. The dashed line marks the middle employer.

Pension and health cover at San Bernardino County

As reported by the county. Contributions are what the employer paid per full-year paramedic and EMT, on top of wages.¹

Pension formula: 2.5% at 67; the most common formula among San Bernardino County's paramedics and EMTs
Employer pension contribution: $10,741; average per year
Health, dental and vision: $4,157; average paid by the employer per year

Questions about paramedic and EMT pay at San Bernardino County

What is the average paramedic and EMT salary at San Bernardino County?

Paramedics and EMTs at San Bernardino County who worked the full year earned an average of $113,714 in 2025, overtime included. The middle paramedic and EMT earned $110,571: half earned more, half less. The official pay range across its paramedic and EMT titles runs from $44,699 to $53,102.

How much overtime do paramedics and EMTs at San Bernardino County earn?

Full-year paramedics and EMTs were paid an average of $70,007 in overtime in 2025. The middle one was paid $66,341: a few people with a lot of overtime pull the average up.

What is the starting salary for a paramedic and EMT at San Bernardino County?

$39,562 a year: the bottom of the official range for San Bernardino County's Ambulance Oprtr-Emt 24 Hrshift title in 2025, as reported. Pay rises with steps and overtime; full-year paramedics and EMTs averaged $113,714 in total pay.

How much does a firefighter-paramedic make at San Bernardino County?

Full-year firefighter-paramedics at San Bernardino County averaged $177,732 in total pay in 2025, overtime included, on an official range of $60,590 to $108,597.

What pension do paramedics and EMTs at San Bernardino County get?

The most common pension formula among San Bernardino County's paramedics and EMTs is 2.5% at 67, as reported by the county. The employer paid an average of $10,741 a year into the pension plan.

More salaries in San Bernardino County

Sources for the San Bernardino County figures

Every person who held a paramedic and EMT position at San Bernardino County at any point in 2025 counts toward the headcount. Pay figures use only people who worked roughly the full year: those whose regular pay reached at least 90% of the bottom of their official range. Total pay is gross wages before tax, including overtime, lump sums and other pay. Averages lead; the median total pay is the middle person's, with half above and half below, and is less pulled by a few people with very high pay. Every figure covers at least 5 people.

State Controller's Office, Government Compensation in California, 2025: positions, official pay ranges, wages, pension formula and employer contributions as reported by San Bernardino County.

How we read the data