Medical Administrative Assistant salary and cost of hiring in Hawaii
The median medical administrative assistant in Hawaii earned $49,920 a year in May 2025[1], 8.7% above the US median of $45,930. That puts Hawaii at #6 of 51 states for this job.
BLS occupation 43-6013. Data from the May 2025 release, checked 2026-10-15.
Salary range
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| Hawaii | $38,750 | $49,920 | $59,360 | |
| United States | $35,930 | $45,930 | $60,530 |
The middle half of medical administrative assistants in Hawaii earns $45,790–$55,420; the top tenth earns $59,360 or more, 1.5 times the bottom tenth.
What a hire really costs
Benefits and payroll taxes are 30.0% of total compensation in US private industry[2]. At the Hawaii median that makes about $71,314 a year before recruiting, equipment and office space. Benefit levels vary by employer, so treat this as an estimate.
We place executive assistants, customer support and e-commerce staff today; for medical administrative assistants we answer within one business day whether we can help. Enter the monthly pay you have in mind to compare it with a local hire. The fee field shows our standard fee[3]; Deel's contractor plan is the default payroll tool[4].
Pay by metro area in Hawaii
| Area | Median | 75th percentile | Jobs |
|---|---|---|---|
| Kahului-Wailuku, HI | $55,920 | 290 | |
| Urban Honolulu, HI | $56,230 | 1,580 | |
| Hawaii / Kauai nonmetropolitan area | $50,710 | 270 |
Kahului-Wailuku, HI pays the most ($52,570) and Hawaii / Kauai nonmetropolitan area the least ($47,660): $4,910 a year apart for the same job.
What a medical administrative assistant does
A medical administrative assistant handles a clinic's front and back office: scheduling, insurance checks, referrals, patient messages and records.
Neighbours in the ranking
| State | Median | vs Hawaii |
|---|---|---|
| Oregon | +0.4% | |
| Minnesota | +0.2% | |
| Hawaii | +0.0% | |
| District of Columbia | -1.5% | |
| New Jersey | -2.5% |
Questions
How much does a medical administrative assistant earn in Hawaii?
The median was $49,920 a year in the May 2025 BLS survey; the middle half earned $45,790 to $55,420.
What does it cost to employ a medical administrative assistant in Hawaii?
About $71,314 a year at the median wage once benefits are added, using the 30% benefits share of US private industry (June 2026).
Where in Hawaii do medical administrative assistants earn the most?
Kahului-Wailuku, HI, with a median of $52,570 a year.
Sources
- BLS OEWS May 2025, 43-6013: https://www.bls.gov/oes/current/oes436013.htm
- BLS Employer Costs for Employee Compensation, private industry, June 2026: https://www.bls.gov/news.release/ecec.nr0.htm
- Silkstaff pricing: https://silkstaff.com/#pricing
- Deel pricing, contractor management: https://www.deel.com/pricing/
How these pages are built: methodology and data sources. Last updated 2026-11-05.