Practice medicine under physician supervision — diagnosing, treating, and prescribing. Median salary in Honolulu: $156K/year. Data from BLS, O*NET, and H-1B disclosures.
Figures represent annual base salary in Honolulu, Hawaii. Reviewed by SalaryOptics Editorial · How we calculate this →
Analysis derived from the salary, COL, tax, and labor-market figures above — specific to this role and city.
Physician Assistants in Honolulu earn approximately 20% higher than the US national median for this role — a $26,000 premium on annual base salary. This reflects Honolulu's position as a higher-cost labor market where employers must match local wage norms.
Adjusted for Honolulu's cost-of-living index (192), the median Physician Assistant salary buys the equivalent of $81,250 in a US-average-cost city. That's $48,750 less purchasing power than the national median — the higher nominal salary doesn't fully offset local costs.
Hawaii's 11% state income tax reduces take-home by roughly $17,160 per year at the median salary. A Physician Assistant relocating to a no-tax state like Texas, Florida, or Tennessee would retain that amount without changing gross pay.
Based on BLS 2022–2032 Employment Projections and WEF Future of Jobs Report 2026. At current growth rates, median salary reaches $186K by 2030.
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The median Physician Assistant salary in Honolulu, HI is $156,000 per year as of Q1 2026. This figure represents the midpoint of all reported compensation for this role in the Honolulu–HI metropolitan area, based on data from the Bureau of Labor Statistics Occupational Employment Statistics, H-1B visa disclosures from the Department of Labor, and O*NET occupational data.
Entry-level Physician Assistants in Honolulu with 0–2 years of experience typically earn between $130,000 and $156,000 annually. Mid-career professionals with 3–7 years command $156,000 to $186,000, while senior-level practitioners with 8+ years of experience regularly earn $186,000 to $222,000 or more.
Honolulu has a cost of living index of 192 compared to the US national average of 100. Honolulu's cost of living is above the US average, so the salary figures above reflect local market rates. Hawaii has a 11% state income tax rate.
Master's in Physician Assistant Studies; PA-C certification. 5% of these roles offer some remote flexibility.