NEMT driver pay calculator: hourly, per trip, or per mile for the same week

Updated 5 min read

Enter one week of hours, trips, and loaded and empty miles, plus a rate for each pay plan. For an employee driver, federal rules turn every plan into an hourly figure, the regular rate: the week's straight-time pay per hour worked. If that comes in below the minimum wage, the employer makes up the gap. Each hour over 40 then adds another 50 percent of that rate.

On this page

The numbers filled in are examples, not averages. Replace each one with your own quotes, rates, and costs.

The weekFor one employee driver in a typical week.

Every hour on the clock, including waits between trips and empty driving.

One-way trips.

Miles with a rider aboard.

Every mile driven on the clock, loaded and empty.

Pay rates to compareSet a rate to 0 to leave that plan out.

0 pays loaded miles only. Enter the loaded rate to pay every mile.

Wage rules

The highest of your federal, state, and city minimums. The federal minimum is $7.25.

40 hours a week under federal law. Some states also count overtime by the day.

Driver pay

Example numbers

Lowest cost this week: per mile

$712.50

$15.83 per hour worked and $17.81 per trip. Includes $143.00 to reach the minimum wage.

Overtime hours
5
Empty miles
180

Weekly pay under each plan

Hourly$19.00 an hour, $21.38 a trip
$855.00
Per trip$18.77 an hour, $21.11 a trip
$844.44
Per mile$15.83 an hour, $17.81 a trip
$712.50

Owed on top of trip and mile pay

Per-trip overtime5 hours at $8.89
$44.44
Per-trip minimum wage top-up
$0.00
Per-mile overtime5 hours at $7.50
$37.50
Per-mile minimum wage top-up
$143.00

Per-mile pay comes to $11.82 an hour before overtime, under the $15.00 minimum. Add $143.00 to reach it.

Trip and mile pay still owe overtime. For 5 hours past 40, add $44.44 to per-trip pay and $37.50 to per-mile pay. Paying only the trip or mile total skips it.

What goes into the calculator

Use one real week for one employee driver, taken from timecards and trip records. The calculator prices that same week under three pay plans, so the only thing that changes between them is the rate.

  1. Hours worked. Count every hour on the clock. That includes time spent waiting outside clinics and dialysis units, which counts as work while the driver must stay ready for the next rider, and driving from one job to the next during the day.
  2. Trips completed. One-way trips, the same way you count trip legs.
  3. Loaded and total miles. Loaded miles carry a rider. Everything else on the odometer is deadhead: the drive out to the first pickup, the empty stretches between riders, and the drive back to the lot at day’s end.
  4. The rates. One hourly rate, one trip rate, and separate mileage rates for loaded and empty miles. Set a rate to 0 to leave that plan out. For a plan that pays loaded miles only, leave the empty-mile rate at 0.
  5. Minimum wage and the overtime line. Enter the highest minimum that applies to the driver and the weekly hours after which overtime starts. The federal line is 40.

How the wage rules treat each plan

For an employee, federal law does not care how you describe the pay. It converts every plan into an hourly figure and checks the same three things each workweek.

StepWhat happensRule
Regular rateStraight-time pay for the week ÷ every hour worked29 CFR 778.109
Minimum wage checkIf the regular rate is under the minimum, you add the difference, and the minimum becomes the regular rateHandy Reference Guide; 29 CFR 778.5 for higher state minimums
OvertimeEvery hour over 40 adds 50 percent of the regular rate on top, since base pay already covered that hour once29 CFR 778.111

Each workweek stands alone. A strong week does not carry a weak one, so run the calculator on your slowest normal week as well as your busiest.

Under an hourly plan, the regular rate is simply the hourly rate, so overtime comes out as the familiar time and a half. Under a trip or mile plan, the regular rate moves every week with how many trips fit into the hours, and the overtime premium moves with it.

Commission and mixed plans follow the same steps. A share of each trip’s fare is a commission, and commissions count in the regular rate, so enter the average commission per trip as the trip rate. For an hourly base plus a per-trip amount, add both into the week’s straight-time pay before dividing by hours. The calculator compares single plans, so figure a mixed plan by hand.

Reading the results

The number at the top is the plan with the lowest weekly cost, once each plan includes what the law adds. The line under it gives that plan’s pay per hour worked and per trip, and says when part of the total is a minimum wage top-up.

  • Weekly pay under each plan lists all three totals with their hourly and per-trip figures. A plan with no rate shows as left out.
  • Owed on top of trip and mile pay breaks out the overtime premium and any minimum wage top-up for the trip and mile plans. These are the amounts a flat “rate times trips” paycheck misses.
  • Warnings appear when a plan falls below the minimum wage before overtime, or when trip or mile pay owes overtime that the flat total skips.

A plan that wins only because the minimum wage lifted it is sitting on the legal floor. The driver earned the least the law allows for the week, and the plan’s own rate covered only part of it.

