Associate of Applied Science (AAS)

 If you are interested in a fast-paced career that provides life-saving service to your community, a paramedic degree may be perfect for you. From heart attacks to car accidents, to gunshot wounds, paramedics are often the first to arrive at the scene of an emergency. As first responders to emergencies, paramedics provide life-saving care as they coordinate the rescue and transportation of patients to hospitals. Paramedics are the highest qualified emergency medical responders, trained to deliver more specialized care than other first responders. At City College, your paramedic education will include classroom instruction, laboratory practice, and clinical experience. Our high-tech program will enable you to be competitive in an ever-changing, technologically diverse environment. Upon successful completion of this program, you will be eligible to take the National Registry of Emergency Medical Technicians (NREMT) Paramedic Exam. 

Prior to applying for the RN program, students must be admitted to City College, and have completed the necessary prerequisites.

Fall 2021 July 23, 2021  


   Accepting applications for this semester
   Not yet accepting applications for this semester
   Application closed for this semester

Paramedic - Associate of Applied Science 

This program will cost about $8,525* based on current tuition and fees. 

*Estimate is in-state tuition for a Montana resident. Tuition and fees are subject to change and do not include books, housing, or supplies. 

Detailed Cost Information 

The Montana State University Billings Paramedic Program is accredited by the Commission on Accreditation of Allied Health Education Programs ( upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Commission on Accreditation of Allied Health Education Programs (CAAHEP)
25400 US Highway 19 N., Suite 158
Clearwater, FL 33763

Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP)
8301 Lakeview Parkway
Suite 111-312
Rowlett, TX 75088
FAX 214-703-8992

Student Outcomes

  Retention Positive Placement National Registry % of grads Passing Attempting
2018 52.60% 80% 100%
2017 69.20% 77.90% 100%
2016 100.0 % 0.0% 75.0 %
2015 88.9% 0.0% 100.0 %
2014 85.7% 100.0 % 100.0 %
2013 64.3 % 100.0 % 100.0 %
2012 60.0 % 83.3 % 100.0 %
2011 70.6% 72.7% 81.8%
2010 80.0 % 100.0 % 100.0 %

Emergency Medical Technicians and Paramedics

Median Wage (MT)* $41,090 yearly
  $19.76 per hour

Median Wage (US)* $43,390 yearly

$22.29 per hour

City College entry-level wages of graduates:
 $50,655  (2014-2017)
Expected growth (MT)*  24%
Expected growth (US)*  15%


*Bureau of Labor Statistics, Office of Employment Projections; MT Dept. of Labor and Industry, Research and Analysis Bureau; (projections through 2024) 

Graduate Placement Data 

As a Paramedic, you will find employment in a variety of settings, such as:

  • National and/or local ambulance services 
  • Fire departments
  • Law enforcement
  • Hospitals
  • Flight services
  • Industrial sites

Examples of where recent City College graduates are working:

  • Big Sky Fire Department, Big Sky, MT 
  • Red Lodge Fire Rescue, Red Lodge, MT
  • St. Peters Hospital, Helena, MT
  • City of Redmond, Redmond, WA
  • Big Horn County Ambulance, Hardin, MT
  • American Medical Response, Billings, MT 
  • City of Billings Fire Department, Billings, MT
  • Montana Highway Patrol, Helena, MT

18-month program (9 months on campus + 9 months online/distance or on campus)

Students have an option to complete the Spring prerequisite semester fully online or on campus (with the exception of ECP 200, which is only offered online). The final semester, which is the clinical portion, can be completed in Billings or at an approved location across the country.  In essence, for those not wanting or able to spend a lot of time on campus or in Billings, they can possibly spend just 9 months out of the 18-month program on the MSU Billings City College campus.

  • 1800-hour (940-hour classroom/ 860-hour clinical) paramedic degree program
  • Utilizes online, hybrid, traditional classroom, and skills laboratory delivery methods to ensure a flexible but rigorous educational experience

View Course List


  • First-time college students must have high school diplomas from an accredited high school, a GED/HiSET, or passed the MSUB Readiness Exam offered through our university.
  • Transfer students will need to submit records from all regionally accredited institutions.


Once the required prerequisite courses are completed, paramedic applicants must go through a competitive application process. In addition to the required prerequisite courses, students must hold a current National Registry Emergency Medical Technician (NREMT) card. EMT training in the Billings area is offered through Big Sky EMS: 406-670-5021. 

Applications for the paramedic program are accepted once a year (usually mid-summer).  

Paramedic Competitive Selection Process and Application 

Students earn an Associate of Applied Science degree in Paramedic upon successful completion of this program. This program is regionally accredited through the Commission on Accreditation for Allied Health Education Programs (CAAHEP) and the Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP). Montana State University Billings is accredited by the Northwest Commission of Colleges and Universities (NWCCU). 

Program Certifications/Certificates: 

Pre-hospital Trauma Life Support Provider Certification (PHTLS)
Advanced Cardiac Life Support Provider Certification (ACLS)
Neonatal Resuscitation Program Provider Certification (NRP)
Pediatric Advance Life Support Provider Certification (PALS)
Critical Care Transport Provider (CCTP) Course Completion Certificate
National Registry/Nationally Accredited Paramedic Program Completion Certificate

National Registry Emergency Medical Technician (NREMT) Certification » »

Prior to applying to the core Paramedic program, students must hold a current National Registry Emergency Medical Technician (NREMT) card. EMT training in the Billings area is offered through Big Sky EMS: 406-670-5021.

Q: Is this program hands-on? 

A: Yes! The core paramedic program involves hands-on laboratory skills and real-world clinical experience. In addition, our program contains prerequisite coursework to help build a strong foundation and some general education courses to help not only land your dream job but to continue growing within your field.  

Q: Is this program available online? 

A: The paramedic program can be completed with a combination of online and on-campus courses.  The prerequisite courses are available online or on campus. The final semester, which is the clinical portion, can be completed in Billings or at an approved location across the country.  In essence, for those not wanting or able to spend a lot of time on campus, they can possibly spend just 9 months on the MSU Billings City College campus. 

Q: What is the difference between an EMT and a Paramedic? 

A: There are different levels of certification in the field of emergency medical services (EMS). The National Registry of Emergency Medical Technicians (NREMT) provides national certification of Emergency Medical Technicians (EMTs) and paramedics at three levels: EMT-Basic, Advanced EMT or EMT-Intermediate, and Paramedic. The biggest difference between the different EMS levels is the amount of education received and the scope of practice (what they are allowed to do). Basic level EMTs are trained to provide basic-level care, such as spinal immobilization, administering oxygen, splinting/bandaging, checking vital signs, and artificial ventilation. Paramedics are the highest skilled pre-hospital care provider. Paramedics build on their EMT training and learn additional skills, such as providing IVs and injections, interpreting EKGs, and administering a wide array of critical care medication. The exact procedures EMTs and paramedics are allowed to perform vary by state. 

Q: What skills are covered in the paramedic program?  

A: The skills covered in the paramedic program include:

  • Endotracheal intubation
  • Cricothyrotomy
  • Chest decompress
  • Gastric decompression
  • Pharmacological interventions
  • Intraosseous and intravenous cannulation
  • Enteral and parental administration of approved prescriptions medications
  • Multi-lead EKG interpretation
  • Indwelling catheters and implanted central IV ports for fluid and medication administration
  • Medication administration by IV infusion
  • Blood or blood production infusion
  • Chest tube management
  • Capnography interpretation
  • Thrombolytic medication initiation
  • Blood chemistry analysis

Print Program Overview

Print Program Overview