Nurse Anesthetist Salary in Hilo, HI: $209,837 (2026)
Quick Answer:A full-time nurse anesthetist in Hilo, HI earns a median $209,837/year (≈ $100.89/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Hilo's price level (19% above national, BEA RPP 119.3), that paycheck buys what $175,890 would nationally. Nominal pay sits 5.1% below the Hawaii state average.
Based on BLS state-level estimates · View source
In Hilo, Hawaii, the projected median annual salary for nurse anesthetists in 2026 stands at $209,837, which is approximately 15.69% lower than the national median of $248,893. Local salary estimates reveal a wide range, from $143,878 at the 10th percentile to $295,578 at the 90th percentile, highlighting the significant disparities that can arise in this profession. These figures, derived from 2025 BLS data and adjusted for regional cost factors, reflect the lifestyle trade-offs that practitioners face based on their call-coverage responsibilities. While the pay can be attractive, it varies considerably depending on the specifics of one's role and the work environment, illustrating the unique employment landscape for nurse anesthetists in Hilo.
About the Hilo Market
Salary estimated from Hawaii average ($210,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $143,878 | $69.17 |
| Lower Range (P25) | $185,994 | $89.42 |
| Median (P50)(typical) | $209,837 | $100.89 |
| Upper Range (P75) | $260,800 | $125.39 |
| Top Earners (P90) | $295,578 | $142.10 |
Median Salary Position
15.69% below the national average
2026 Salary Percentile Distribution in Hilo
In Hilo, HI, the nurse anesthetist salary spread from the 10th to 90th percentile is $151,700 (2026 est.). At $209,837, the local median is 15.69% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Hilo: You'd be in the lower-middle range
How Hilo Nurse Anesthetist Pay Compares
Hilo median: $209,837/year (2026)
| Compared To | Median Salary | Hilo Pays |
|---|---|---|
| Hawaii Average | $221,114 | -5.10% less |
| National Average | $248,893 | -15.69% less |
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.
Cost-of-Living Adjusted Salary
Hilo has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Hilo, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $209,837 is competitive, the higher cost of living reduces purchasing power to an effective $175,890 — a 16.18% reduction.
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2019 BLS Actual
$147,362
2025 BLS Actual
$199,465
2026 Current Est.
$209,837
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Hilo (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $147,362 | Actual |
| 2020 | $154,773 | Actual |
| 2021 | $164,915 | Actual |
| 2022 | $171,222 | Actual |
| 2023 | $179,282 | Actual |
| 2024 | $237,736 | Actual |
| 2025 | $199,465 | Actual |
| 2026(current) | $209,837 | Estimated |
| 2027 | $220,749 | Projected |
Based on 7 years of BLS OEWS data for the Hilo metropolitan area, the median nurse anesthetist salary grew 35.4% from $147,362 (2019) to $199,465 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $220,749 by 2027 — a total increase of $73,387 (49.80%) from 2019.
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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $143,878 – $185,994 |
| 3-5 years (Mid Career) | $185,994 – $209,837 |
| 5+ years (Experienced) | $209,837 – $260,800 |
| 10+ years (Top Earner) | $260,800 – $295,578 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Hilo
Analyzing the local job market reveals that Hilo employs just seven nurse anesthetists, resulting in a niche environment where opportunities may be limited but potentially rewarding. The cost of living index in Hilo stands at 119.3, which suggests that while salaries may appear competitive, the purchasing power of take-home pay can be impacted by regional living expenses. Employers such as hospital systems typically provide the most stable W-2 positions, while ambulatory surgery centers and CRNA-owned anesthesia practices may offer additional flexibility through 1099 contracts. The disparity in earnings can heavily depend on factors including the specifics of call coverage—ranging from weekend and holiday differentials to productivity bonuses. For those looking to maximize their pay in Hilo, understanding contractual nuances, pursuing partnerships in group practices, and effectively navigating the ACT model can be beneficial career strategies.
More salary data for Hilo, HI:
Frequently Asked Questions
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Can nurse anesthetists make $100K 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
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 $199,465 for nurse anesthetistsin the Hilo 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 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