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The cheapest state to get a paramedic license is New York at $180. The most expensive is California at $474. The national average is $292.
Lowest
$180
New York
Average
$292
across 51 states
Median
$275
32 states at or below
Range
$294
spread across states
| # | State | Total Initial Fees | Renewal Fee | CE Hours |
|---|---|---|---|---|
| #1 | New York | $180 | $50 | 48 hrs |
| #2 | Maine | $196 | $21 | 48 hrs |
| #3 | Washington | $225 | $0 | 48 hrs |
| #4 | Alabama | $235 | $10 | 48 hrs |
| #5 | Arizona | $242 | $0 | 48 hrs |
| #6 | Hawaii | $247 | $32 | 48 hrs |
| #7 | Idaho | $260 | $35 | 48 hrs |
| #7 | Nebraska | $260 | $35 | 48 hrs |
| #9 | New Hampshire | $272 | $50 | 48 hrs |
| #10 | Alaska | $275 | $25 | 48 hrs |
| #10 | Delaware | $275 | $25 | 48 hrs |
| #10 | Florida | $275 | $25 | 48 hrs |
| #10 | Indiana | $275 | $50 | 48 hrs |
| #10 | Iowa | $275 | $50 | 48 hrs |
| #10 | Maryland | $275 | $50 | 48 hrs |
| #10 | Michigan | $275 | $25 | 48 hrs |
| #10 | Minnesota | $275 | $50 | 48 hrs |
| #10 | Mississippi | $275 | $50 | 48 hrs |
| #10 | Missouri | $275 | $50 | 48 hrs |
| #10 | Montana | $275 | $50 | 48 hrs |
| #10 | New Jersey | $275 | $32 | 48 hrs |
| #10 | New Mexico | $275 | $50 | 48 hrs |
| #10 | North Carolina | $275 | $50 | 48 hrs |
| #10 | North Dakota | $275 | $50 | 48 hrs |
| #10 | Pennsylvania | $275 | $50 | 48 hrs |
| #10 | South Carolina | $275 | $50 | 48 hrs |
| #10 | South Dakota | $275 | $50 | 48 hrs |
| #10 | Vermont | $275 | $50 | 48 hrs |
| #10 | Virginia | $275 | $50 | 48 hrs |
| #10 | West Virginia | $275 | $50 | 48 hrs |
| #10 | Wisconsin | $275 | $50 | 48 hrs |
| #10 | Wyoming | $275 | $50 | 48 hrs |
| #33 | Kansas | $285 | $50 | 48 hrs |
| #34 | Colorado | $290 | $75 | 48 hrs |
| #34 | Utah | $290 | $50 | 48 hrs |
| #36 | Georgia | $295 | $75 | 48 hrs |
| #37 | District of Columbia | $300 | $75 | 48 hrs |
| #37 | Kentucky | $300 | $75 | 48 hrs |
| #37 | Ohio | $300 | $75 | 48 hrs |
| #40 | Arkansas | $320 | $50 | 48 hrs |
| #41 | Nevada | $324 | $15 | 48 hrs |
| #42 | Louisiana | $325 | $50 | 48 hrs |
| #43 | Illinois | $330 | $50 | 48 hrs |
| #44 | Oregon | $345 | $110 | 48 hrs |
| #44 | Rhode Island | $345 | $120 | 48 hrs |
| #46 | Texas | $351 | $126 | 48 hrs |
| #47 | Massachusetts | $375 | $150 | 48 hrs |
| #48 | Oklahoma | $385 | $33 | 48 hrs |
| #49 | Connecticut | $400 | $150 | 48 hrs |
| #49 | Tennessee | $400 | $100 | 48 hrs |
| #51 | California | $474 | $250 | 48 hrs |
Total initial fees include application, exam, and license fees paid to the state (excludes education/training costs). Where fee ranges are listed, the lower bound is used for ranking. Click any state for full fee details.
New York has the lowest total initial licensing fees at $180. The national average is $292.
California has the highest total initial fees at $474, which is $294 more than the cheapest state.
The average total initial licensing cost across 51 states is $292. Costs range from $180 to $474.
There is significant variation across the 51 states with data. Values range from $180 to $474, with a median of $275.