Physician Assistant Salary in Kahului, HI: $139,441 (2026)
Quick Answer:A full-time physician assistant in Kahului, HI earns a median $139,441/year (≈ $67.04/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1071). Once you factor in Kahului's price level (9% above national, BEA RPP 109.4), that paycheck buys what $127,468 would nationally. Nominal pay sits 16.7% below the Hawaii state average.
Official BLS data · View source
In 2026, physician assistants in Kahului, HI, are projected to earn a median annual salary of $139,441, slightly below the national median of $140,391. The salary range varies significantly, stretching from $103,093 at the 10th percentile to as high as $188,249 at the 90th percentile. This data, drawn from 2025 BLS OEWS surveys and projected to 2026, reflects a competitive compensation landscape that may depend heavily on whether professionals choose a W-2 employment structure in a hospital setting or a 1099 arrangement in surgical practices. The job market for physician assistants in Kahului is influenced by the local healthcare system, where preferences for specialties can heavily dictate earning potential.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $103,093 | $49.56 |
| Lower Range (P25) | $103,434 | $49.73 |
| Median (P50)(typical) | $139,441 | $67.04 |
| Upper Range (P75) | $149,938 | $72.09 |
| Top Earners (P90) | $188,249 | $90.51 |
Median Salary Position
0.68% below the national average
2026 Salary Percentile Distribution in Kahului
In Kahului, HI, the physician assistant salary spread from the 10th to 90th percentile is $85,156 (2026 est.). At $139,441, the local median is 0.68% below the national median of $140,391.
Salary Calculator
At 40 hours/week in Kahului: You'd be in the lower-middle range
How Kahului Physician Assistant Pay Compares
Kahului median: $139,441/year (2026)
| Compared To | Median Salary | Kahului Pays |
|---|---|---|
| Hawaii Average | $167,396 | -16.70% less |
| National Average | $140,391 | -0.68% less |
Physician Assistants in Kahului, HI earn a median of $139,441 per year (2026 est.), which is 0.68% lower than the national median of $140,391 and 16.70% below the Hawaii state average of $167,396.
Cost-of-Living Adjusted Salary
Kahului has a cost of living 9.39% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Kahului, HI has a cost-of-living index of 109.393 (above the national average of 100). While the nominal salary of $139,441 is competitive, the higher cost of living reduces purchasing power to an effective $127,468 — a 8.59% reduction.
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2019 BLS Actual
$107,140
2025 BLS Actual
$134,960
2026 Current Est.
$139,441
2019–2027 Growth
+34.5%
Salary Trajectory for Physician Assistants in Kahului (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $107,140 | Actual |
| 2020 | $107,110 | Actual |
| 2021 | $106,480 | Actual |
| 2022 | $84,460 | Actual |
| 2023 | $103,220 | Actual |
| 2024 | $137,510 | Actual |
| 2025 | $134,960 | Actual |
| 2026(current) | $139,441 | Estimated |
| 2027 | $144,070 | Projected |
Based on 7 years of BLS OEWS data for the Kahului metropolitan area, the median physician assistant salary grew 26.0% from $107,140 (2019) to $134,960 (2025). At a 3.32% compound annual growth rate, salaries are projected to reach $144,070 by 2027 — a total increase of $36,930 (34.47%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Kahului 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 3.32% 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) | $103,093 – $103,434 |
| 3-5 years (Mid Career) | $103,434 – $139,441 |
| 5+ years (Experienced) | $139,441 – $149,938 |
| 10+ years (Top Earner) | $149,938 – $188,249 |
PA salary ranges estimated from BLS percentile data. Individual physician assistant compensation varies by employer, certifications, and specialization.
Physician Assistant Job Market in Kahului
With only 50 physician assistants currently employed in the area, Kahului offers a unique job market that blends both opportunities and challenges. A cost-of-living index of 109.393 indicates that living expenses are above the national average, impacting take-home pay for health professionals. Those seeking higher physician assistant pay in Kahului, HI, would benefit by focusing on roles in surgical specialty practices—particularly orthopedics and cardiothoracic surgery—where compensation tends to be higher due to the volume of first-assist cases and additional incentives such as productivity bonuses. To maximize earnings, PAs could explore opportunities in urgent care chains and emergency departments or consider the structure of their employment. Understanding local hiring trends and aligning specialties with the needs of healthcare facilities will be essential strategies for aspiring providers in this evolving job market.
More salary data for Kahului, HI:
Frequently Asked Questions
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Written by Jessica Tran, MPAS, PA-C
Career Analyst
Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.
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 $134,960 for physician assistantsin the Kahului metropolitan area. A 3.32% 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
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.32%, derived from historical BLS wage trends for physician assistants (SOC 29-1071).
Compiled and verified by Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov