Nurse Anesthetist Salary in Pearl City, HI: $214,625 (2026)
Quick Answer:A full-time nurse anesthetist in Pearl City, HI earns a median $214,625/year (≈ $103.18/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1151). Once you factor in Pearl City's price level (19% above national, BEA RPP 119.3), that paycheck buys what $179,904 would nationally. Nominal pay sits 2.9% below the Hawaii state average.
Based on BLS state-level estimates · View source
In 2026, nurse anesthetists in Pearl City, Hawaii, earn a median annual salary of $214,625, which is significantly lower than the national median of $248,893. Salaries in this region vary considerably, with a range from $136,455 at the 10th percentile to $304,554 at the 90th percentile. These figures, derived from state-level BLS data and adjusted for regional cost of living, indicate a structured difference between those employed through hospital systems versus those who operate within group practices. This division in operational setup can heavily influence compensation, as W-2 hospital positions typically offer more stability and benefits, while 1099 arrangements in group settings may lead to variable earnings based on the individual’s productivity and patient volume. In Pearl City's evolving job market, the balance between employment type and salary potential is crucial for both current and aspiring nurse anesthetists.
About the Pearl City Market
Salary estimated from Hawaii average ($210,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $136,455 | $65.60 |
| Lower Range (P25) | $191,304 | $91.98 |
| Median (P50)(typical) | $214,625 | $103.18 |
| Upper Range (P75) | $267,462 | $128.59 |
| Top Earners (P90) | $304,554 | $146.42 |
Median Salary Position
13.77% below the national average
2026 Salary Percentile Distribution in Pearl City
In Pearl City, HI, the nurse anesthetist salary spread from the 10th to 90th percentile is $168,099 (2026 est.). At $214,625, the local median is 13.77% below the national median of $248,893.
Salary Calculator
At 40 hours/week in Pearl City: You'd be in the lower-middle range
How Pearl City Nurse Anesthetist Pay Compares
Pearl City median: $214,625/year (2026)
| Compared To | Median Salary | Pearl City Pays |
|---|---|---|
| Hawaii Average | $221,035 | -2.90% less |
| National Average | $248,893 | -13.77% less |
Nurse Anesthetists in Pearl City, HI earn a median of $214,625 per year (2026 est.), which is 13.77% lower than the national median of $248,893 and 2.90% below the Hawaii state average of $221,035.
Cost-of-Living Adjusted Salary
Pearl City has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Pearl City, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $214,625 is competitive, the higher cost of living reduces purchasing power to an effective $179,904 — a 16.18% reduction.
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2019 BLS Actual
$150,725
2025 BLS Actual
$204,016
2026 Current Est.
$214,625
2019–2027 Growth
+49.8%
Salary Trajectory for Nurse Anesthetists in Pearl City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.20% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $150,725 | Actual |
| 2020 | $158,304 | Actual |
| 2021 | $168,678 | Actual |
| 2022 | $175,128 | Actual |
| 2023 | $183,372 | Actual |
| 2024 | $243,160 | Actual |
| 2025 | $204,016 | Actual |
| 2026(current) | $214,625 | Estimated |
| 2027 | $225,785 | Projected |
Based on 7 years of BLS OEWS data for the Pearl City metropolitan area, the median nurse anesthetist salary grew 35.4% from $150,725 (2019) to $204,016 (2025). At a 5.20% compound annual growth rate, salaries are projected to reach $225,785 by 2027 — a total increase of $75,060 (49.80%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Pearl City 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) | $136,455 – $191,304 |
| 3-5 years (Mid Career) | $191,304 – $214,625 |
| 5+ years (Experienced) | $214,625 – $267,462 |
| 10+ years (Top Earner) | $267,462 – $304,554 |
CRNA salary ranges estimated from BLS percentile data. Individual nurse anesthetist compensation varies by employer, certifications, and specialization.
Nurse Anesthetist Job Market in Pearl City
The local job market for nurse anesthetists in Pearl City features eight professionals actively engaged in this specialty, reflecting a modest yet stable employment figure. However, the cost-of-living index of 119.3 suggests that the purchasing power of these salaries may be impacted, particularly when compared to the national average. Among local employers, hospital systems tend to pay the most for nurse anesthetists, though options such as ambulatory surgical centers and CRNA-owned practices also offer competitive compensation. Factors influencing pay variations include call coverage rotations, weekend and holiday differentials, and the efficiency of operating room teams. Additionally, those seeking to maximize their earnings should consider opportunities for productivity bonuses and explore the potential for partnership in group practices, which can lead to significant profit shares. In the context of Pearl City’s market, strategic career planning and understanding compensation structures will be key to enhancing overall income for nurse anesthetists.
More salary data for Pearl City, 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 $204,016 for nurse anesthetistsin the Pearl City 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 Pearl City 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