Medical assistant pay in Hawaii after taxes: what you keep (2026)

The median medical assistant in Hawaii earned $48,820 a year in May 2024, which is $23 an hour for a full-time year, according to the Bureau of Labor Statistics. Half of the 3,830 medical assistants the BLS counts in Hawaii earned more than that and half earned less; the middle half of them sat between $44,870 and $55,640. That is the gross figure, before anyone takes anything. What you keep depends on Hawaii's tax, and Hawaii has a progressive state income tax with a top rate of 11%.

What the median medical assistant keeps in Hawaii

For a single filer on the median $48,820, taking the standard deduction and no other adjustments:

The state line is 7.7% of gross at this salary, approximated at 70% of the top bracket, which is where a middle income lands in most progressive states. Health insurance, retirement contributions and local taxes are not in it either; they vary by employer and by city.

Where Hawaii ranks for medical assistant pay

Of the 50 states, Hawaii ranks 5 of 50 on the gross median for medical assistants, in the top ten. The highest-paying state is Washington at $55,120 and the lowest is Mississippi at $34,800. Gross rank is not take-home rank: a state with no income tax climbs several places once the state line is applied, and a high-tax state drops.

Where the medical assistant jobs are in Hawaii

The BLS count of 3,830 medical assistants is statewide. The metros with the most of that work are Honolulu, Hilo and Kailua, which is where the median is set and where the upper quartile ($55,640 and above) is most often paid. Employers who could not hire locally and have filed with the Department of Labor are listed on the Hawaii openings page; those filings are the ones already paying to bring people in, and housing or transport is often part of the offer.

What people get wrong about medical assistant pay in Hawaii

• Quoting the mean. The BLS mean for Hawaii is $24 an hour, pulled up by the top earners. The median ($23) is what the typical medical assistant makes.
• Comparing gross across states. A $48,820 offer in Hawaii is $37,452 in hand; the same number in a no-tax state is $41,211.
• Forgetting the employer's share of insurance. A job that pays $46,820 with full health coverage can beat one that pays $51,820 without it.
• Treating the statewide median as the metro median. Honolulu pays differently from a rural county; ask for the figure for the place you are actually going.

Everything about Hawaii, on one page

The Hawaii page has the licence registries and boards, the state tax at three salaries, the programs that pay you to come, and the openings filed in Hawaii this month. If you know which state you are leaving, the move pages compare the two directly. Creating a free Workmerica profile with your trade and your destination puts you in front of Hawaii employers hiring from out of state.

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2024 state estimates for Medical assistant. Tax lines are a single filer with the standard deduction, 2024 federal brackets, and the state rate in lib/us-states.ts; progressive states are approximated. Not tax advice.