Quick answer
✅ Yes — comfortably. A physician assistant in Honolulu earns roughly $163,813/yr (~$8,648/mo take-home) and a 1BR costs $2,100/mo — that's 24% of take-home on rent. The standard is 30% or less.
HI · 2026
Can a Physician Assistant Afford to Live in Honolulu?
Using local salary estimates and Honolulu's actual cost of living — rent, taxes, utilities, and groceries — here's the real monthly picture for a physician assistant in Honolulu, HI in 2026.
Monthly Budget Breakdown
Gross monthly salary
$163,813/yr local estimate
$13,651
Taxes (federal + state + FICA)
11% (top) state income tax
-$5,003
Monthly take-home
After all taxes
$8,648
1BR rent
24% of take-home
-$2,100
Utilities
Electric, gas, internet avg
-$285
Groceries
Single-person estimate
-$620
Transport
Car or transit average
-$350
Left for everything else
Dining, clothing, fun, savings
$5,293
At a 40% savings rate on discretionary income, a physician assistant in Honolulu could save roughly $25,404/year after covering all essentials.
What Does 24% Rent Burden Mean?
The standard rule of thumb is to spend no more than 30% of gross income on rent. At 24% of take-home pay, a physician assistant in Honolulu is well within a healthy range — leaving solid room for savings and discretionary spending.
These numbers use a local salary estimate of $163,813/yr — adjusted from the national Physician Assistant median of $126,010/yr based on Honolulu's cost of living index. Actual salaries vary by employer, experience, and specialization.
Best Neighborhoods in Honolulu for a Physician Assistant
Based on walkability, rent levels, and quality of life — not just lowest price.
Kakaako
Waterfront redevelopment with art galleries, breweries, restaurants. 1BR $2,400–2,800/mo. Vibrant, walkable, young professional crowd. Gentrifying rapidly; long-term local character is fading.
Ala Moana
Busy commercial district with shopping center, hotels, restaurants. 1BR $2,100–2,600/mo. Walk score 68. Convenient to Honolulu Airport (20 min drive), but touristy and loud.
Waikiki
Tourist destination with high-rise hotels, bars, beaches. 1BR $2,000–2,400/mo — competitive for value because tourism drives supply. Loud, crowded, touristy; locals avoid it.
Frequently Asked Questions
What is the average salary for a Physician Assistant in Honolulu?
A Physician Assistant in Honolulu earns approximately $163,813 per year, based on the national BLS median of $126,010/yr adjusted for Honolulu's cost of living. Actual pay varies by employer, experience, and specialization.
Is Honolulu affordable for a physician assistant in 2026?
Yes. Rent takes around 24% of take-home pay — below the 30% guideline. A physician assistant can live comfortably in Honolulu with room to save.
How much take-home pay does a Physician Assistant get in Honolulu?
After federal taxes, 11% (top) state income tax, and FICA, a Physician Assistant earning $163,813/yr takes home roughly $8,648/month in Honolulu.
What is the rent-to-income ratio for a Physician Assistant in Honolulu?
A 1-bedroom apartment in Honolulu costs a median of $2,100/month. On a Physician Assistant salary, that's 24% of monthly take-home pay. Financial experts recommend keeping this below 30%.