Nurse Anesthetist Salary in East Honolulu, HI: $216,770 (2026)
Quick Answer:A full-time nurse anesthetist in East Honolulu, HI earns a median $216,770/year (≈ $104.21/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in East Honolulu's price level (19% above national, BEA RPP 119.3), that paycheck buys what $181,702 would nationally. Nominal pay sits 2.0% below the Hawaii state average.
Based on BLS state-level estimates · View source

Projected for 2026, the nurse anesthetist salary in East Honolulu reaches a median of $216,770, positioning it notably below the national median of $248,893 for the same year. This compensation varies significantly, with a salary range spanning from $141,394 at the 10th percentile to $311,803 at the 90th percentile, reflecting the local market's diverse structural options. Employment dynamics in East Honolulu often depend on whether nurse anesthetists are operating under W-2 hospital employment arrangements or as independent contractors in 1099 group practices. This choice significantly affects compensation structures, job stability, and benefits, particularly as the market adjusts based on Hawaiian cost-of-living factors.
About the East Honolulu Market
Salary estimated from Hawaii average ($210,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $141,394 | $67.98 |
| Lower Range (P25) | $187,469 | $90.12 |
| Median (P50)(typical) | $216,770 | $104.21 |
| Upper Range (P75) | $259,886 | $124.95 |
| Top Earners (P90) | $311,803 | $149.91 |
Median Salary Position
12.91% below the national average
2026 Salary Percentile Distribution in East Honolulu
In East Honolulu, HI, the nurse anesthetist salary spread from the 10th to 90th percentile is $170,409 (2026 est.). At $216,770, the local median is 12.91% below the national median of $248,893.
Salary Calculator
At 40 hours/week in East Honolulu: You'd be in the lower-middle range
How East Honolulu Nurse Anesthetist Pay Compares
East Honolulu median: $216,770/year (2026)
| Compared To | Median Salary | East Honolulu Pays |
|---|---|---|
| Hawaii Average | $221,194 | -2.00% less |
| National Average | $248,893 | -12.91% less |
Nurse Anesthetists in East Honolulu, HI earn a median of $216,770 per year (2026 est.), which is 12.91% lower than the national median of $248,893 and 2.00% below the Hawaii state average of $221,194.
Cost-of-Living Adjusted Salary
East Honolulu has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
East Honolulu, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $216,770 is competitive, the higher cost of living reduces purchasing power to an effective $181,702 — a 16.18% reduction.
Compare Purchasing Power
Select a city to see how your salary compares after cost of living
Select a city above to compare purchasing power
2019 BLS Actual
$152,231
2025 BLS Actual
$206,055
2026 Current Est.
$216,770
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in East Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $152,231 | Actual |
| 2020 | $159,887 | Actual |
| 2021 | $170,364 | Actual |
| 2022 | $176,879 | Actual |
| 2023 | $185,205 | Actual |
| 2024 | $245,590 | Actual |
| 2025 | $206,055 | Actual |
| 2026(current) | $216,770 | Estimated |
| 2027 | $228,042 | Projected |
Based on 7 years of BLS OEWS data for the East Honolulu metropolitan area, the median nurse anesthetist salary grew 35.4% from $152,231 (2019) to $206,055 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $228,042 by 2027 — a total increase of $75,811 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the East 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $141,394 – $187,469 |
| 3-5 years (Mid Career) | $187,469 – $216,770 |
| 5+ years (Experienced) | $216,770 – $259,886 |
| 10+ years (Top Earner) | $259,886 – $311,803 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in East Honolulu
In East Honolulu, where just 12 nurse anesthetists are currently employed, understanding local market conditions is essential for optimizing earnings. The area's cost of living index stands at 119.3, which indicates that while salaries may appear competitive, the actual purchasing power can diminish. Hospital systems generally provide the most robust salary packages, while CRNA-owned anesthesia group practices in the region offer attractive partnership tracks. Variations in pay often derive from factors such as call coverage rotations, with differences in frequency affecting overall compensation. Additional considerations include weekend differentials, trauma center stipends, and the tax structuring differences between 1099 and W-2 employment. For those aiming to maximize nurse anesthetist pay in East Honolulu, tailoring negotiations around these variables, as well as seeking positions in higher-paying facilities, can enhance overall compensation potential.
More salary data for East Honolulu, HI:
Frequently Asked Questions
How much do nurse anesthetists make in East Honolulu, HI in 2026?
Is East Honolulu, HI a good place to work as a nurse anesthetist?
Can nurse anesthetists make $100K in East Honolulu?
What is the cost-of-living adjusted nurse anesthetist salary in East Honolulu?
How much does a nurse anesthetist make per hour in East 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
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $206,055 for nurse anesthetistsin the East Honolulu metropolitan area. A 5.20% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for East 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