Texas Paramedic Programs: Who Passes, Who Gets Hired, and What It Costs
Paramedics give advanced emergency care, from cardiac drugs to airway management, on ambulances, fire departments and air medical teams. Texas paramedic programs usually take one to two years after EMT certification, as a certificate or an associate degree, and lead to the NREMT paramedic exams and Texas DSHS certification. Below is every CoAEMSP-accredited program in Texas we could confirm, with the outcomes each one reports. Data checked Nov. 4, 2026.
Every Program, Highest NREMT Exam Rate First
Rates are multi-year averages as each program reports them to CoAEMSP, so small programs are not swung by one class. Tap a program for its cost, job placement and sources.
| Program | NREMT exam rate | Job placement | Completion | Cost |
|---|---|---|---|---|
| Angelina College Not stated on the outcomes PDF, Lufkin | 100% | 100% | Not reported | Not published |
| Austin Community College, Eastview Not stated (paramedic training), Austin | 100% | 88.0% | Not reported | Not published |
| College of the Mainland Certificate, Texas City | 100% | 100% | Not reported | $3,234 |
| Howard College, Big Spring Not stated, Big Spring | 100% | 100% | Not reported | Not published |
| McLennan Community College AAS or certificate, Waco | 100% | 100% | Not reported | Not published |
| Pflugerville Fire Department Paramedic course, Pflugerville | 100% | 100% | Not reported | Not published |
| San Jacinto College AAS or certificate, Pasadena | 100% | 100% | Not reported | Not published |
| Victoria College Certificate (AAS also offered), Victoria | 100% | Not reported | Not reported | Not published |
| Weatherford College Certificate, Weatherford | 100% | 95.0% | Not reported | $9,641 |
| Blinn College Not stated on the outcomes page, Brenham | 97.4% | 94.9% | Not reported | Not published |
| Houston City College, Northeast AAS or certificate, Houston | 96.0% | 86.0% | Not reported | Not published |
| Lone Star College, Montgomery Not stated, Conroe | 95.8% | 95.9% | Not reported | Not published |
| Odessa College AAS or certificate, Odessa | 95.0% | 100% | Not reported | Not published |
| UT Health San Antonio, Department of Emergency Health Sciences Certificate or BS, San Antonio | 94.0% | 100% | Not reported | Not published |
| Dallas College, Brookhaven and Cedar Valley AAS or certificate, Dallas | 93.0% | 98.0% | Not reported | $4,158 to $5,940 |
| Lone Star College, North Harris AAS or certificate, Houston | 93.0% | 100% | Not reported | Not published |
| South Texas College, Health Science Professions AAS or certificate, McAllen | 91.7% | 92.3% | Not reported | $6,577 to $8,083 |
| Collin College, McKinney Not stated for the paramedic option, McKinney | 91.0% | 79.5% | Not reported | Not published |
| San Antonio College AAS or certificate, San Antonio | 88.9% | 86.2% | Not reported | Not published |
| Navarro College Not stated, Corsicana | 88.0% | 80.0% | Not reported | Not published |
| Axon Education Consortium Paramedic course (distance learning), Abilene | 87.0% | Not reported | Not reported | Not published |
| Del Mar College AAS or certificate, Corpus Christi | 87.0% | 100% | Not reported | Not published |
| El Paso Community College Not stated on the outcomes PDF, El Paso | 86.8% | 100% | Not reported | Not published |
| Temple College Not stated, Temple | 86.7% | 93.3% | Not reported | Not published |
| Texas State Technical College, Harlingen AAS or certificate, Harlingen | 86.4% | 70.4% | Not reported | Not published |
| Lone Star College, CyFair Not stated, Cypress | 85.7% | 85.7% | Not reported | Not published |
| Tarrant County College, Northeast AAS or certificate, Hurst | 85.0% | 100% | Not reported | $2,442 to $4,440 |
| Texas A&M Engineering Extension Service, Main campus Paramedic course (PAR100), College Station | 84.2% | 71.1% | Not reported | Not published |
| Kilgore College Not stated, Kilgore | 83.3% | 92.3% | Not reported | Not published |
| Alvin Community College AAS or certificate, Alvin | 81.3% | 81.3% | Not reported | $4,828 |
| Paris Junior College AAS or certificate, Paris | 81.0% | 90.1% | Not reported | Not published |
| Amarillo College Not stated on the outcomes page, Amarillo | 79.2% | 79.2% | Not reported | Not published |
