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Paramedics Salary in Massachusetts: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Paramedics salary really buy you in Massachusetts?

Massachusetts is 9.4% pricier than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$66,340
Median annual (2025)
-8.6%
Real Purchasing Power
$60,639
COL-adjusted (RPP=109.4)

Massachusetts Cost of Living Index

Massachusetts's Regional Price Parity (RPP) is 109.4, meaning prices are 9.4% higher the national average. A Paramedics earning $66,340 in Massachusetts has the equivalent purchasing power of $60,639 in an average-cost US state.

MA: 109.4
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Massachusetts's cost of living.

Percentile Nominal Salary COL-Adjusted Difference
10th Percentile (P10) $60,410 $55,219 $-5,190
25th Percentile (P25) $63,770 $58,290 $-5,479
Median (P50) $66,340 $60,639 $-5,700
75th Percentile (P75) $77,330 $70,685 $-6,644
90th Percentile (P90) $84,540 $77,276 $-7,263
Key Insight

While $66,340 sounds high, Massachusetts's elevated cost of living erases 9% of that salary's purchasing power. Your real buying power is $60,639. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

Massachusetts Is a High-Cost State

RPP 109.4

Massachusetts's RPP of 109.4 puts it 9.4% above the national baseline cost of living. A Paramedics needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Meaningful Purchasing-Power Shift

-8.6%

After applying Massachusetts's RPP, the $66,340 median salary translates to $60,640 in real terms — a 8.6% loss. That difference can cover several months of expenses over a year for a Paramedics.

Below-Median Adjusted Pay

#32 / 51

Massachusetts's rank of #32 of 51 states means real purchasing power for Paramedics trails the national half-way line.

Best States for Paramedics (After Cost of Living)

Where does Paramedics salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$95,000
RPP 109.8
$79,623
RPP 108.8
$78,096
RPP 97.7
4. Hawaii
$73,357
RPP 110.8
$72,819
RPP 106.4
6. Alaska
$70,450
RPP 102.0
$70,259
RPP 88.7
8. Oregon
$70,206
RPP 106.6
9. Wyoming
$69,684
RPP 91.9
10. Utah
$69,227
RPP 94.5

Massachusetts ranks #32 out of 51 states for Paramedics after cost-of-living adjustment.

How much do you actually take home? See Paramedics take-home pay in Massachusetts after taxes →

Frequently Asked Questions

What is the real salary for a Paramedics in Massachusetts after cost of living?

A Paramedics in Massachusetts earns a median salary of $66,340 per year. After adjusting for Massachusetts's cost of living (RPP=109.4), the real purchasing power is $60,639 — a -8.6% difference.

Is Massachusetts expensive to live in?

Massachusetts's cost of living is 9.4% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Massachusetts is 109.4 (US average = 100).

What are Regional Price Parities (RPP)?

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.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Paramedics in Massachusetts: $66,340 x (100 / 109.4) = $60,639. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Massachusetts offset the salary?

Partially — a Paramedics's nominal salary of $66,340 in Massachusetts has 8.6% less purchasing power due to higher living costs. The real value is $60,639. However, Massachusetts may offer better career opportunities, networking, and industry access.

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