Anesthesiologist Salary in Kailua, HI: $540,745 (2026)
Quick Answer:A full-time anesthesiologist in Kailua, HI earns a median $540,745/year (≈ $259.98/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Kailua's price level (19% above national, BEA RPP 119.3), that paycheck buys what $453,265 would nationally. Nominal pay sits 0.9% below the Hawaii state average.
Based on BLS state-level estimates · View source
In 2026, anesthesiologists in Kailua, Hawaii can expect a median annual salary of $540,745, significantly above the national median of $409,107, reflecting a robust local market for this specialty. The comprehensive salary range for this profession spans from $313,632 at the 10th percentile to $748,504 at the 90th percentile, indicating a wide disparity based on various factors affecting compensation. These salary estimates, derived from 2025 BLS data and adjusted to account for regional price parities, highlight how employment settings, such as W-2 hospital positions versus private group partnerships, can shape overall pay structures. With six anesthesiologists currently practicing in Kailua, the market presents unique opportunities and challenges that can significantly influence an anesthesiologist's earning potential in HI.
About the Kailua Market
Salary estimated from Hawaii average ($360,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $313,632 | $150.78 |
| Lower Range (P25) | $389,336 | $187.18 |
| Median (P50)(typical) | $540,745 | $259.98 |
| Upper Range (P75) | $672,135 | $323.15 |
| Top Earners (P90) | $748,504 | $359.86 |
Median Salary Position
32.18% above the national average
2026 Salary Percentile Distribution in Kailua
In Kailua, HI, the anesthesiologist salary spread from the 10th to 90th percentile is $434,872 (2026 est.). At $540,745, the local median is 32.18% above the national median of $409,107.
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At 40 hours/week in Kailua: You'd be above the median
How Kailua Anesthesiologist Pay Compares
Kailua median: $540,745/year (2026)
| Compared To | Median Salary | Kailua Pays |
|---|---|---|
| Hawaii Average | $545,656 | -0.90% less |
| National Average | $409,107 | +32.18% more |
Anesthesiologists in Kailua, HI earn a median of $540,745 per year (2026 est.), which is 32.18% higher than the national median of $409,107 and 0.90% below the Hawaii state average of $545,656.
Cost-of-Living Adjusted Salary
Kailua has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Kailua, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $540,745 is competitive, the higher cost of living reduces purchasing power to an effective $453,265 — a 16.18% reduction.
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2019 BLS Actual
$397,355
2025 BLS Actual
$517,459
2026 Current Est.
$540,745
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Kailua (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $397,355 | Actual |
| 2020 | $415,236 | Actual |
| 2021 | $433,921 | Actual |
| 2022 | $453,448 | Actual |
| 2023 | $473,853 | Actual |
| 2024 | $425,744 | Actual |
| 2025 | $517,459 | Actual |
| 2026(current) | $540,745 | Estimated |
| 2027 | $565,078 | Projected |
Based on 7 years of BLS OEWS data for the Kailua metropolitan area, the median anesthesiologist salary grew 30.2% from $397,355 (2019) to $517,459 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $565,078 by 2027 — a total increase of $167,723 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Kailua 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) | $313,632 – $389,336 |
| 3-5 years (Mid Career) | $389,336 – $540,745 |
| 5+ years (Experienced) | $540,745 – $672,135 |
| 10+ years (Top Earner) | $672,135 – $748,504 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Kailua
Considering the local job landscape, the cost of living index in Kailua stands at 119.3, suggesting that although anesthesiologist salaries are higher than the national average, the purchasing power may be impacted by the elevated expenses associated with living in Hawaii. Among the various employers in the area, W-2 hospital systems typically offer more stable salaries, while private anesthesia groups can lead to higher income through partnership tracks and profit-sharing opportunities. Factors that drive the salary range include case volume, the equity from partnership roles, call burdens, and subspecialty fellowship training. To maximize take-home pay, anesthesiologists in Kailua should consider strategies like enhancing their skills through advanced fellowship training, seeking hospital-employed RVU bonuses, and negotiating benefits effectively within the framework of their chosen employment model.
More salary data for Kailua, 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 $517,459 for anesthesiologistsin the Kailua 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 Kailua 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