Anesthesiologist Salary in Kahului, HI: $518,437 (2026)
Quick Answer:A full-time anesthesiologist in Kahului, HI earns a median $518,437/year (≈ $249.25/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Kahului's price level (19% above national, BEA RPP 119.3), that paycheck buys what $434,566 would nationally. Nominal pay sits 5.0% below the Hawaii state average.
Based on BLS state-level estimates · View source

Anesthesiologists in Kahului, Hawaii, can expect a median annual salary of $518,437 in 2026, significantly higher than the national median of $409,107. With a salary range spanning from $300,694 at the 10th percentile to $708,775 at the 90th percentile, the data reflects local estimates derived from 2025 BLS data, adjusted for regional cost factors. Factors influencing the variation include subspecialty fellowships, which can significantly enhance earning potential, especially in high-demand areas such as pain management and critical care. Therefore, those considering their professional journey in this beautiful island city should focus on acquiring relevant fellowships to boost their market value.
About the Kahului Market
Salary estimated from Hawaii average ($360,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $300,694 | $144.57 |
| Lower Range (P25) | $373,275 | $179.46 |
| Median (P50)(typical) | $518,437 | $249.25 |
| Upper Range (P75) | $637,838 | $306.66 |
| Top Earners (P90) | $708,775 | $340.75 |
Median Salary Position
26.72% above the national average
2026 Salary Percentile Distribution in Kahului
In Kahului, HI, the anesthesiologist salary spread from the 10th to 90th percentile is $408,081 (2026 est.). At $518,437, the local median is 26.72% above the national median of $409,107.
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At 40 hours/week in Kahului: You'd be above the median
How Kahului Anesthesiologist Pay Compares
Kahului median: $518,437/year (2026)
| Compared To | Median Salary | Kahului Pays |
|---|---|---|
| Hawaii Average | $545,723 | -5.00% less |
| National Average | $409,107 | +26.72% more |
Anesthesiologists in Kahului, HI earn a median of $518,437 per year (2026 est.), which is 26.72% higher than the national median of $409,107 and 5.00% below the Hawaii state average of $545,723.
Cost-of-Living Adjusted Salary
Kahului has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Kahului, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $518,437 is competitive, the higher cost of living reduces purchasing power to an effective $434,566 — a 16.18% reduction.
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2019 BLS Actual
$380,962
2025 BLS Actual
$496,112
2026 Current Est.
$518,437
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Kahului (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $380,962 | Actual |
| 2020 | $398,106 | Actual |
| 2021 | $416,020 | Actual |
| 2022 | $434,741 | Actual |
| 2023 | $454,305 | Actual |
| 2024 | $408,180 | Actual |
| 2025 | $496,112 | Actual |
| 2026(current) | $518,437 | Estimated |
| 2027 | $541,767 | Projected |
Based on 7 years of BLS OEWS data for the Kahului metropolitan area, the median anesthesiologist salary grew 30.2% from $380,962 (2019) to $496,112 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $541,767 by 2027 — a total increase of $160,805 (42.21%) 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 4.50% 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) | $300,694 – $373,275 |
| 3-5 years (Mid Career) | $373,275 – $518,437 |
| 5+ years (Experienced) | $518,437 – $637,838 |
| 10+ years (Top Earner) | $637,838 – $708,775 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Kahului
Currently, Kahului employs only five anesthesiologists, highlighting a competitive local job market for this critical role. With a cost-of-living index of 119.3, earning potential must be balanced against the area's living expenses to determine true purchasing power. Employers such as local hospital systems, private anesthesia group practices, and ambulatory surgery centers significantly influence compensation levels. The disparity in pay often hinges on factors like case volume, partnership equity, and work commitments. To maximize their anesthesiologist pay in Kahului, practitioners should consider seeking opportunities with hospital-employed structures that offer RVU bonuses or explore positions that include lucrative call arrangements and fellowship programs, all while navigating the variation between W-2 vs. 1099 track distinctions in this evolving employment climate.
More salary data for Kahului, HI:
Frequently Asked Questions
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Written by Dr. Maria Chen, MD
Career Analyst
Dr. Chen has over 10 years of experience in anesthesiology. She specializes in perioperative care at a major metropolitan hospital.
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 $496,112 for anesthesiologistsin the Kahului metropolitan area. A 4.50% 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 Kahului 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 4.50%, derived from historical BLS wage trends for anesthesiologists (SOC 29-1211).
Compiled and verified by Dr. Maria Chen, MD, a licensed anesthesiologist with 10+ years of clinical experience. · View source data at BLS.gov