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What does a Family Medicine Physicians salary really buy you in Hawaii?
Hawaii is 10.8% pricier than the US averageData: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19
Hawaii's Regional Price Parity (RPP) is 110.8, meaning prices are 10.8% higher the national average. A Family Medicine Physicians earning $218,210 in Hawaii has the equivalent purchasing power of $196,940 in an average-cost US state.
Every dollar goes further in low-cost states. Here is how each salary percentile compares after adjusting for Hawaii's cost of living.
| Percentile | Nominal Salary | COL-Adjusted | Difference |
|---|---|---|---|
| 10th Percentile (P10) | $96,990 | $87,536 | $-9,453 |
| 25th Percentile (P25) | $187,330 | $169,070 | $-18,259 |
| Median (P50) | $218,210 | $196,940 | $-21,269 |
| 75th Percentile (P75) | $273,690 | $247,012 | $-26,677 |
| 90th Percentile (P90) | $313,560 | $282,996 | $-30,563 |
While $218,210 sounds high, Hawaii's elevated cost of living erases 10% of that salary's purchasing power. Your real buying power is $196,940. Consider whether the higher pay offsets the higher costs.
Hawaii's RPP of 110.8 puts it 10.8% above the national baseline cost of living. A Family Medicine Physicians needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.
After applying Hawaii's RPP, the $218,210 median salary translates to $196,940 in real terms — a 9.7% loss. That difference can cover several months of expenses over a year for a Family Medicine Physicians.
Hawaii ranks #47 of 51 — bottom quartile for Family Medicine Physicians real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.
Where does Family Medicine Physicians salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
Hawaii ranks #47 out of 51 states for Family Medicine Physicians after cost-of-living adjustment.
How much do you actually take home? See Family Medicine Physicians take-home pay in Hawaii after taxes →
A Family Medicine Physicians in Hawaii earns a median salary of $218,210 per year. After adjusting for Hawaii's cost of living (RPP=110.8), the real purchasing power is $196,940 — a -9.7% difference.
Hawaii's cost of living is 10.8% higher than the national average according to the BEA Regional Price Parities (2022). The RPP index for Hawaii is 110.8 (US average = 100).
Regional Price Parities (RPPs) are price indexes published by the U.S. Bureau of Economic Analysis (BEA) that measure differences in price levels across states. They are expressed as a percentage of the national average (US = 100). Higher RPP means higher cost of living.
The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Family Medicine Physicians in Hawaii: $218,210 x (100 / 110.8) = $196,940. This represents what the salary would be worth in a state with average living costs.
Partially — a Family Medicine Physicians's nominal salary of $218,210 in Hawaii has 9.7% less purchasing power due to higher living costs. The real value is $196,940. However, Hawaii may offer better career opportunities, networking, and industry access.
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