Medical Administrative Assistant salary in Honolulu, HI
For this job Honolulu sits right at the Hawaii figure, with a median of $49,460 a year1. That is about level with the Hawaii statewide median of $49,920, and 7.7% above the US median of $45,930. Only 43 of 516 US areas pay more for this job. With about 1,580 medical administrative assistants, 73% of the Hawaii total, no area in Hawaii employs more.
BLS occupation 43-6013, area Urban Honolulu, HI. Data from the May 2025 release, checked 2026-10-15.
Pay in Honolulu against Hawaii and the US
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| Honolulu, HI | $38,390 | $49,460 | $59,640 | |
| Hawaii | $38,750 | $49,920 | $59,360 | |
| United States | $35,930 | $45,930 | $60,530 |
The middle half of medical administrative assistants in Honolulu earns $45,070–$56,230. The top tenth earns $59,640 or more, 1.6 times the bottom tenth, close to the US pattern of 1.7 times. From the 25th to the 75th percentile, the local range is $11,160 wide, between the figure for Hawaii ($9,630) and the US figure ($12,010).
What to budget for a medical administrative assistant here
| Point in the local range | Per year | Per month | Per hour | Employer cost per year |
|---|---|---|---|---|
| 10th percentile | $38,390 | $3,199 | $18.46 | $49,535 |
| 25th percentile | $45,070 | $3,756 | $21.67 | $58,155 |
| Median | $49,460 | $4,122 | $23.78 | $63,819 |
| 75th percentile | $56,230 | $4,686 | $27.03 | $72,555 |
| 90th percentile | $59,640 | $4,970 | $28.67 | $76,955 |
Pay climbs faster above the median than below it here: the 75th percentile is $6,770 over the median, the 25th only $4,390 under it. An offer at the 75th percentile adds about $8,735 a year in employer cost. These percentiles describe what people in the job earn locally, not experience levels, so place your offer by the tasks and seniority you need.
For scale, the US median of $45,930 falls between the 25th percentile and the median in Honolulu, and the Hawaii statewide median of $49,920 falls between the median and the 75th percentile.
What a hire really costs in Honolulu
Pay is only part of it. Benefits and payroll taxes other than paid leave are 22.5% of total compensation in US private industry2, which adds about $14,359 to the $49,460 median and brings it to $63,819 a year. Recruiting, equipment and office space come on top. 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 fee3; Deel's contractor plan is the default payroll tool4.
Other roles in Honolulu
Of the 17 roles we track in Honolulu, this one ranks #11 by median pay, between administrative assistants ($50,020) and HR assistants ($48,930). Executive Assistant is the highest at $80,600.
| Role | Median | vs medical administrative assistant | Jobs |
|---|---|---|---|
| Payroll Specialist | +22.9% | 530 | |
| Administrative Assistant | +1.1% | 5,130 | |
| Medical Administrative Assistant | this role | 1,580 | |
| HR Assistant | -1.1% | 370 | |
| Bookkeeper | -2.9% | 3,590 |
Measured against the US median, medical administrative assistants rank #2 of the 17 roles we track in Honolulu (+7.7%), between data entry specialists (+15.2%) and executive assistants (+5.2%). The typical role here is at -0.3%, so, measured against the US, medical administrative assistants cost more in Honolulu than the area's general pay level would suggest. Medical administrative assistants hold 4.0% of the jobs in these 17 roles in Honolulu, 4.0% across Hawaii and 6.1% nationally. The job is a smaller part of the local workforce in these roles than it is nationally.
Other areas in Hawaii
Across the 3 areas of Hawaii with data for this job, the median runs from $47,660 in the Hawaii-Kauai nonmetro area to $52,570 in Kahului-Wailuku, a gap of $4,910 a year. No other area in Hawaii has as many medical administrative assistants, and 1 of the other 2 pays less.
| Area | Median | vs Honolulu | Jobs |
|---|---|---|---|
| Kahului-Wailuku, HI | +6.3% | 290 | |
| Honolulu, HI | this area | 1,580 | |
| Hawaii-Kauai (Nonmetro) | -3.6% | 270 |
Honolulu against other US metro areas
By number of jobs, Honolulu is #112 of 514 US areas for this job. It is one of the larger markets for this job and one of the better-paying ones. Outside Hawaii, Yuba City and Salinas pay just above Honolulu and Grants Pass and New York-Newark just below. All four are within $230 a year of the median in Honolulu. Of the three markets with about as many medical administrative assistants, none pays as much.
| Metro area | Median | vs Honolulu | Jobs | Close in |
|---|---|---|---|---|
| Salinas, CA | +0.3% | 950 | pay | |
| Yuba City, CA | +0.3% | 310 | pay | |
| Honolulu, HI | this area | 1,580 | ||
| Grants Pass, OR | -0.1% | 300 | pay | |
| New York-Newark, NY-NJ | -0.5% | 52,640 | pay | |
| Colorado Springs, CO | -9.7% | 1,580 | jobs | |
| Roanoke, VA | -24.6% | 1,580 | jobs | |
| Johnson City, TN | -26.1% | 1,580 | jobs |
Questions
How much does it cost to hire a medical administrative assistant in Honolulu, HI?
About $63,819 a year at the median, or $5,318 a month: $49,460 in pay plus about $14,359 in benefits and payroll taxes. Recruiting, equipment and office space are extra.
What do medical administrative assistants earn in Honolulu?
Pay here is higher than in three quarters of US areas. The median was $49,460 a year in the May 2025 BLS survey. The 10th percentile was $38,390, the 90th $59,640, and the middle half earned $45,070 to $56,230.
Is Honolulu cheaper than the rest of Hawaii for medical administrative assistants?
About the same: a median of $49,460 against $49,920 statewide. The next area up in Hawaii is Kahului-Wailuku at $52,570, the next down the Hawaii-Kauai nonmetro area at $47,660.
How many medical administrative assistants work in Honolulu?
BLS counts about 1,580 in the May 2025 survey. That is 73% of the Hawaii total of 2,160. No other area in Hawaii has as many.
Does a medical administrative assistant cost more than an HR assistant in Honolulu?
Yes: $530 a year more at the median. The medians are $49,460 and $48,930.
Sources
4 sources, with links
- BLS OEWS May 2025, 43-6013: bls.gov
- BLS Employer Costs for Employee Compensation, private industry, June 2026: bls.gov
- Stafka pricing: stafka.com
- Deel pricing, contractor management: deel.com
How these pages are built: methodology and data sources. Last updated 2026-11-12.