The median annual wage for nurse practitioners working in Kahului, HI, sits at $164,210, per BLS survey data. It runs 27% above the national median of $129,030 for this occupation — pay here is notably stronger than the U.S. average. The middle 50% land between $134,610 and $182,980 — a 48,370 range that reflects differences in seniority, employer type, and specialization. The catch: Kahului is roughly in line with the national cost of living (cost index 100 against a 100 baseline), so that headline number buys less than it would elsewhere. On an hourly basis that is about $78.95, useful for comparing contract or part-time offers.

For context, the national median for nurse practitioners across all U.S. metros in our data is $129,030.