Kentucky paramedic and EMT salaries by employer, 2025
186 people worked as paramedics and EMTs for Louisville Metro in 2025. Those who worked the full year earned an average of $111,116, overtime included. So far this page covers only Louisville Metro; more Kentucky employers follow as we collect their pay data.
What is the average paramedic and EMT salary in Kentucky?
- Paramedics and EMTs
- 186
- 75 of them worked the full year
- Employers
- 1
- with 5 or more paramedics and EMTs
- Median total pay
- $106,383
- the middle paramedic and EMT: half earned more, half less
- Overtime
- $40,443
- average per full-year paramedic and EMT
What stands out in Kentucky paramedic and EMT pay
Paramedics average $140,186, EMTs $90,635.
Full-year paramedics and EMTs at Louisville Metro EMS, overtime included. 63 people held a paramedic title and 123 an EMT title during the year; 31 paramedics and 44 EMTs worked the full year.1
Overtime makes up 36% of their pay.
Full-year paramedics and EMTs had an average base pay of $69,045 and $40,443 in overtime. The middle one was paid $34,899 in overtime.1
Do paramedics make more than EMTs in Kentucky?
The 1 Kentucky employers covered so far, 2025. Pay: full-year staff, overtime included.1
| Staff | Positions | Full year | Average total pay |
|---|---|---|---|
| EMTs | 123 | 44 | $90,635 |
| Paramedics | 63 | 31 | $140,186 |
| All paramedics and EMTs | 186 | 75 | $111,116 |
Which Kentucky jobs count as paramedics and EMTs here, and which don't?
These figures cover Louisville Metro Emergency Medical Services, from Louisville Metro Government's payroll. We decided each title by hand.
Counted
- EMTs and paramedics. EMT, EMT II, Paramedic I and Paramedic II.
Shown separately or left out
- EMT recruits, managers and medical directors.
- Firefighters. Louisville Fire's firefighters are on the firefighter pages.
- Other Kentucky ambulance services. More follow as we find payroll files that list job titles.
Questions about paramedic and EMT pay in Kentucky
How much do paramedics and EMTs make in Kentucky?
Full-year paramedics and EMTs at Louisville Metro EMS, the Kentucky ambulance service covered so far, earned an average of $111,116 in 2025, overtime included. Paramedics averaged $140,186, EMTs $90,635.
Sources for the Kentucky paramedic and EMT figures
Every person who held a paramedic and EMT position at any point in 2025 counts toward the headcount. Pay figures use only people who were already on Louisville Metro's payroll in 2024 and whose base pay in 2025 reached at least 90% of their own annual rate. The file has no hours or hire dates, so this is the closest sign of a full year. Total pay is gross wages before tax, including overtime, lump sums and other pay. Every figure covers at least 5 people.
- Louisville Metro Government, Louisville Metro KY Employee Salary Data (Louisville Open Data): title, department, annual rate, base pay, overtime, incentive and other pay of every Louisville Metro employee in 2025, and in 2024 to see who was already employed.