Paramedic in Hawaii: Salary, License Requirements, and How to Start
Public safety
Hawaii employs 140 paramedics, with a statewide median of $81,280 and wide variation by city and experience. Here is the real wage data, the exact Hawaii licensing picture, and where to train.
What Paramedics Earn in Hawaii (May 2025)
- Hawaii median pay
- $81,280 (May 2025)
- Starting range (10th percentile)
- $66,250
- Experienced (75th percentile)
- $81,280
- Top earners (90th percentile)
- $81,440
- Employed in Hawaii
- 140
- U.S. median (for comparison)
- $58,410 (May 2024)
What That Pay Is Worth in Hawaii
Prices in Hawaii run about 10% above the national average (cost-of-living index 110.0 vs a U.S. baseline of 100, 2024), so the $81,280 median is worth closer to $73,891 once higher local prices are factored in.
Hawaii License and Certification Requirements
Paramedic (MICT) certification — regulated by the Hawaii Dept. of Health — EMS & Injury Prevention System Branch.
- First earn your EMT certification.
- Complete a CAAHEP-accredited paramedic (Mobile Intensive Care Technician) program.
- Pass the NREMT-Paramedic exam and obtain Hawaii paramedic/MICT certification through the Dept. of Health.
Official requirements: Hawaii Dept. of Health — EMS & Injury Prevention System Branch →
Training in Hawaii
Paramedic is the pay/scope step up from EMT. Ambulance services, hospitals, and fire departments hire steadily.
Real training providers and registered apprenticeships in Hawaii include:
- Kapiolani Community College — Certificate / Associate
Where Paramedics Work in Hawaii
Real Hawaii EMS agencies that employ paramedics include:
- Emergency Medical Services Unit - Aiea — Aiea
- Emergency Medical Services Unit - Rapid Response District 1 — Ewa Beach
- American Medical Response Station Medic 2 - Makawao — Haiku
- Emergency Medical Services Unit - Waialua — Haleiwa
- American Medical Response Station Medic 6 - Hana — Hana
- Emergency Medical Services Unit - Airport District 1 and 2 — Honolulu
Is This the Right Move for You?
Best for: Calm, service-oriented people who can handle urgent, unpredictable work.
Think twice if: You need routine hours, low stress, or low physical demand.
Why it's resilient: Emergency response depends on physical presence, judgment under pressure, patient care, and local systems.
First Steps
Start with EMT training, then compare paramedic programs and local EMS employers.
Frequently Asked Questions
How much do paramedics make in Hawaii?
The median wage for paramedics in Hawaii is $81,280 per year (May 2025, BLS). Entry-level pay (10th percentile) starts around $66,250, and top earners (90th percentile) make about $81,440. Pay varies by metro and years of experience.
What license or certification do you need to become a Paramedic in Hawaii?
Paramedic (MICT) certification, overseen by the Hawaii Dept. of Health — EMS & Injury Prevention System Branch. First earn your EMT certification.
Is being a Paramedic a good career in Hawaii?
Emergency response depends on physical presence, judgment under pressure, patient care, and local systems.
Where can I train to become a Paramedic in Hawaii?
Real Hawaii options include Kapiolani Community College. Most paramedics start with an accredited program, then earn the credential the state or employer requires.
Sources and Verification
Wage data: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025), Hawaii statewide and metro estimates for SOC 29-2043. Licensing summary compiled from the Hawaii Dept. of Health — EMS & Injury Prevention System Branch (2026-06-11). Requirements change — always confirm current rules with the board and verify program costs and outcomes before enrolling.
BLS Occupational Outlook · O*NET Hawaii wages · Hawaii licensing/certification source
Cost of living: BEA Regional Price Parities; Employer lists from CMS Provider of Services, the FAA Part 145 directory, EIA Form 860, and USGS/state EMS registries (2026).
Pay percentiles describe current workers, not entry-level offers; training costs and local demand vary, so verify locally before committing money or quitting a job.