Anesthesiologist Salary in Pearl City, HI: $529,443 (2026)
Quick Answer:A full-time anesthesiologist in Pearl City, HI earns a median $529,443/year (≈ $254.54/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1211). Once you factor in Pearl City's price level (19% above national, BEA RPP 119.3), that paycheck buys what $443,791 would nationally. Nominal pay sits 2.9% below the Hawaii state average.
Based on BLS state-level estimates · View source
In Pearl City, Hawaii, the 2026 median annual salary for anesthesiologists is projected at $529,443, significantly surpassing the national median of $409,107 by 29.41%. The salary range for physicians in this specialty in the area spans from $307,077 at the 10th percentile (P10) to $745,186 at the 90th percentile (P90), reflecting a competitive market driven by various factors, including subspecialty fellowships. Those focusing on critical care or pain management can particularly boost their earnings potential. The estimates derive from 2025 BLS data and take into account local cost-adjusted metrics, providing a more accurate picture of the financial landscape for anesthesiologists in Pearl City compared to other regions.
About the Pearl City Market
Salary estimated from Hawaii average ($360,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $307,077 | $147.64 |
| Lower Range (P25) | $381,199 | $183.27 |
| Median (P50)(typical) | $529,443 | $254.54 |
| Upper Range (P75) | $664,394 | $319.43 |
| Top Earners (P90) | $745,186 | $358.27 |
Median Salary Position
29.41% above the national average
2026 Salary Percentile Distribution in Pearl City
In Pearl City, HI, the anesthesiologist salary spread from the 10th to 90th percentile is $438,109 (2026 est.). At $529,443, the local median is 29.41% above the national median of $409,107.
Salary Calculator
At 40 hours/week in Pearl City: You'd be above the median
How Pearl City Anesthesiologist Pay Compares
Pearl City median: $529,443/year (2026)
| Compared To | Median Salary | Pearl City Pays |
|---|---|---|
| Hawaii Average | $545,255 | -2.90% less |
| National Average | $409,107 | +29.41% more |
Anesthesiologists in Pearl City, HI earn a median of $529,443 per year (2026 est.), which is 29.41% higher than the national median of $409,107 and 2.90% below the Hawaii state average of $545,255.
Cost-of-Living Adjusted Salary
Pearl City has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Pearl City, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $529,443 is competitive, the higher cost of living reduces purchasing power to an effective $443,791 — a 16.18% reduction.
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2019 BLS Actual
$389,050
2025 BLS Actual
$506,644
2026 Current Est.
$529,443
2019–2027 Growth
+42.2%
Salary Trajectory for Anesthesiologists in Pearl City (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 4.50% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $389,050 | Actual |
| 2020 | $406,557 | Actual |
| 2021 | $424,852 | Actual |
| 2022 | $443,970 | Actual |
| 2023 | $463,949 | Actual |
| 2024 | $416,846 | Actual |
| 2025 | $506,644 | Actual |
| 2026(current) | $529,443 | Estimated |
| 2027 | $553,268 | Projected |
Based on 7 years of BLS OEWS data for the Pearl City metropolitan area, the median anesthesiologist salary grew 30.2% from $389,050 (2019) to $506,644 (2025). At a 4.50% compound annual growth rate, salaries are projected to reach $553,268 by 2027 — a total increase of $164,218 (42.21%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Pearl City 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) | $307,077 – $381,199 |
| 3-5 years (Mid Career) | $381,199 – $529,443 |
| 5+ years (Experienced) | $529,443 – $664,394 |
| 10+ years (Top Earner) | $664,394 – $745,186 |
ANES salary ranges estimated from BLS percentile data. Individual anesthesiologist compensation varies by employer, certifications, and specialization.
Anesthesiologist Job Market in Pearl City
Despite only eight anesthesiologists currently employed in Pearl City, the local market shows promising stability for practitioners in varying settings. The cost-of-living index stands at 119.3, indicating that while salaries are higher, they must be weighed against living expenses. Among potential employers, hospital systems typically offer stable W-2 positions with benefits, while private practices can provide opportunities for higher partnership income and RVU bonuses. The variance in compensation arises from factors such as case volume, the demands of call rotations, and the pursuit of fellowship training. To maximize anesthesiologist pay in Pearl City, professionals should explore opportunities in both hospital and private settings while considering subspecialty training to increase their marketability.
More salary data for Pearl City, 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 $506,644 for anesthesiologistsin the Pearl City 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 Pearl City 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