2026 Salary — Hawaii
Updated April 29, 2026
Physician Salary in Hawaii: $241K Median
Physicians in Hawaii earn between $184K and $420K per year.
That's +5% above the US national median.
Quick Answer
As of April 2026, the median Physician salary in Hawaii is $240,765 per year — +5% above the US national median of $229,300. Salaries range from $183,750 (entry, 25th percentile) to $420,000 (90th percentile). Hawaii's cost-of-living index is 190. State income tax applies.
Median
$240,765
+560.0% YoY
Entry
$210,000
Experienced
$367,500
Top 10%
$420,000
About Physicians in Hawaii
Physicians diagnose and treat illnesses, prescribe medications, and provide preventive care. Specialties range widely in compensation.
Hot 2026 Skills
TelemedicineAI-assisted diagnosisConcierge medicineSpecialty practiceEHR efficiency
ATS Keywords
MDboard certifiedpatient careEHR (Epic)clinical researchspecialtyresidency
How to Negotiate Your Physician Salary in Hawaii
Walk-away anchor: $218,877.
Leverage Points
- Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
- Compact license / multi-state authority and willingness to float between units
- Night, weekend, and holiday shift differentials add up to $10K-$25K annually
- Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage
Negotiate Beyond Base
Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend
Physician Salary FAQ — Hawaii
What is the average Physician salary in Hawaii?
The average Physician salary in Hawaii is $240,765 per year as of April 2026. Salaries range from $183,750 (entry, 25th percentile) up to $420,000 (90th percentile). State income tax applies.
How does Physician pay in Hawaii compare to the US average?
Physicians in Hawaii earn approximately 5% more than the US national median ($229,300 nationally vs $240,765 in Hawaii). Hawaii's cost-of-living index of 190 partially offsets the higher salary.
Did Physician salaries in Hawaii increase in 2026?
Yes — Physician salaries in Hawaii grew approximately 560.0% year-over-year, from $36,480 in 2025 to $240,765 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Telemedicine and AI-assisted diagnosis demand.
Which Hawaii cities pay Physicians the most?
Hawaii has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.
What's the job outlook for Physicians in Hawaii?
Physician demand strong with growing US population. Specialties like radiology, anesthesiology, and orthopedics paying $400K+. Hawaii's top industries include Tourism, Military/Defense, Agriculture, and the state's unemployment rate is 2.9% — a tight labor market favoring candidates.
Does Hawaii have state income tax?
Yes, Hawaii has state income tax. This affects take-home pay — at $240,765, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.
What skills are most in demand for Physicians in 2026?
Hottest 2026 skills: Telemedicine, AI-assisted diagnosis, Concierge medicine, Specialty practice, EHR efficiency. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with Hawaii employers.
How can I increase my Physician salary in Hawaii?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for Hawaii: $218,877.
Methodology
Hawaii Physician salary is the BLS national median ($229,300) adjusted by Hawaii's state multiplier (1.05×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Physician Salary in Other States
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