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Medical Assistant Salaries in Hawaii — 2026 Overview

BLS 2026

How much does a medical assistant make in Hawaii? The Bureau of Labor Statistics reports a median salary of $48,820/yr ($23.47/hr), with around 3,830 people working in this field statewide.

Medical Assistant salaries in Hawaii are above the national average by approximately $5,787. Hawaii has a state income tax rate of up to 11%.

Hawaii's booming economy means medical assistants command premium wages compared to the national average.

Hawaii Medical Assistant Take-Home Pay Calculator

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Enter your gross annual salary to estimate take-home pay in Hawaii after federal tax, Social Security and Medicare. Hawaii has a state income tax rate of up to 11%.

Your annual gross salary ($)
Gross Annual
$48,820
Federal Tax (est.)
calculating...
FICA + State Tax
calculating...
Estimated Take-Home
$36,928

Estimate based on 2026 federal tax brackets, single filer, standard deduction. Hawaii has a state income tax rate of up to 11%. Does not account for local taxes or benefit deductions.

Am I Paid Fairly? — Hawaii Medical Assistant Check

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Enter your current salary to see how it compares to the Hawaii median of $48,820.

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Medical Assistant Salary by Experience — Hawaii

Entry Level (0–2 years)$30,300/yr · $14.57/hr
Beginning career, developing core skills under supervision in Hawaii.
Mid-Level (3–6 years)$43,449/yr · $20.89/hr
Established professional working independently in Hawaii. Pursuing advanced certifications.
Experienced (7–12 years)$54,190/yr · $26.05/hr
Senior professional with specialised skills commanding above-average pay in Hawaii.
Senior / Expert (12+ years)$70,300+/yr · $33.80/hr
Top earner. Leadership, management or highly specialised role in Hawaii.
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Medical Assistant Salary Trend in Hawaii — 2021 to 2026

5-Year Data

Over the past five years, Hawaii has seen 13.9% wage growth for medical assistants — broadly in line with cost-of-living changes across the region. The growth reflects broader workforce and economic conditions in Hawaii's healthcare and physician offices.

2021
$42,863
2022
$45,353
+5.8%
2023
$47,453
+4.6%
2024
$48,234
+1.6%
2026
$48,820
+1.2%

Medical Assistant Salary by City — Hawaii

BLS Metro Data
City / Metro AreaAnnual MedianHourlyvs StateJobs
Honolulu$54,200$26.06+11.0%1,340
Hilo$51,750$24.88+6.0%1,072
Kailua$50,300$24.18+3.0%689
Pearl City$46,850$22.52-4.0%344
Waipahu$44,450$21.37-9.0%229
Kaneohe$42,450$20.41-13.0%153

Tip: Honolulu offers the highest medical assistant salaries in Hawaii at $54,200/yr — +11.0% above the state average.

Hawaii vs Nearby States — Purchasing Power

Cost of Living Adjusted

Gross salary figures don't tell the whole story. After adjusting for state income tax, Hawaii sits in the mid-range for medical assistants.

Hawaii — 11.0% state income tax$48,820 gross~$36,928 take-home

Take-home estimates based on single filer, standard deduction, 2026 federal brackets. Hawaii has a state income tax rate of up to 11%.

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Medical Assistant Job Outlook in Hawaii

BLS Projections
+10%Job growth 2026–33
3,830Currently employed
383+New jobs projected

Employment for medical assistants in Hawaii is projected to grow over the next decade, driven by strong demand across the Hawaii job market. Hawaii's booming economy means medical assistants command premium wages compared to the national average.

How to Earn More as a Medical Assistant in Hawaii

1. Pursue advanced certification or licensing. Moving from entry to senior level as a medical assistant in Hawaii typically adds $40,000 to your annual salary. Additional certifications from the State Medical Board can accelerate this progression.

2. Target the highest-paying city. Honolulu pays medical assistants $54,200/yr — +11.0% above the Hawaii average. Simply relocating within Hawaii can meaningfully increase your income without changing careers.

3. Specialise in high-demand areas. Medical Assistants who specialise in healthcare and physician offices typically command premium rates in Hawaii. Identifying growing niches within your field is one of the fastest paths to higher pay.

Find Medical Assistant Jobs in Hawaii

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Frequently Asked Questions

What does a medical assistant earn in Hawaii on average?
The average medical assistant salary in Hawaii is $48,820 per year, or $23.47 per hour, based on the latest Bureau of Labor Statistics OEWS data (2026 update). Entry-level positions start around $30,300 while experienced professionals earn $70,300 or more.
Where do medical assistants earn the most in Hawaii?
Honolulu pays medical assistants the most in Hawaii at an average of $54,200 per year — +11.0% above the state average.
Is medical assistant pay in Hawaii above or below the US average?
Hawaii medical assistant salaries are above the calculated national average by approximately $5,787. Hawaii has a state income tax rate of up to 11%.
What's the after-tax salary for medical assistants in Hawaii?
A medical assistant earning the Hawaii average of $48,820 takes home approximately $36,928 per year after federal income tax, Social Security and Medicare. Hawaii has a state income tax rate of up to 11%.
Are medical assistant jobs worth pursuing in Hawaii?
Yes. Medical Assistant is a strong career choice in Hawaii with steady demand projected over the next decade. Hawaii's booming economy means medical assistants command premium wages compared to the national average.
How do you become a licensed medical assistant in Hawaii?
In Hawaii, medical assistants are licensed through the State Medical Board. Requirements vary by specialisation level — contact the State Medical Board for current examination and experience requirements.

Medical Assistant Salary in Nearby States

No neighbouring state data available.

DATA SOURCE All salary data from Bureau of Labor Statistics OEWS May 2024 survey. Employment projections from BLS Occupational Outlook Handbook. Full methodology →

Important disclaimer: Salary and wage data on WageByState is provided for informational purposes only. Figures are sourced from the Bureau of Labor Statistics OEWS programme and represent median values across large populations — your individual earnings will vary. Take-home pay calculations are estimates and do not constitute tax advice. WageByState accepts no liability for decisions made based on information on this site. Not affiliated with the Bureau of Labor Statistics or any government agency.