| Texas State Technical College, Abilene and Brownwood AAS or certificate, Abilene | 78.4% | 76.3% | Not reported | Not published |
| North Central Texas College AAS or certificate, Gainesville | 74.0% | 95.0% | Not reported | Not published |
| Texarkana College AAS or certificate, Texarkana | 71.0% | 100% | Not reported | $6,600 |
| Panola College AAS or certificate, Carthage | 66.7% | 66.7% | Not reported | $5,954 to $8,713 |
| Lamar Institute of Technology AAS or certificate, Beaumont | 60.0% | 80.0% | Not reported | Not published |
| Galveston College AAS or certificate, Galveston | 57.0% | 100% | Not reported | Not published |
| Texas Southmost College AAS, Brownsville | 57.0% | 89.0% | Not reported | Not published |
| El Paso Fire Department Training Academy Paramedic course, El Paso | 52.0% | 100% | Not reported | Not published |
| Northeast Texas Community College Not stated, Mount Pleasant | 40.0% | 83.0% | Not reported | Not published |
| Laredo College AAS or certificate, Laredo | 36.8% | 100% | Not reported | $4,600 |
| Central Texas College AAS or certificate, Killeen | Not reported | Not reported | Not reported | Not published |
| Grayson College AAS or certificate, Denison | Not reported | Not reported | Not reported | $8,176 |
| Hill College AAS or certificate, Hillsboro | Not reported | Not reported | Not reported | $4,171 to $7,528 |
| Laredo Fire Department EMS Training Division Paramedic course, Laredo | Not reported | Not reported | Not reported | Not published |
| Midland College AAS or certificate, Midland | Not reported | Not reported | Not reported | Not published |
| South Plains College, Reese Center Paramedic certificate (credit toward AAS), Lubbock | Not reported | Not reported | Not reported | Not published |
| Southwest Texas Junior College Not stated, Uvalde | Not reported | Not reported | Not reported | Not published |
| Trinity Valley Community College Not stated, Athens | Not reported | Not reported | Not reported | Not published |
| Tyler Junior College AAS, Tyler | Not reported | Not reported | Not reported | Not published |
| Wharton County Junior College Certificate, Wharton | Not reported | Not reported | Not reported | Not published |
By Area
Houston Area (9)
- College of the Mainland: 100%
- San Jacinto College: 100%
- Houston City College, Northeast: 96.0%
- Lone Star College, Montgomery: 95.8%
- Lone Star College, North Harris: 93.0%
- Lone Star College, CyFair: 85.7%
- Alvin Community College: 81.3%
- Galveston College: 57.0%
- Wharton County Junior College
Tyler-Longview Area (4)
Dallas Area (3)
- Dallas College, Brookhaven and Cedar Valley: 93.0%
- Collin College, McKinney: 91.0%
- Navarro College: 88.0%
Fort Worth Area (3)
- Weatherford College: 100%
- Tarrant County College, Northeast: 85.0%
- North Central Texas College: 74.0%
Midland-Odessa Area (3)
Rio Grande Valley Area (3)
- South Texas College, Health Science Professions: 91.7%
- Texas State Technical College, Harlingen: 86.4%
- Texas Southmost College: 57.0%
San Antonio Area (3)
- UT Health San Antonio, Department of Emergency Health Sciences: 94.0%
- San Antonio College: 88.9%
- Southwest Texas Junior College
Abilene Area (2)
Austin Area (2)
Bryan-College Station Area (2)
El Paso Area (2)
Killeen-Temple Area (2)
Laredo Area (2)
Sherman-Denison Area (2)
Texarkana Area (2)
- Texarkana College: 71.0%
- Northeast Texas Community College: 40.0%
Waco Area (2)
Amarillo Area (1)
- Amarillo College: 79.2%
Beaumont-Port Arthur Area (1)
Corpus Christi Area (1)
- Del Mar College: 87.0%
Lubbock Area (1)
Lufkin-Nacogdoches Area (1)
- Angelina College: 100%
Victoria Area (1)
- Victoria College: 100%
How to Read These Numbers
Graduates who passed the National Registry (NREMT) paramedic cognitive exam, as the program reports it to CoAEMSP. Some programs report first-attempt results and some report passing within three attempts; each page says which when the program does.
Job placement: graduates employed in EMS or a related field, or in the military or further education ("positive placement"), as the program reports it to CoAEMSP. Costs are each school's own published estimate; programs that only list per-credit tuition show "Not published". How we get our numbers