What does a Medical Assistant salary really buy you in Hawaii?
Hawaii is 10.8% pricier than the US averageData: BLS OEWS 2024 + BEA Regional Price Parities 2022 • Updated 2026-03-31
Hawaii's Regional Price Parity (RPP) is 110.8, meaning prices are 10.8% higher the national average. A Medical Assistant earning $48,820 in Hawaii has the equivalent purchasing power of $44,061 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) | $39,090 | $35,279 | $-3,810 |
| 25th Percentile (P25) | $44,870 | $40,496 | $-4,373 |
| Median (P50) | $48,820 | $44,061 | $-4,758 |
| 75th Percentile (P75) | $55,640 | $50,216 | $-5,423 |
| 90th Percentile (P90) | $58,690 | $52,969 | $-5,720 |
While $48,820 sounds high, Hawaii's elevated cost of living erases 10% of that salary's purchasing power. Your real buying power is $44,061. Consider whether the higher pay offsets the higher costs.
Where does Medical Assistant salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
Hawaii ranks #25 out of 50 states for Medical Assistant after cost-of-living adjustment.
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A Medical Assistant in Hawaii earns a median salary of $48,820 per year. After adjusting for Hawaii's cost of living (RPP=110.8), the real purchasing power is $44,061 — 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 Medical Assistant in Hawaii: $48,820 x (100 / 110.8) = $44,061. This represents what the salary would be worth in a state with average living costs.
Partially — a Medical Assistant's nominal salary of $48,820 in Hawaii has 9.7% less purchasing power due to higher living costs. The real value is $44,061. However, Hawaii may offer better career opportunities, networking, and industry access.