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Pediatricians, General Salary in Hawaii: Cost of Living Adjusted (2025)

Last updated: 2025 BLS data · Page refreshed:

What does a Pediatricians, General salary really buy you in Hawaii?

Hawaii is 10.8% pricier than the US average

Data: BLS OEWS 2025 + BEA Regional Price Parities 2022 • Updated 2026-05-19

Nominal Salary
$197,090
Median annual (2025)
-9.7%
Real Purchasing Power
$177,879
COL-adjusted (RPP=110.8)

Hawaii Cost of Living Index

Hawaii's Regional Price Parity (RPP) is 110.8, meaning prices are 10.8% higher the national average. A Pediatricians, General earning $197,090 in Hawaii has the equivalent purchasing power of $177,879 in an average-cost US state.

HI: 110.8
Cheapest (~85) US Avg (100) Priciest (~115)

Salary Breakdown: Nominal vs. COL-Adjusted

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) $102,260 $92,292 $-9,967
25th Percentile (P25) $103,390 $93,312 $-10,077
Median (P50) $197,090 $177,879 $-19,210
75th Percentile (P75) $217,300 $196,119 $-21,180
90th Percentile (P90) $289,860 $261,606 $-28,253
Key Insight

While $197,090 sounds high, Hawaii's elevated cost of living erases 10% of that salary's purchasing power. Your real buying power is $177,879. Consider whether the higher pay offsets the higher costs.

What the Cost-of-Living Data Says

Hawaii Is a High-Cost State

RPP 110.8

Hawaii's RPP of 110.8 puts it 10.8% above the national baseline cost of living. A Pediatricians, General needs that premium in nominal pay just to maintain the same purchasing power as an average-cost state.

Meaningful Purchasing-Power Shift

-9.7%

After applying Hawaii's RPP, the $197,090 median salary translates to $177,879 in real terms — a 9.7% loss. That difference can cover several months of expenses over a year for a Pediatricians, General.

Bottom-Quartile COL-Adjusted Pay

#43 / 49

Hawaii ranks #43 of 49 — bottom quartile for Pediatricians, General real purchasing power. Relocation, employer negotiation, or remote roles at higher-paying markets tend to generate the biggest ROI.

Best States for Pediatricians, General (After Cost of Living)

Where does Pediatricians, General salary stretch the furthest? Top 10 states ranked by COL-adjusted median salary.

$554,878
RPP 90.6
2. Idaho
$324,270
RPP 91.8
3. Montana
$302,613
RPP 90.3
4. Iowa
$296,877
RPP 88.4
$292,738
RPP 88.0
$292,296
RPP 92.3
$266,644
RPP 88.8
$264,881
RPP 88.7
9. Alaska
$262,147
RPP 102.0
$254,098
RPP 107.6

Hawaii ranks #43 out of 49 states for Pediatricians, General after cost-of-living adjustment.

How much do you actually take home? See Pediatricians, General take-home pay in Hawaii after taxes →

Frequently Asked Questions

What is the real salary for a Pediatricians, General in Hawaii after cost of living?

A Pediatricians, General in Hawaii earns a median salary of $197,090 per year. After adjusting for Hawaii's cost of living (RPP=110.8), the real purchasing power is $177,879 — a -9.7% difference.

Is Hawaii expensive to live in?

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).

What are Regional Price Parities (RPP)?

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.

How is the cost-of-living adjusted salary calculated?

The adjusted salary is calculated as: Nominal Salary x (100 / RPP). For a Pediatricians, General in Hawaii: $197,090 x (100 / 110.8) = $177,879. This represents what the salary would be worth in a state with average living costs.

Does the high cost of living in Hawaii offset the salary?

Partially — a Pediatricians, General's nominal salary of $197,090 in Hawaii has 9.7% less purchasing power due to higher living costs. The real value is $177,879. However, Hawaii may offer better career opportunities, networking, and industry access.

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