BLS metro-level wage data places Paramedics pay in Little Rock-North Little Rock-Conway, AR at a median of $59,910 per year ($28.81/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $60,600, Little Rock-North Little Rock-Conway pays 1% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 250 paramedicss are employed across the Little Rock-North Little Rock-Conway MSA in SOC 29-2043.

The Little Rock-North Little Rock-Conway pay distribution spans from $40,840 at the 10th percentile to $70,800 at the 90th — a 1.7× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $47,290 and the 75th at $59,930, so half of Little Rock-North Little Rock-Conway-based paramedicss earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Little Rock-North Little Rock-Conway, AR covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide AR data, and peer-metro comparisons — a median is a starting point, not a ceiling.