Nurse Anesthetist Hourly Pay in Honolulu, HI: $113.12 (2026)
Quick Answer:Hourly pay for a nurse anesthetist working in Honolulu, HI runs $113.12 at the median for 2026 — annualizing to $235,299 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1151). Weighted against Honolulu's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $94.82 nationally would. A 24-hour part-time schedule grosses $141,176 per year.
Based on BLS state-level estimates · View source

Nurse anesthetists in Honolulu, HI, are projected to earn a median hourly rate of $113.12 in 2026, which is slightly below the national median of $119.66. This figure represents a solid compensation for part-time nurses working three days a week, allowing for a robust work-life balance in a profession demanding high-level clinical skills. In traditional settings such as hospitals, ambulatory surgery centers, and pain clinics, hourly rates for entry-level positions begin around $69.10, with experienced practitioners potentially making up to $164.92 per hour. This wide hourly range highlights the demand for skilled nurse anesthetists in the region, which encompasses a variety of settings from dental anesthesia clinics to military facilities, enabling flexibility for those seeking per diem roles or varied schedules.
The earning potential for those opting for part-time work at 24 hours per week translates into a meaningful annual income of approximately $176,000, compared to the higher sums attained by full-time CRNAs. For per diem nurse anesthetists, the pay can be considerably higher, with locum tenens roles commanding $200-$350 per hour and daily earnings reaching between $1,500 and $2,500. Payment terms vary significantly across different employer types in Honolulu; hospital systems may offer W-2 employment with benefits, while CRNA-owned practices and locum tenens positions tend to be structured as independent contracts (1099). While professionals must weigh the trade-offs of higher hourly rates without benefits against stable employment with health insurance, negotiation strategies become crucial in this market. CRNAs are advised to research the specific employer type and current market conditions, tailoring their negotiation approach to reflect the unique aspects of the Honolulu healthcare landscape.
About the Honolulu 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) | $69.10 | $552.76 |
| Lower Range (P25) | $94.41 | $755.25 |
| Median (P50) | $113.12 | $904.97 |
| Upper Range (P75) | $144.03 | $1152.23 |
| Top Earners (P90) | $164.92 | $1319.38 |
Estimated Annual Income by Work Schedule in Honolulu
Based on $113.12/hr median hourly rate · 2026 est.
At $113.12/hr, a nurse anesthetist working full-time (40 hr/wk) in Honolulu, HI can expect to earn approximately $235,293 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $135,746. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Honolulu.
Hourly Rate Calculator
Schedule Comparison in Honolulu
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $4,524.86 | $19,608 | $235,293 |
| Part-Time (24 hrs) | $2,714.92 | $11,765 | $141,176 |
| Per Diem (16 hrs) | $1,809.94 | $7,843 | $94,117 |
Compare CRNA Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Anesthetist (Honolulu) | $113.12 |
| 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 Honolulu, HI earn a median of $235,299 per year (2026 est.), which is 5.46% lower than the national median of $248,893 and 6.40% above the Hawaii state average of $221,145.
Nurse Anesthetist Hourly Pay vs. Cost of Living
Working 24h/week at $113.12/hr = $141,176/year (purchasing power: $118,337).
Working 40h/week (full-time) = $235,293/year (purchasing power: $197,228).
CoL index: 119.3 (100 = national average).
2019 BLS Actual
$79.44/hr
2025 BLS Actual
$107.53/hr
2026 Current Est.
$113.12/hr
2019–2027 Growth
+49.8%
Hourly Rate Trajectory for Nurse Anesthetists in Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $79.44/hr | Actual |
| 2020 | $83.44/hr | Actual |
| 2021 | $88.90/hr | Actual |
| 2022 | $92.30/hr | Actual |
| 2023 | $96.65/hr | Actual |
| 2024 | $128.16/hr | Actual |
| 2025 | $107.53/hr | Actual |
| 2026(current) | $113.12/hr | Estimated |
| 2027 | $119.00/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse anesthetists in Honolulu grew 35.4% from $79.44/hr (2019) to $107.53/hr (2025). At a 5.20% projected growth rate, hourly pay is expected to reach $119.00/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 Honolulu 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.
More salary data for Honolulu, HI:
Frequently Asked Questions
What is the hourly rate for nurse anesthetists in Honolulu in 2026?
How much do part-time nurse anesthetists make in Honolulu?
Are nurse anesthetists in Honolulu paid hourly or salary?
How much does a full-time nurse anesthetist make per year in Honolulu?
Do nurse anesthetists earn more per hour working part-time in Honolulu?
Related Pages
Compare Salaries
Career Resources
Nearby Cities in Hawaii
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 Honolulu. 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 Honolulu 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