Nurse Practitioner Salary in Urban Honolulu, HI: $140,247 (2026)
Quick Answer:A full-time nurse practitioner in Urban Honolulu, HI earns a median $140,247/year (≈ $67.43/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-1171). Once you factor in Urban Honolulu's price level (11% above national, BEA RPP 111.0), that paycheck buys what $126,393 would nationally. Nominal pay sits 14.1% below the Hawaii state average.
Official BLS data · View source
In Urban Honolulu, Hawaii, nurse practitioners earn a median annual salary of $140,247 as of 2026, surpassing the national median of $136,864. The salary range for these professionals varies significantly, with the lowest 10% making around $110,123 and the top 90% earning as much as $179,631. This data is derived from 2025 BLS OEWS surveys, which project the earnings landscape for the following year. Urban Honolulu benefits from its status as a full-practice state, allowing nurse practitioners greater autonomy and the potential for enhanced compensation compared to those in states that require collaboration with physicians. As the healthcare job market evolves, the demand for qualified nurse practitioners in this metropolitan area continues to grow, reflecting the critical need for healthcare providers.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $110,123 | $52.95 |
| Lower Range (P25) | $128,826 | $61.94 |
| Median (P50)(typical) | $140,247 | $67.43 |
| Upper Range (P75) | $170,465 | $81.95 |
| Top Earners (P90) | $179,631 | $86.36 |
Median Salary Position
2.47% above the national average
2026 Salary Percentile Distribution in Urban Honolulu
In Urban Honolulu, HI, the nurse practitioner salary spread from the 10th to 90th percentile is $69,508 (2026 est.). At $140,247, the local median is 2.47% above the national median of $136,864.
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At 40 hours/week in Urban Honolulu: You'd be in the lower-middle range
How Urban Honolulu Nurse Practitioner Pay Compares
Urban Honolulu median: $140,247/year (2026)
| Compared To | Median Salary | Urban Honolulu Pays |
|---|---|---|
| Hawaii Average | $163,268 | -14.10% less |
| National Average | $136,864 | +2.47% more |
Nurse Practitioners in Urban Honolulu, HI earn a median of $140,247 per year (2026 est.), which is 2.47% higher than the national median of $136,864 and 14.10% below the Hawaii state average of $163,268.
Cost-of-Living Adjusted Salary
Urban Honolulu has a cost of living 10.96% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Urban Honolulu, HI has a cost-of-living index of 110.961 (above the national average of 100). While the nominal salary of $140,247 is competitive, the higher cost of living reduces purchasing power to an effective $126,393 — a 9.88% reduction.
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2019 BLS Actual
$133,720
2025 BLS Actual
$135,570
2026 Current Est.
$140,247
2019–2027 Growth
+8.5%
Salary Trajectory for Nurse Practitioners in Urban Honolulu (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.45% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $133,720 | Actual |
| 2020 | $130,320 | Actual |
| 2021 | $131,000 | Actual |
| 2022 | $135,760 | Actual |
| 2023 | $125,870 | Actual |
| 2024 | $130,940 | Actual |
| 2025 | $135,570 | Actual |
| 2026(current) | $140,247 | Estimated |
| 2027 | $145,086 | Projected |
Based on 7 years of BLS OEWS data for the Urban Honolulu metropolitan area, the median nurse practitioner salary grew 1.4% from $133,720 (2019) to $135,570 (2025). At a 3.45% compound annual growth rate, salaries are projected to reach $145,086 by 2027 — a total increase of $11,366 (8.50%) from 2019.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Urban Honolulu 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.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $110,123 – $128,826 |
| 3-5 years (Mid Career) | $128,826 – $140,247 |
| 5+ years (Experienced) | $140,247 – $170,465 |
| 10+ years (Top Earner) | $170,465 – $179,631 |
NP salary ranges estimated from BLS percentile data. Individual nurse practitioner compensation varies by employer, certifications, and specialization.
Nurse Practitioner Job Market in Urban Honolulu
The local job market for nurse practitioners in Urban Honolulu employs approximately 400 professionals, which speaks to a robust demand for these roles. However, the cost of living index stands at 110.961, suggesting that while salaries are relatively high, the purchasing power may be constrained compared to national averages. Among local employers, positions in hospital outpatient clinics often lead to the highest compensation, alongside specialty clinics that tend to focus on specific patient populations, such as psychiatric mental health. Factors influencing salary variation include a focus on certain specialties, potential productivity bonuses, and the financial implications of collaboration agreements where applicable. To maximize pay in the Urban Honolulu market, aspiring nurse practitioners should consider targeting specialties like mental health, engaging in telehealth opportunities, and potentially seeking roles that offer productivity incentives. Understanding these dynamics can aid in formulating a strategic career path that aligns with both financial goals and professional aspirations.
More salary data for Urban Honolulu, HI:
Frequently Asked Questions
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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
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 $135,570 for nurse practitionersin the Urban Honolulu metropolitan area. A 3.45% 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
Source: BLS, OEWS, 7-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
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