Last updated: 2025 BLS data · Page refreshed:
What does a Medical Records Specialists 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 Medical Records Specialists earning $63,180 in Hawaii has the equivalent purchasing power of $57,021 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) | $45,700 | $41,245 | $-4,454 |
| 25th Percentile (P25) | $50,670 | $45,731 | $-4,938 |
| Median (P50) | $63,180 | $57,021 | $-6,158 |
| 75th Percentile (P75) | $77,970 | $70,370 | $-7,599 |
| 90th Percentile (P90) | $91,650 | $82,716 | $-8,933 |
While $63,180 sounds high, Hawaii's elevated cost of living erases 10% of that salary's purchasing power. Your real buying power is $57,021. 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 Medical Records Specialists needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.
After applying Hawaii's RPP, the $63,180 median salary translates to $57,022 in real terms — a 9.7% loss. That difference can cover several months of expenses over a year for a Medical Records Specialists.
Hawaii sits at #18 of 51 states for Medical Records Specialists COL-adjusted salary — comfortably above the national midpoint.
Where does Medical Records Specialists salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.
Hawaii ranks #18 out of 51 states for Medical Records Specialists after cost-of-living adjustment.
How much do you actually take home? See Medical Records Specialists take-home pay in Hawaii after taxes →
A Medical Records Specialists in Hawaii earns a median salary of $63,180 per year. After adjusting for Hawaii's cost of living (RPP=110.8), the real purchasing power is $57,021 — 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 Records Specialists in Hawaii: $63,180 x (100 / 110.8) = $57,021. This represents what the salary would be worth in a state with average living costs.
Partially — a Medical Records Specialists's nominal salary of $63,180 in Hawaii has 9.7% less purchasing power due to higher living costs. The real value is $57,021. However, Hawaii may offer better career opportunities, networking, and industry access.
Some links are affiliate links. See our disclosure.