Worked example

These are the default values, which are examples, not recommended rates. The example driver logs 45 hours in the week and completes 40 trips over 560 miles, 380 of them loaded. The rates on offer are $18 an hour, $20 a trip, or $1.40 per loaded mile with nothing for empty miles. The example uses a $15.00 minimum wage and the 40-hour overtime line, so the week has 5 overtime hours.

HourlyPer tripPer mile
Straight-time pay45 x $18 = $81040 x $20 = $800380 x $1.40 = $532
Per hour before overtime$18.00$17.78$11.82
Minimum wage top-up$0$0$675 - $532 = $143
Overtime premium, 5 hours$9.00 x 5 = $45$8.89 x 5 = $44.44$7.50 x 5 = $37.50
Week’s total$855.00$844.44$712.50
Per hour worked$19.00$18.77$15.83
Per trip$21.38$21.11$17.81

Per mile comes out lowest, but $532 for 45 hours is under the $15.00 minimum. So $143 of its total is a top-up the law requires, whatever the pay plan says.

Now raise only the hours to 50, as a week with long waits would, and keep the same trips and miles. Hourly pay rises by $135 to $990. Per-trip pay rises by just $35.56 to $880, because the regular rate falls to $16.00 and only the overtime premium grows. Per-mile pay reaches $825, with a $218 top-up and $75 of overtime. Under a trip plan the driver absorbs most of the extra waiting, which is why trip plans need a close eye on slow, wait-heavy weeks.

Where trip and mile plans go wrong

  • Unpaid overtime. Trip and mile pay still owe the half-time premium past 40 hours. The driver overtime guide explains the two exemptions owners ask about and why they rarely fit.
  • Empty miles on the clock. A plan that pays loaded miles only still has to clear the minimum wage over every hour, including the empty driving it does not pay for.
  • Promised bonuses. A bonus announced in advance, which covers most attendance, production, and quality bonuses, counts in the regular rate and raises overtime. The bonus programs guide shows how to set one up.
  • State rules. California adds daily overtime and requires piece-rate employers to pay rest and recovery periods and other nonproductive time separately. Other states set their own minimums and overtime rules, so check yours.
  • Classification. A trip rate says nothing about whether a driver is a contractor. The W-2 or 1099 guide explains the tests.

Federal recordkeeping rules also call for daily and weekly hours, straight-time earnings, and overtime pay for every employee. For market wage levels, see the NEMT driver pay guide. To add employer taxes, workers’ compensation, and benefits to whichever plan you pick, use the driver cost calculator.

Hours and miles from the trip record

HealthRide keeps each driver’s timecard from their clock-ins and saves GPS miles on every trip, so the hours and miles you test here come from the real week instead of memory. Export driver hours and miles from reports, then run each pay plan against your slowest and busiest weeks before you change how drivers are paid.

Frequently asked questions

Is per-trip pay allowed for NEMT drivers who are employees?
Yes. Federal law lets you pay employees by piece rate, salary, commission, or another basis, as long as overtime is figured from the hourly rate that pay works out to. Each workweek is checked on its own, with no averaging across weeks, so a busy week cannot make up for a slow one. In every week, total pay over total hours has to reach the minimum wage.
How is overtime figured for per-trip or per-mile pay?
Add up everything earned in the workweek, divide by every hour worked, and that is the regular rate. Straight-time pay already covers each hour once, so every overtime hour needs only the extra half of that rate on top. The federal rule's own example: $523 for a 50-hour week is a $10.46 regular rate, 10 overtime hours add $52.30, and the week totals $575.30.
Do waits at the clinic count as hours worked?
In most cases, yes. A driver kept ready for the next pickup is, in the federal rule's words, engaged to wait. That time counts as work even when the driver is allowed to leave the van. Waiting stops counting when the driver is completely released, knows ahead of time when to be back, and has a gap long enough for personal use. Driving from one job to the next during the day is also work time. Put all of it in the hours field, or trip and mile plans will look cheaper than they are.
What minimum wage should I enter?
The highest one that applies to the driver: federal, state, or city. The federal floor is $7.25 an hour. Many states require more, and the Department of Labor lists the rates state by state. Florida's rate rose to $15.00 on September 30, 2026. Starting in 2027, Florida recalculates it for inflation every September 30, and each new rate takes effect the next January 1.
Is a mileage reimbursement the same as per-mile pay?
No. When drivers use their own cars, a mileage payment that reasonably covers the cost of driving on your business is an expense reimbursement, not part of the regular rate. A payment no higher than the IRS business mileage allowance counts as reasonable. That allowance has been 76 cents a mile since July 1, 2026. Per-mile pay for driving your van is wages, and it goes in this calculator.
Does California treat per-trip pay differently?
Yes. California counts overtime by the workday as well as the week: time and a half past 8 hours in a day, and double time past 12. Its Labor Code also requires employers who pay by the piece to pay rest and recovery periods and other nonproductive time separately from the piece rate. Paying only the trip total leaves both out.

Official resources

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