Nurse Practitioner Pay

Hilo vs Honolulu: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Hilo, HI and Honolulu, HI. All figures are 2026 estimates projected from BLS 2025 data.

Hilo, HI
$154,941
$74.49/hr
Honolulu, HI
$173,740
$83.53/hr

Side-by-Side Comparison

MetricHilo, HIHonolulu, HI
Median Salary$154,941$173,740
Hourly Rate$74.49$83.53
Entry Level (P10)$123,775$124,278
25th Percentile$140,175$148,047
75th Percentile$183,460$210,583
Top Earner (P90)$200,726$232,027
Total Employed768
Side-by-side bar chart comparing Hilo ($154,941) and Honolulu ($173,740) nurse practitioner salaries.HiloHonoluluMedian Salary$154,941$173,740Entry Level (P10)$123,775$124,278Top Earner (P90)$200,726$232,027US Median $136,864

Verdict

Honolulu, HI offers better overall compensation for nurse practitioners, winning 4 out of 4 metrics compared to Hilo.

The salary gap between Hilo and Honolulu is $18,799 (12.13%). Honolulu's median is +26.94% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Hilo spans $76,951,Honolulu spans $107,749. Honolulu has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Hilo
P10 (Entry)$123,775
P25$140,175
Median$154,941
P75$183,460
P90 (Top)$200,726
Honolulu
P10 (Entry)$124,278
P25$148,047
Median$173,740
P75$210,583
P90 (Top)$232,027

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Honolulu ($145,633 effective) pays 12.13% more than Hilo ($129,875 effective).

Hilo
Nominal: $154,941
CoL Index: 119.3
Adjusted: $129,875
Honolulu
Nominal: $173,740
CoL Index: 119.3
Adjusted: $145,633

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Hilo if…

  • You prefer the Hawaii area and lifestyle

Choose Honolulu if…

  • Higher median salary ($173,740/year)
  • Better top-earner potential ($232,027)
  • Larger job market (68 employed)
  • Better purchasing power (CoL-adjusted: $145,633)
  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Hilo grew -3.4% from 2024 to 2025, compared to -3.4% growth in Honolulu over the same period.

Hilo, HI

+-3.4%

$155,094 (2024) → $149,774 (2025)

Honolulu, HI

+-3.4%

$173,913 (2024) → $167,946 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Hilo or Honolulu?

Honolulu has a higher median nurse practitioner salary at $173,740/year, compared to Hilo at $154,941/year — a difference of $18,799 (12.13%).

What is the hourly rate difference between Hilo and Honolulu?

Hilo nurse practitioners earn $74.49/hr while Honolulu hygienists earn $83.53/hr (2026 est.).

Should I relocate from Hilo to Honolulu as a nurse practitioner?

Consider more than just salary when comparing Hilo and Honolulu. Factor in cost of living (CoL-adjusted: Hilo = $129,875, Honolulu = $145,633), job availability (7 vs 68 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Hilo vs Honolulu?

Entry-level (10th percentile) nurse practitioners earn $123,775 in Hilo and $124,278 in Honolulu. The Honolulu area offers higher starting salaries.
MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov