How much does a Physician make in Hawaii?

The average Physician salary in Hawaii is around $270,000 per year. After federal taxes, FICA, and Hawaii state taxes, your estimated take-home pay is approximately $176,192 annually ($14,683/month).

What is the take-home pay for a Physician in Hawaii?

On a $270,000 salary in Hawaii, your take-home pay is approximately $176,192/year or $14,683/month. Federal tax: $57,704. State tax: $20,120. FICA: $0.00.

Is $270,000 a good Physician salary?

$270,000 is a strong salary for a Physician — above the national median. In Hawaii, demand for this role is active.

How do Hawaii taxes affect Physician salaries?

Hawaii levies state income tax on top of federal taxes. Your estimated state tax on $270,000 is $20,120. Your total effective tax rate is approximately 34.7%.

What are the career growth prospects for Physicians?

3% growth through 2032 (about as fast as average). Related roles include: Family Doctor, Internist, Specialist, Surgeon, Hospitalist.

How can a Physician in Hawaii reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Physician Salary in Hawaii (2026)

The average Physician in Hawaii earns around $270,000/year. After taxes, your estimated take-home is $176,192/year ($14,683/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$176,192
Monthly Take-Home Pay	$14,683
Biweekly Take-Home Pay	$6,777
Hourly Take-Home Pay based on 2,080 hrs/year	$85/hr
Federal Tax	$57,704
State Tax	$20,120
FICA Taxes	$15,984
Effective Tax Rate total taxes ÷ gross salary	34.74%

Estimates only — not tax advice. · Full disclaimer →

Want to model 401(k), HSA, or pre-tax contributions against your full salary? Open the salary calculator →

Got a year-end bonus, sign-on, or retention payout? See the bonus calculator →

1099 contract work or side gigs? Self-employment tax adds 15.3% on top. Open the 1099 tax calculator →

Selling appreciated assets (stocks, real estate, crypto)? LTCG, NIIT, and state cap-gains all matter. Open the capital-gains calculator →

Key terms:···

Physician Salary Ranges in Hawaii

Entry Level (0–3 yrs)

$195,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$270,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$425,000

/year

See tax breakdown →

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.