Nurse Anesthetist Salary in Kailua, HI: $219,207 (2026)
Quick Answer:A full-time nurse anesthetist in Kailua, HI earns a median $219,207/year (≈ $105.39/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Kailua's price level (19% above national, BEA RPP 119.3), that paycheck buys what $183,744 would nationally. Nominal pay sits 0.9% below the Hawaii state average.
Based on BLS state-level estimates · View source
Kailua, HI, presents a distinctive financial picture for nurse anesthetists, with a projected median annual salary of $219,207 in 2026. This figure is notable when contextualized against the national median, which is $248,893, marking a decrease of approximately 11.93% in compensation for local professionals compared to their national counterparts. The local salary range further illustrates this variation, with the lower tenth percentile earning $147,786 and the top percentile reaching $305,953. These estimates, derived from BLS state-level data and regional price adjustments, reflect the unique economic dynamics of functioning in an opt-out state, allowing CRNAs autonomy in practice, which can amplify both responsibilities and earning potential in comparison to states adhering to the Anesthesia Care Team model.
About the Kailua Market
Salary estimated from Hawaii average ($210,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $147,786 | $71.05 |
| Lower Range (P25) | $192,611 | $92.60 |
| Median (P50)(typical) | $219,207 | $105.39 |
| Upper Range (P75) | $270,561 | $130.08 |
| Top Earners (P90) | $305,953 | $147.09 |
Median Salary Position
11.93% below the national average
2026 Salary Percentile Distribution in Kailua
In Kailua, HI, the nurse anesthetist salary spread from the 10th to 90th percentile is $158,167 (2026 est.). At $219,207, the local median is 11.93% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Kailua: You'd be in the lower-middle range
How Kailua Nurse Anesthetist Pay Compares
Kailua median: $219,207/year (2026)
| Compared To | Median Salary | Kailua Pays |
|---|---|---|
| Hawaii Average | $221,198 | -0.90% less |
| National Average | $248,893 | -11.93% less |
Nurse Anesthetists in Kailua, HI earn a median of $219,207 per year (2026 est.), which is 11.93% lower than the national median of $248,893 and 0.90% below the Hawaii state average of $221,198.
Cost-of-Living Adjusted Salary
Kailua has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Kailua, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $219,207 is competitive, the higher cost of living reduces purchasing power to an effective $183,744 — a 16.18% reduction.
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2019 BLS Actual
$153,943
2025 BLS Actual
$208,372
2026 Current Est.
$219,207
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Kailua (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $153,943 | Actual |
| 2020 | $161,684 | Actual |
| 2021 | $172,280 | Actual |
| 2022 | $178,868 | Actual |
| 2023 | $187,287 | Actual |
| 2024 | $248,351 | Actual |
| 2025 | $208,372 | Actual |
| 2026(current) | $219,207 | Estimated |
| 2027 | $230,606 | Projected |
Based on 7 years of BLS OEWS data for the Kailua metropolitan area, the median nurse anesthetist salary grew 35.4% from $153,943 (2019) to $208,372 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $230,606 by 2027 — a total increase of $76,663 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Kailua 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) | $147,786 – $192,611 |
| 3-5 years (Mid Career) | $192,611 – $219,207 |
| 5+ years (Experienced) | $219,207 – $270,561 |
| 10+ years (Top Earner) | $270,561 – $305,953 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Kailua
With only six nurse anesthetists employed within Kailua, the job market is relatively constrained, leading to competition among facilities for attracting talent. The cost of living index of 119.3 reveals that while salaries may seem attractive, the purchasing power can be adversely affected by higher living expenses. Notably, hospitals and ambulatory surgery centers tend to offer more competitive salaries, but CRNA-owned practices may provide partnership-track opportunities that could appeal to those looking for a long-term commitment. Factors such as call coverage rotations, weekend differentials, and productivity bonuses create a wide salary disparity among positions. To maximize earnings in Kailua, candidates are encouraged to explore roles in varied settings, consider locum tenens work for flexibility, or negotiate for higher compensation where possible, taking full advantage of the opt-out status to leverage independent practice when applicable.
More salary data for Kailua, HI:
Frequently Asked Questions
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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 $208,372 for nurse anesthetistsin the Kailua 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 Kailua 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