Family Medicine Physicians in Hawaii
May 2025 wages · tax year 2026
You keep
$146,769
after federal, FICA and Hawaii tax
Tax takes
$71,441
32.7% of the whole
Worth, in national money
$135,135
Hawaii costs more than average
On that salary you would be around the 25th percentile for this work in Hawaii — roughly, since only five points along the band are published.
One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.
Median here
$218,210
Kept after tax
$146,769
Worth in national money
$135,135
State rank
44
of 51 states
What this pays, and what it is worth
- Hawaii is among the lower-paying states for family medicine physicians. The middle earner takes $218,210, ranking 44 of 51 states — about 10.64% below the national middle. Costs here are often lower too, which the figures further down account for.
- Within Hawaii this is well-paid work. Of 437 occupations with published figures in the state, family medicine physicians ranks 4 — in the top quarter of everything people do there.
- Hawaii is an expensive state, and the adjusted figure shows it. From $218,210 the take-home is $146,769; in national-average money that behaves like $135,135. The average comes to $222,540, above the middle, thanks to the top of the range.
- Hawaii ranks 44 of 51 for family medicine physicians, with a median of $218,210 — about 10.64% below the national figure. A nominal shortfall is not by itself a real one: lower-paying states frequently carry lower tax and lower price levels, and the adjusted figures below are where that is settled rather than assumed.
- Ranked against every occupation Hawaii publishes a median for, family medicine physicians sits 4 of 437 — the upper quartile of the state's wage distribution. National standing and within-state standing are separate questions, and a job can occupy very different positions on each.
- Take-home for family medicine physicians in Hawaii, on $218,210, is $146,769; deflated by the state's price level, $135,135. ⚠️ The deflator is statewide, so it understates the erosion in the state's metropolitan areas and overstates it outside them. At $222,540 the mean overshoots the median — the usual right-skewed shape.
Compare this career across states
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Pay band: Family Medicine Physicians
The state median for this job
| Lowest tenth earn under | $96,990 |
|---|---|
| Half earn under | $218,210 |
| Top tenth earn over | $313,560 |
| This salary | $218,210 |
Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.
The same pay, somewhere else
The state median for this job
| Take-home in Hawaii | $146,769 |
|---|---|
| Take-home in Texas | $162,312 |
| Once local prices are leveledBEA price parity | +$31,895 |
State income tax and state price levels only. No city income tax, and no housing market.
What you would need there
The state median for this job
| To match take-home only | $197,105 |
|---|---|
| You could take a cut of | −$42,568 |
| Prices in Texas | 97 vs 109 |
State taxes and state price levels only. No city tax, and no housing market.
Sources and assumptions
- Half the people doing this work in Hawaii earn less than $218,210. The published range is $96,990 up to $313,560, so an individual figure can sit a long way from the middle in either direction.
- That $146,769 take-home in Hawaii comes from $218,210. It is the no-frills case: single filer, standard deduction, nothing set aside before tax. Real circumstances almost always reduce the tax. City and school-district taxes are not counted at all. Locally the work ranks 4 of 437.
- Two cautions on $135,135, the adjusted value of that $218,210 median. It levels out prices with a single number for all of Hawaii. No actual address matches that. The wage figures and price figures are also from different years. Each is published on its own timetable. This work sits at 4 of 437 locally.
- Reported values are medians; for family medicine physicians in Hawaii the tenth-to-ninetieth percentile band is $96,990 to $313,560. Neither the median nor the band is an offer rate, and neither accounts for hours, shift differentials or overtime.
- Retained pay of $146,769, from $218,210, assumes a single Hawaii filer with the standard deduction and no elective deferrals. Pre-tax retirement or HSA contributions, dependants and itemized deductions all reduce it further; local income taxes, excluded here, would increase it in the states that levy them. This occupation ranks 4 of 437 locally, and the state ranks 44 of 51 for it.
- This $135,135 adjusted figure, worked from $218,210, rests on a state-level price parity averaging over within-state dispersion larger than much of the between-state dispersion. Wage and price vintages differ by publication schedule. The result is directionally sound and not address-specific, for work at 4 of 437 in the state. The occupation ranks 4 of 437 locally.
Questions people ask
Why is the pay range for this job so wide?
Because one job title covers very different work. The bottom tenth here earn $96,990 and the top tenth $313,560 — experience, employer and specialism separate them, and a single figure hides all three.
Does a bigger number here mean I am better off?
Not on its own. Prices in Hawaii run above the national level, so the same dollars buy less here. Adjusted for that, this pay is worth $135,135 — the wage did not change, only what it covers.
Where does the difference between the wage and my paycheck go?
Three of them are federal and one is not. After income tax, Social Security, Medicare and Hawaii's own levy, $146,769 remains.
Can I compare this job across every state?
Yes for this one. Pay is published in all 51 jurisdictions, so a state-to-state comparison here rests on the same survey everywhere rather than on a patchwork.
What drives the percentile dispersion in this occupation?
Dispersion between the tenth percentile ($96,990) and the ninetieth ($313,560) exceeds the family median dispersion. SOC codes aggregate roles differing in seniority, industry and specialisation, and BLS does not disaggregate below the detailed occupation level, so within-title variance is not separable from the published series.
How does the state price level affect real compensation?
Hawaii's regional price parity sits above the national average, so nominal wages overstate purchasing power. Deflating take-home by the state price level gives $135,135 in national-average terms. ⚠️ RPPs are an all-items index; housing parities vary far more widely than the headline figure.
What accounts for the gap between gross wage and take-home here?
Take-home of $146,769 reflects federal income tax, OASDI, Medicare and Hawaii income tax for a single filer with no adjustments. The state layer is levied in addition to the federal one; only its rate and base differ between states.
Is this occupation's state coverage complete?
State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.