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Emergency Medical Technicians Salary: Bismarck, ND vs Seattle-Tacoma-Bellevue, WA

Emergency Medical Technicians earn a median of $53,940 in Bismarck, ND and $55,700 in Seattle-Tacoma-Bellevue, WA. That is a nominal gap of $1,760 (-3.2%), with Seattle-Tacoma-Bellevue, WA paying more before any cost-of-living adjustment.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics survey, May 2025 estimates. Cost-of-living adjustment uses BEA Regional Price Parities, most recent release.

$53,940
Bismarck, ND median
$59,259 after COL
$55,700
Seattle-Tacoma-Bellevue, WA median
$50,120 after COL
-3.2%
Nominal gap
Seattle-Tacoma-Bellevue, WA leads
+18.2%
Adjusted gap
Bismarck, ND leads after COL

The story behind the numbers

On raw wages, Seattle-Tacoma-Bellevue, WA pays $1,760 more per year than Bismarck, ND for emergency medical technicians, a gap of +3.2%.

After adjusting for cost of living, the picture flips. Bismarck, ND actually offers more purchasing power, effectively paying $9,139 more in national-price-level terms (a +18.2% real gap). The higher nominal wage in the other location is eaten up by higher local prices.

Full breakdown by location

Detailed wage, employment, and cost-of-living figures for emergency medical technicians in each location. Click through to the full local salary page for percentiles, outlook, and peer areas.

Emergency Medical Technicians

Bismarck, ND

Median salary
$53,940
Mean salary
$51,640
Employment
80
Location quotient
0.99
Jobs per 1,000
1.2
COL-adjusted median
$59,259
Regional Price Parity
91.0%

Exact metro RPP match.

Full Emergency Medical Technicians page for Bismarck, ND →

Emergency Medical Technicians

Seattle-Tacoma-Bellevue, WA

Median salary
$55,700
Mean salary
$56,090
Employment
1,290
Location quotient
0.53
Jobs per 1,000
0.6
COL-adjusted median
$50,120
Regional Price Parity
111.1%

Exact metro RPP match.

Full Emergency Medical Technicians page for Seattle-Tacoma-Bellevue, WA →

Related pages

Keep digging into emergency medical technicians from a different angle.

Common questions about this comparison

What does the cost-of-living adjustment actually do? +

It divides each location's nominal median wage by its Regional Price Parity (RPP), which measures how local prices compare to the national average (100 = national). A wage of $100,000 in an area with RPP 120 has the same purchasing power as roughly $83,000 nationally.

Why would the nominal and adjusted winners disagree? +

High-cost metros often pay higher salaries, but not by enough to fully offset the higher cost of housing, goods, and services. When that happens, the location with the lower nominal wage actually offers more real purchasing power.

What is a location quotient? +

The location quotient measures how concentrated an occupation is in a given area versus the national average. A value of 2.0 means the occupation is twice as common there as nationally. It is a signal of what a metro specializes in.