Nurse Practitioner Hourly Pay in Kailua, HI: $77.82 (2026)
Quick Answer:Hourly pay for a nurse practitioner working in Kailua, HI runs $77.82 at the median for 2026 — annualizing to $161,859 at a standard 2,080-hour year. Figures projected from BLS OEWS 2025 (SOC 29-1171). Weighted against Kailua's regional price level (BEA RPP 119.3, 19% above national), each hour of work buys what $65.23 nationally would. A 24-hour part-time schedule grosses $97,113 per year.
Based on BLS state-level estimates · View source

In 2026, the nurse practitioner hourly pay in Kailua, HI is projected to reach a median of $77.82. This figure is significantly higher than the national median of $65.80 per hour, reflecting the unique demand and cost of living in the area. For those in part-time positions, such as working three days a week, the hourly rate translates into a substantial weekly income, enabling comfortable living. Per-diem workers, who often take on roles at primary care clinics, urgent care facilities, and telehealth services, also benefit from this favorable compensation structure. Entry-level nurse practitioners can expect to earn around $61.27 per hour, while top earners in Kailua may achieve rates as high as $99.81, highlighting the broad range of earning potential within this profession.
About the Kailua Market
Salary estimated from Hawaii average ($137,000) adjusted for local cost of living.
Nurse Practitioner Hourly Wage Breakdown
| Percentile | Hourly Rate | Per 8hr Shift |
|---|---|---|
| Entry Level (P10) | $61.27 | $490.19 |
| Lower Range (P25) | $69.80 | $558.38 |
| Median (P50) | $77.82 | $622.52 |
| Upper Range (P75) | $91.47 | $731.76 |
| Top Earners (P90) | $99.81 | $798.47 |
Estimated Annual Income by Work Schedule in Kailua
Based on $77.82/hr median hourly rate · 2026 est.
At $77.82/hr, a nurse practitioner working full-time (40 hr/wk) in Kailua, HI can expect to earn approximately $161,855 per year (2026 est.). Part-time hygienists working 24 hours per week would earn around $93,378. With a cost-of-living index of 119.30 (above the national average), these earnings may be offset by higher expenses in Kailua.
Hourly Rate Calculator
Schedule Comparison in Kailua
| Schedule | Weekly | Monthly | Annual |
|---|---|---|---|
| Full-Time (40 hrs) | $3,112.60 | $13,488 | $161,855 |
| Part-Time (24 hrs) | $1,867.56 | $8,093 | $97,113 |
| Per Diem (16 hrs) | $1,245.04 | $5,395 | $64,742 |
Compare NP Wages With Similar Roles
| Role | Median Hourly |
|---|---|
| Nurse Practitioner (Kailua) | $77.82 |
| Registered Nurse (National Avg) | $42.80 |
| Physician Assistant (National Avg) | $63.20 |
| Nurse Anesthetist (National Avg) | $103.40 |
| Nurse Midwife (National Avg) | $63.85 |
Nurse Practitioners in Kailua, HI earn a median of $161,859 per year (2026 est.), which is 18.26% higher than the national median of $136,864 and 0.90% below the Hawaii state average of $163,329.
Nurse Practitioner Hourly Pay vs. Cost of Living
Working 24h/week at $77.82/hr = $97,113/year (purchasing power: $81,403).
Working 40h/week (full-time) = $161,855/year (purchasing power: $135,671).
CoL index: 119.3 (100 = national average).
2019 BLS Actual
$62.44/hr
2025 BLS Actual
$75.22/hr
2026 Current Est.
$77.82/hr
2019–2027 Growth
+28.9%
Hourly Rate Trajectory for Nurse Practitioners in Kailua (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Hourly Rate | Status |
|---|---|---|
| 2019 | $62.44/hr | Actual |
| 2020 | $63.50/hr | Actual |
| 2021 | $68.61/hr | Actual |
| 2022 | $69.14/hr | Actual |
| 2023 | $71.79/hr | Actual |
| 2024 | $77.89/hr | Actual |
| 2025 | $75.22/hr | Actual |
| 2026(current) | $77.82/hr | Estimated |
| 2027 | $80.50/hr | Projected |
Based on 7 years of BLS OEWS metropolitan area data, the median hourly rate for nurse practitioners in Kailua grew 20.5% from $62.44/hr (2019) to $75.22/hr (2025). At a 3.45% projected growth rate, hourly pay is expected to reach $80.50/hr by 2027. Part-time and per-diem nurse practitioners can use this multi-year trend to benchmark future contract negotiations.
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 3.45% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Working as an Hourly Nurse Practitioner in Kailua
For those opting for part-time work, a nurse practitioner on a 24-hour weekly schedule can expect to take home around $97,089 annually, significantly less than their full-time counterparts. The allure of per diem work is strong; locum tenens nurse practitioners can command rates between $80 and $140 per hour, particularly in specialty settings, while psychiatric mental health NPs specializing in telehealth can earn between $150 and $200 per hour. Variability in hourly rates across different employer types is pronounced in Kailua, as hospitals, primary care practices, retail clinics, and telehealth platforms each offer distinct pay structures. Some nurse practitioners may willingly accept lower hourly rates from employers who provide benefits like health insurance. As you negotiate in this competitive market, aim to balance hourly compensation with the benefits offered, ensuring a package that meets professional and personal needs.
More salary data for Kailua, HI:
Frequently Asked Questions
What is the hourly rate for nurse practitioners in Kailua in 2026?
How much do part-time nurse practitioners make in Kailua?
Are nurse practitioners in Kailua paid hourly or salary?
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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.
Methodology & Data Source
Hourly wage figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. A 3.45% compound annual growth rate (CAGR), derived from 6-year national BLS wage trends, was applied to estimate current 2026 hourly rates for nurse practitioners in Kailua. Part-time and full-time income estimates assume consistent weekly hours and do not account for overtime, benefits, or seasonal variation.
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 3.45%, derived from historical BLS wage trends for nurse practitioners (SOC 29-1171).
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