Healthcare

Registered Nurse Salary in Hawaii (2026)

The average Registered Nurse in Hawaii earns around $86,000/year. After taxes, your estimated take-home is $64,238/year ($5,353/month).

Take-Home Pay Breakdown

CategoryAmount
Annual Take-Home Pay
$64,238
Monthly Take-Home Pay
$5,353
Biweekly Take-Home Pay
$2,471
Hourly Take-Home Pay

based on 2,080 hrs/year

$31/hr
Federal Tax
$10,090
State Tax
$5,093
FICA Taxes
$6,579
Effective Tax Rate

total taxes ÷ gross salary

25.3%
Estimates only — not tax advice. · Full disclaimer →

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Key terms:···

Registered Nurse Salary Ranges in Hawaii

Entry Level (0–3 yrs)

$67,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$86,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$133,000

/year

See tax breakdown →

Not all Registered Nurses earn the same — not even close

Hawaii's nurse market is anchored by Queen's Health Systems Honolulu (~3.5K+ nurses + the only HI Level 1 trauma + the substantial post-1859 Queen's heritage), Kaiser Permanente Hawaii Moanalua + the substantial Kaiser HI integrated managed care nursing ~270K+ members, Tripler Army Medical Center Honolulu federal civilian + military nursing, Hawaii Pacific Health (Straub Medical Center + Pali Momi + Kapiolani Medical Center for Women & Children + Wilcox Medical Center Kauai), Adventist Health Castle Kailua + Wahiawa General Hospital + Maui Memorial Medical Center + Hilo Medical Center Big Island + Kona Community Hospital + Kauai Veterans Memorial Hospital + the substantial HI neighbor island nursing, University of Hawaii Manoa School of Nursing & Dental Hygiene + Hawaii Pacific University School of Nursing + Chaminade + BYU-Hawaii + Kauai Community College + UH Hilo + UH West Oahu + the substantial HI nursing pipeline + the substantial post-2020 HI nurse shortage, plus Hawaii Nurses' Association + Hawaii Government Employees Association HGEA Unit 09 collective bargaining.

Sr CRNA (Queen / Kaiser HI / Tripler / Straub)

$192,000–$298,000+ OT

CRNA at Queen + Kaiser HI + Tripler + Straub · OR + L&D + endoscopy

Sr ICU / Critical Care RN

$85,000–$132,000+ OT

ICU at Queen + Kaiser + Tripler + Straub · post-2020 HI ICU demand

Sr ED / Trauma RN (Queen Level 1)

$85,000–$132,000+ OT

ED at Queen Level 1 + Kaiser + Tripler + community + post-2023 Maui

Sr OR / Periop RN

$88,000–$135,000+ OT

OR at HI major systems · CNOR · post-2020 substantial demand

Sr L&D / OB RN

$85,000–$132,000+ OT

L&D at Kapiolani + Queen + Kaiser + Tripler + Maui + community

Sr Cath Lab / IR RN

$92,000–$138,000+ OT

Cath + IR at Queen + Kaiser + Tripler + Straub · TAVR + EP + structural

Sr Travel RN (Honolulu / Maui / Big Island)

$105,000–$185,000+ OT

Travel RN · post-2020 HI travel premium + crisis rates + the substantial

Sr Med-Surg / Telemetry RN

$78,000–$118,000+ OT

Med-surg + tele at HI major systems · post-2020 substantial demand

Sr Clinical Nurse Specialist / Nurse Manager

$108,000–$165,000+ bonus

CNS + NM at Queen + Kaiser HI + Tripler · charge + unit lead

New Grad RN (BSN / ADN)

$72,000–$92,000+ OT

HI new grad · UH Manoa + Hawaii Pacific + Chaminade + BYU-Hawaii

Worth knowing: Queen's Health Systems heritage post-1859 + Kaiser Permanente HI integrated managed care + Tripler AMC Indo-Pacific military nursing + post-2020 HI nurse shortage + HI travel RN premium tetra-anchor is one of the country's distinctive concentrated US single-state heritage trauma + integrated managed care + military medicine + travel RN premium nurse cluster and a feature most national nurse surveys understate for HI. Queen's Health Systems QHS Honolulu (~3.5K+ nurses + the only HI Level 1 trauma + the substantial post-1859 Queen's heritage as one of country's oldest US hospital systems + the substantial QHS multi-hospital). Kaiser Permanente Hawaii Moanalua (the substantial Kaiser HI integrated managed care nursing + ~270K+ members + the substantial Kaiser HI Permanente nursing model). Tripler Army Medical Center (the substantial Tripler federal civilian + military medicine nursing + the substantial post-2024 Tripler Indo-Pacific medical center). Hawaii Pacific Health (Straub + Pali Momi + Kapiolani + Wilcox Kauai). Adventist Castle + Wahiawa General + Maui Memorial + Hilo Medical Center + Kona Community + Kauai Veterans Memorial neighbor island nursing. UH Manoa Nursing + Hawaii Pacific + Chaminade + BYU-Hawaii + Kauai Community College pipeline. post-2020 HI nurse shortage (the substantial post-2020 HI nurse deficit + the substantial post-2020 HI travel RN crisis-period premiums $145-205K+ + the substantial post-2024 HI travel rate moderation). Hawaii Nurses' Association + HGEA Unit 09. The 2025 No Tax on Overtime federal deduction applies through 2028. HI NOT a RTW state + HI NLC + post-Act 46 HI progressive top 11% phased 2024-2031 anchor the HI nurse proposition.

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