What does a Paramedic salary really buy you in North Dakota?
North Dakota is 11.3% cheaper than the US averageData: BLS OEWS 2024 + BEA Regional Price Parities 2022 • Updated 2026-03-31
North Dakota's Regional Price Parity (RPP) is 88.7, meaning prices are 11.3% lower the national average. A Paramedic earning $37,670 in North Dakota has the equivalent purchasing power of $42,468 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for North Dakota's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $29,960 | $33,776 | +$3,816 |
| 25th Percentile (P25) | $34,180 | $38,534 | +$4,354 |
| Median (P50) | $37,670 | $42,468 | +$4,798 |
| 75th Percentile (P75) | $46,740 | $52,694 | +$5,954 |
| 90th Percentile (P90) | $61,890 | $69,774 | +$7,884 |
A Paramedic in North Dakota earns $37,670 on paper, but low living costs mean your money goes 13% further — like earning $42,468 in an average-cost state. This makes North Dakota one of the best value states for this occupation.
Where does Paramedic salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
North Dakota ranks #23 out of 50 states for Paramedic after cost-of-living adjustment.
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A Paramedic in North Dakota earns a median salary of $37,670 per year. After adjusting for North Dakota's cost of living (RPP=88.7), the real purchasing power is $42,468 — a +12.7% difference.
North Dakota's cost of living is 11.3% lower than the national average according to the BEA Regional Price Parities (2022). The RPP index for North Dakota is 88.7 (US average = 100).
Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.
The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Paramedic in North Dakota: $37,670 x (100 / 88.7) = $42,468. This represents what the salary would be worth in a state with average living costs.
From a purchasing power perspective, yes. A Paramedic in North Dakota enjoys 12.7% more buying power than the nominal salary suggests, because living costs are below the national average. However, other factors like job availability, career growth, and quality of life also matter.