Physician Salary in Hawaii (2026)
Average Physician pay in Hawaii
$270,000/year
≈ $130/hour before tax
After tax (single filer)
$176,229/year
$14,686/month · effective tax rate 34.73%
- Federal $57,704
- State $19,693
- Disability / leave $390
- FICA $15,984
- Take-home
Pay by role in Hawaii
- Cardiothoracic Surgeon$525,000–$895,000+ bonus
- Orthopedic Surgeon$495,000–$865,000+ bonus
- Anesthesiologist$385,000–$565,000+ bonus
- Radiologist$385,000–$625,000+ bonus
- Hospitalist / Internal Medicine$255,000–$405,000+ bonus
- Emergency Medicine$295,000–$465,000+ bonus
See the full tax breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $176,229 |
Monthly Take-Home Pay | $14,686 |
Biweekly Take-Home Pay | $6,778 |
Hourly Take-Home Pay based on 2,080 hrs/year | $85/hr |
Federal Tax | $57,704 |
State Tax | $19,693 |
HI Temporary Disability (max.) | $390 |
FICA Taxes | $15,984 |
Effective Tax Rate total taxes ÷ gross salary | 34.73% |
Not all Physicians earn the same — not even close
Hawaii's physician market is anchored by Queen's Health Systems Honolulu (the substantial QHS multi-hospital + The Queen's Medical Center as the only HI Level 1 adult trauma + The Queen's Medical Center West Oahu + Molokai General Hospital + North Hawaii Community Hospital + ~3.5K+ QHS physicians + the substantial post-1859 Queen's heritage), Kaiser Permanente Hawaii (Moanalua Medical Center + the substantial Kaiser HI integrated managed care ~270K+ members), Tripler Army Medical Center Honolulu (the substantial Tripler federal civilian + military medicine + the substantial post-2024 Tripler Indo-Pacific medical center), Adventist Health Castle Kailua + Wahiawa General Hospital + Kapiolani Medical Center for Women & Children Honolulu (the substantial Kapiolani as one of HI's substantial pediatric hospitals) + Hawaii Pacific Health system + Pali Momi Medical Center + Straub Medical Center + Kaiser Moanalua + the substantial HI community hospital, University of Hawaii John A. Burns School of Medicine JABSOM Manoa (the only HI MD-granting institution + ~80 MDs/yr + the substantial JABSOM-Queen's partnership), plus Maui Memorial Medical Center + Hilo Medical Center Big Island + Kona Community Hospital + Kauai Veterans Memorial Hospital + the substantial post-2023 Maui wildfire healthcare recovery.
Cardiothoracic Surgeon
$525,000–$895,000+ bonus
CT surgery at Queen + Kaiser HI + Tripler + Straub · transplant + complex
Orthopedic Surgeon
$495,000–$865,000+ bonus
Ortho at HI major systems · the substantial post-2024 HI ortho demand
Anesthesiologist
$385,000–$565,000+ bonus
Anesthesia at Queen + Kaiser HI + Tripler + Straub + Kapiolani · OR
Radiologist
$385,000–$625,000+ bonus
Diagnostic + IR at HI major systems · post-2020 imaging substantial
Hospitalist / Internal Medicine
$255,000–$405,000+ bonus
Hospitalist at Queen + Kaiser + Tripler + Adventist · post-2020 HI demand
Emergency Medicine
$295,000–$465,000+ bonus
EM at Queen Level 1 + Kaiser + Tripler + community + post-2023 Maui
Family Medicine / Primary Care
$215,000–$315,000+ bonus
PCP at HI major systems + FQHC + the substantial HI rural primary care
Pediatrician
$215,000–$315,000+ bonus
Peds at Kapiolani + Queen peds + Kaiser HI peds + community peds
Psychiatrist
$245,000–$365,000+ bonus
Psych at HI major systems + the substantial post-2020 HI BH demand
OB/GYN
$295,000–$435,000+ bonus
OB at Queen + Kaiser HI + Tripler + Kapiolani + Maui + community
Worth knowing: Queen's Health Systems The Queen's Medical Center the only HI Level 1 trauma + Kaiser Permanente Hawaii integrated managed care + Tripler Army Medical Center Indo-Pacific military medicine + JABSOM the only HI MD-granting tri-anchor is one of the country's distinctive concentrated US single-state heritage trauma + integrated managed care + Indo-Pacific military medicine + only HI MD-granting physician anchor and a feature most national physician surveys understate for HI. Queen's Health Systems QHS Honolulu (the substantial QHS multi-hospital + The Queen's Medical Center as the only HI Level 1 adult trauma + The Queen's Medical Center West Oahu + Molokai General Hospital + North Hawaii Community Hospital + ~3.5K+ QHS physicians + the substantial post-1859 Queen's heritage as one of country's oldest US hospital systems). Kaiser Permanente Hawaii (Moanalua Medical Center + the substantial Kaiser HI integrated managed care ~270K+ members + the substantial Kaiser HI Permanente Medical Group physician model). Tripler Army Medical Center Honolulu (the substantial Tripler federal civilian + military medicine + the substantial post-2024 Tripler Indo-Pacific medical center + the substantial Tripler as one of country's substantial US Army hospitals). Hawaii Pacific Health (Kapiolani + Pali Momi + Straub + Wilcox Kauai). University of Hawaii John A. Burns School of Medicine JABSOM Manoa (the only HI MD-granting + ~80 MDs/yr + the substantial JABSOM-Queen's partnership + the substantial JABSOM Native Hawaiian + Pacific Islander health). Maui Memorial Medical Center + Hilo Medical Center Big Island + post-2023 Maui wildfire healthcare recovery. HI IMLC since 2017 + post-Act 46 HI progressive top 11% phased 2024-2031 anchor the HI physician proposition.
Sources & Methodology
- →IRS Rev. Proc. 2025-32 — 2026 federal brackets and standard deduction
- →IRS Notice 2025-67 — 2026 retirement-plan contribution limits
- →IRS Rev. Proc. 2025-19 — 2026 HSA contribution limits
- →Social Security Administration — 2026 Social Security wage base
- →HRS 235-2.4(a) as amended by Act 46 SLH 2024 (HB 2404 CD1), clause (F): the standard deduction for taxable years beginning after December 31, 2025 - $16,000 joint / $12,000 head of household / $8,000 single and MFS. Personal exemption $1,144 per HRS 235-54(a)
- →BLS Occupational Employment and Wage Statistics — Physician wage data for Hawaii
Salary figures are market estimates for Physicians in Hawaii and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Hawaii 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.
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Typical Physician Salary by Experience (National)
US-wide ranges, not Hawaii figures. Each link shows the Hawaii taxes on that salary.
Entry Level (0–3 yrs)
$195,000
/year
Mid Level (3–7 yrs)
$270,000
/year
Senior Level (7+ yrs)
$425,000
/year
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More on Hawaii
Salaries by profession, top-paying roles by industry, and an economic breakdown for Hawaii in 2026.
Tax brackets, standard deductions, and take-home estimates for Hawaii in 2026.
Adjust filing status, 401(k) for your exact 2026 take-home in Hawaii.