Psychiatrist Salary in Hawaii (2026)
Median Psychiatrist salary in Hawaii is approximately $287,500/year — about 15.0% above the national average.
Annual salary breakdown
After-tax estimate
| State | Estimated annual | vs Hawaii |
|---|---|---|
| New York | $287,500 | +$0 |
| Alaska | $282,500 | -$5,000 |
| New Jersey | $282,500 | -$5,000 |
| Massachusetts | $280,000 | -$7,500 |
Psychiatrist salaries in Hawaii, explained
The estimated median Psychiatrist salary in Hawaii is $287,500/year, which is about 15.0% above the US national median of $250,000. That works out to roughly $138/hour at a standard 40-hour week, $5,529/week, $11,058/biweekly, or $23,958/month before taxes.
Hawaii ranks 3 of 51 US states (including DC) on a cost-of-living-adjusted compensation basis. The state multiplier of 1.15× reflects how typical wages adjust to local prices — higher in places like California, New York, and Massachusetts; lower in Mississippi, West Virginia, and Arkansas.
Hawaii spotlight: economy and Psychiatrist role context
Highest housing costs in the US; isolated economy with limited industry diversity. Economically, tourism and military dominate. From a cost-of-living standpoint, this is one of the highest-cost states, which directly informs how regional employers price Psychiatrist roles — higher COL areas adjust salaries upward to remain competitive in the labor market.
Highest housing costs in the US; isolated economy with limited industry diversity. The state's economy centers on tourism, military, agriculture — a Psychiatrist role outside these dominant sectors may earn closer to (or below) the state median figure shown.
Combined with the state's higher cost of living (top tier), state income tax further reduces real disposable income compared to no-tax states like Texas, Florida, or Tennessee. Run scenarios with our after-tax calculator before relocating.
What affects your actual salary
- Experience level: entry-level often 25–35% below median, senior roles 40–60%+ above.
- Metro area within Hawaii: major metros pay more than rural areas. Bay Area vs Central Valley California is a 30%+ swing.
- Employer size: large companies typically pay 10–20% more than small businesses for the same role.
- Industry: a Software Engineer at a tech company makes more than at a non-tech employer; a Marketing Manager at a top brand earns more than at a startup.
- Education and credentials: degrees and certifications can shift compensation by 15–30%.
- Negotiation: simply asking for more and negotiating can move offers 5–15%.
Take-home pay in Hawaii
Of the gross $287,500, you take home roughly $210,881 after federal income tax (~14% effective at this income level), FICA (7.65%), and Hawaii's state income tax (roughly 5% effective). That's about $17,573/month after-tax.
For a precise after-tax calculation including 401(k) contributions, HSA, filing status, and state-specific brackets, use our Hawaii Paycheck Calculator. For comparisons across cities, see the Paycheck Calculator with city-specific tax data.
Where this number comes from
Our estimate combines: (1) US national median for Psychiatrist based on Bureau of Labor Statistics Occupational Employment Statistics, and (2) Hawaii's cost-of-living multiplier derived from BEA Regional Price Parities. The multiplier captures average wage adjustment to local prices — useful for budgeting and offer comparisons.
For more precise numbers specific to your role and metro: BLS OES (bls.gov/oes), Glassdoor, Levels.fyi (tech roles), salary.com, or LinkedIn Salary Insights. Cross-reference 2-3 sources before negotiation.
Related tools
Salary Calculator — convert hourly to annual. Hawaii Paycheck Calculator — exact take-home. Income Tax Calculator — federal tax with brackets. Hawaii Mortgage Calculator — what you can afford. Investment Calculator — long-term growth from this income.