Rate benchmark

Locum paramedic rates Australia 2026

$65.00typical per hour

Indicative pay ranges for Australian locum paramedics in the current financial year. What's typical, what drives variance, and how to benchmark your own rate against the market.

Ledger | Indicative 2026 range

Low, typical, and high.

State ambulance EBA base is $80k to $95k/yr for Paramedic and $100k to $120k/yr for Intensive Care Paramedic, an hourly base of $38 to $55 before penalties. Event casual work (St John NSW and similar) pays $51 to $58/hr. Casual mine or event registered paramedic $65 to $70/hr. Permanent FIFO mine-site roles package $100k to $190k/yr on 2:1 or 2:2 rosters. Aeromedical and retrieval ICP-grade work sits at $120k+ package. The locum market is thin: most off-schedule work is casual pool or contractor FIFO, not ad-hoc shift.

Rangeper hourLowIndicativeTypicalIndicativeHighIndicative
Indicative 2026 range (per hour)$45.00$65.00$120.00

Indicative 2026 range (per hour)

Locum paramedic

Low $45.00Typical $65.00High $120.00

Figures are educated estimates. Sources include: Paramedicine Board of Australia (AHPRA) scope guidance; Australasian College of Paramedicine (ACP) guidance; State ambulance EBAs (NSW Ambulance, AV, QAS, SAAS, SJWA, TasAmbulance); Event-medic agency published rates (St John Ambulance commercial, Paramedical Services). Real rates vary by individual contract and market conditions. Sessional doesn't guarantee any specific rate and your individual outcome depends on your negotiation and the workplaces you work with.

What drives the variance

01

Geography: Regional and remote postings (higher MMM areas) often run 10 to 30% above metro rates to attract cover. Capital-city metros sit near the national mean; rates compress where supply is deepest.

02

Urgency: Last-minute cover pays more. Workplaces covering a sudden gap often pay 20 to 30% above their standard rate.

03

Specialty: Out-of-hours, unplanned care, specialist wards, and complex caseload all uplift the base rate.

04

Volume: Regular weekly bookings are usually offered at a lower rate than ad-hoc shifts in exchange for certainty.

05

Route to market: Direct bookings pay more than agency routes because no one takes a cut.

How to benchmark your own rate

01

Write down the last ten bookings you accepted and the rate you charged or received.

02

Break them down by region, urgency, and duration.

03

Compare each against the typical range above. If you are consistently at or below the low end on standard bookings, you are probably underpriced.

04

Next time you are asked for your rate on a standard booking at a regional or hard-to-fill workplace, quote the typical figure from the headline above and see what happens. A refusal tells you about the booking, not your rate.

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Last revised 24 April 2026

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