Nurse Anesthetist Hourly Pay in Hilo, HI: $100.89 (2026)
Quick Answer:Hourly pay for a nurse anesthetist working in Hilo, HI runs $100.89 at the median for 2026 — annualizing to $209,837 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1151). Weighted against Hilo's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $84.57 nationally would. A 24-hour part-time schedule grosses $125,907 per year.
Based on BLS state-level estimates · View source

In Hilo, Hawaii, the nurse anesthetist hourly pay is projected to reach $100.89 in 2026, representing a notable difference when compared to the national hourly median of $119.66. This discrepancy indicates the unique economic and cost-of-living factors affecting healthcare professionals in the local market. For part-time nurse anesthetists, working in settings such as main operating rooms, ambulatory surgery centers, or chronic pain clinics for three days a week can lead to a dependable income while allowing for flexibility. The hourly range for nurse anesthetists in Hilo spans from $69.17 at entry-level positions to $142.10 for those at the high end of their career, emphasizing the potential for significant earnings that increase with experience and specialization.
About the Hilo Market
Salary estimated from Hawaii average ($210,000) adjusted for local cost of living.
Nurse Anesthetist Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $69.17 | $553.35 |
| Lower Range (P25) | $89.42 | $715.36 |
| Median (P50) | $100.89 | $807.09 |
| Upper Range (P75) | $125.39 | $1003.10 |
| Top Earners (P90) | $142.10 | $1136.83 |
Estimated Annual Income by Work Schedule in Hilo
Based on $100.89/hr median hourly rate · 2026 est.
At $100.89/hr, a nurse anesthetist working full-time (40 hr/wk) in Hilo, HI can expect to earn approximately $209,845 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $121,064. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Hilo.
Hourly Rate Calculator
Schedule Comparison in Hilo
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $4,035.47 | $17,487 | $209,845 |
| Part-Time (24 hrs) | $2,421.28 | $10,492 | $125,907 |
| Per Diem (16 hrs) | $1,614.19 | $6,995 | $83,938 |
Compare CRNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Anesthetist (Hilo) | $100.89 |
| Nurse Practitioner (National Avg) | $60.12 |
| Physician Assistant (National Avg) | $60.58 |
| Nurse Midwife (National Avg) | $63.01 |
| Anesthesiologist (National Avg) | $174.04 |
Nurse Anesthetists in Hilo, HI earn a median of $209,837 per year (2026 est.), which is 15.69% lower than the national median of $248,893 and 5.10% below the Hawaii state average of $221,114.
Nurse Anesthetist Hourly Pay vs. Cost of Living
Working 24h/week at $100.89/hr = $125,907/year (purchasing power: $105,538).
Working 40h/week (full-time) = $209,845/year (purchasing power: $175,897).
CoL index: 119.3 (100 = national average).
2019 BLS Actual
$70.85/hr
2025 BLS Actual
$95.90/hr
2026 Current Est.
$100.89/hr
2019–2027 Growth
+49.8%
Hourly Rate Trajectory for Nurse Anesthetists in Hilo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $70.85/hr | Actual |
| 2020 | $74.41/hr | Actual |
| 2021 | $79.29/hr | Actual |
| 2022 | $82.32/hr | Actual |
| 2023 | $86.20/hr | Actual |
| 2024 | $114.30/hr | Actual |
| 2025 | $95.90/hr | Actual |
| 2026(current) | $100.89/hr | Estimated |
| 2027 | $106.13/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse anesthetists in Hilo grew 35.4% from $70.85/hr (2019) to $95.90/hr (2025). At a 5.20% projected growth rate, hourly pay is expected to reach $106.13/hr by 2027. Part-time and per-diem nurse anesthetists can use this multi-year trend to benchmark future contract negotiations.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Hilo metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.20% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Nurse Anesthetist in Hilo
Compensation for nurse anesthetists can vary widely based on practice settings and work arrangements. For example, a part-time nurse anesthetist in Hilo, putting in 24 hours weekly, could expect to earn about $126,554 annually, while full-time counterparts might bring home a higher sum. Those opting for per diem roles or agency work—who often find themselves in locum tenens positions—may command premium rates, typically between $200 and $350 per hour in competitive markets. These contractual roles not only provide a higher hourly wage but frequently include perks like travel, lodging, and malpractice coverage. In Hilo, the employment landscape varies as well; health systems typically offer W-2 employment while independent practices may provide 1099 contractor arrangements. While some nurse anesthetists may choose higher hourly rates at the cost of benefits, others may prefer the security of a salaried position that offers health insurance. For negotiations, emphasizing unique skills and experience can be advantageous, particularly in a local market with growing demand for CRNAs in various healthcare facilities.
More salary data for Hilo, HI:
Frequently Asked Questions
What is the hourly rate for nurse anesthetists in Hilo in 2026?
How much do part-time nurse anesthetists make in Hilo?
Are nurse anesthetists in Hilo paid hourly or salary?
How much does a full-time nurse anesthetist make per year in Hilo?
Do nurse anesthetists earn more per hour working part-time in Hilo?
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Written by Alexandra Johnson, MSN, CRNA
Career Analyst
Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 5.20% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse anesthetists in Hilo. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
Data Sources & Methodology
Salary data for Hilo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.20%, derived from historical BLS wage trends for nurse anesthetists (SOC 29-1151).
Compiled and verified by Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov