10/14/2026
A nurse working for the State of Hawaii gets $8.70 more an hour the day the job moves up from RN II to RN III.
These rates come from the State of Hawaii salary schedule for Bargaining Unit 9, the registered nurses HGEA represents. One schedule covers nurses at state agencies, the four counties, the Judiciary, and the Hawaii Health Systems Corporation hospitals, from Hilo Benioff Medical Center and Kona Community Hospital to Leahi Hospital on Oahu.
This is public sector pay. It does not set pay at Hawaii Pacific Health, Adventist Health Castle, Kaiser Permanente, or any other private hospital, since those nurses bargain separately.
A new grad starts as an RN II at $45.99 an hour and stays on that one rate until the job moves up. RN III starts at $54.69 and climbs to $69.58 at 25 years. RN IV adds $5.60 to $7.17 an hour at every step on top of that.
How base pay breaks down, effective July 1, 2026:
π΅ New grad RN II: $45.99/hr, or $95,664 a year on a 40-hour week
π΅ RN III with 2 years of experience: $61.52/hr
π΅ RN III at 25 years: $69.58/hr, or $144,732 a year
π Nights add $4.00 an hour, and weekends add $1.00
π©Ί Nurse practitioners start at $146,724 a year
The first four steps follow your total years as an RN, so experience from another state counts if you earned it in the last five years. Raises of about 3.4% are already set for July 2027 and July 2028.
For perspective, the typical US nurse earns about $91K a year. A new grad here clears that on the first day. Hawaii is also one of the most expensive places in the country to live, and the state takes an income tax, so the same paycheck stretches further in Hilo than in Honolulu.
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