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Advanced Care Paramedic vs Primary Care Paramedic

In 2025, the median salary for Advanced Care Paramedic was $11,193 (10.0%) higher than for Primary Care Paramedic: $123,169 against $111,975. Advanced Care Paramedic had 1,178 people on the list, Primary Care Paramedic 2,832.

At a glance

Advanced Care ParamedicPrimary Care Paramedic
People on the 2025 list1,1782,832
Median salary$123,169$111,975
Middle half$113,938–$134,072$105,805–$120,955
Highest salary$306,242$255,096
Total salaries$149,913,633$328,580,909
People, change+15.2% vs 2024+24.9% vs 2024
Median, change+4.9% vs 2024+3.0% vs 2024

Median salary by year

Show as a table
YearAdvanced Care ParamedicPrimary Care Paramedic
2003$102,437
2007$104,729
2008$105,332$103,689
2009$103,950$104,324
2010$105,593$101,964
2011$103,731$102,665
2012$103,066$103,602
2013$104,974$103,778
2014$104,861$104,175
2015$104,487$104,565
2016$104,289$104,227
2017$105,882$104,426
2018$106,862$104,941
2019$107,502$105,153
2020$110,898$107,413
2021$110,101$107,308
2022$114,607$109,122
2023$115,887$108,687
2024$117,380$108,688
2025$123,169$111,975

People on the list by year

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YearAdvanced Care ParamedicPrimary Care Paramedic
20035
20078
20083313
20094311
2010448
2011637
201210117
201326824
2014422126
2015395133
2016443174
2017536285
2018650360
2019773517
20208591,064
20217901,019
20228541,460
20239631,934
20241,0232,267
20251,1782,832

Highest paid in 2025

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Questions and answers

Which pays more, Advanced Care Paramedic or Primary Care Paramedic?

By median salary in 2025, Advanced Care Paramedic: $123,169 against $111,975.

Which has more people on the list?

Primary Care Paramedic: 2,832 against 1,178 in 2025.

How has the gap changed since 2008?

In 2008 the median for Advanced Care Paramedic was $105,332 and for Primary Care Paramedic $103,689, a gap of $1,644; in 2025 the gap was $11,193.

What do these figures cover?

Only people paid $100,000 or more are on the list, so medians and counts describe them, not everyone with each title.

What does “salary paid” include?

What the employer paid in the calendar year, so it can include overtime, retroactive pay, vacation payouts, severance or a partial year. Taxable benefits are listed separately. How the lists work