Based on the latest Bureau of Labor Statistics OEWS data — updated August 12, 2026.
| South Dakota | National | Difference | |
|---|---|---|---|
| Median annual salary | $48,830 | $61,458 | -21% |
| Median hourly wage | $23.48 | $29.55 | -21% |
Adjusted for local price levels (100 = national average), the cost-adjusted median is $55,113.
| City | Median | Entry Level | Experienced | Cost of Living |
|---|---|---|---|---|
| City-level data coming soon. | ||||
The median annual salary for a Paramedic in South Dakota is $48,830, or about $23.48 per hour, according to BLS OEWS data.
The national median for Paramedics is $61,458. South Dakota is -21% below the national median.
Entry-level paramedics in South Dakota typically earn from varies by experience depending on the city and employer.
With 280 paramedic jobs on record and a median salary of $48,830, South Dakota offers competitive pay compared to the rest of the country.