EMT Salary

East Honolulu vs Hilo: Emergency Medical Technician Salary (2026)

Compare emergency medical technician salaries between East Honolulu, HI and Hilo, HI. All figures are 2026 estimates projected from BLS 2025 data.

East Honolulu, HI
$55,034
$26.46/hr
Hilo, HI
$53,274
$25.61/hr

Side-by-Side Comparison

MetricEast Honolulu, HIHilo, HI
Median Salary$55,034$53,274
Hourly Rate$26.46$25.61
Entry Level (P10)$42,212$42,640
25th Percentile$46,468$46,129
75th Percentile$59,609$60,045
Top Earner (P90)$77,584$73,516
Total Employed127
Side-by-side bar chart comparing East Honolulu ($55,034) and Hilo ($53,274) emergency medical technician salaries.East HonoluluHiloMedian Salary$55,034$53,274Entry Level (P10)$42,212$42,640Top Earner (P90)$77,584$73,516US Median $47,058

Verdict

East Honolulu, HI offers better overall compensation for emergency medical technicians, winning 4 out of 4 metrics compared to Hilo.

The salary gap between East Honolulu and Hilo is $1,760 (3.30%). East Honolulu's median is +16.95% compared to the US national median of $47,058.

Salary Range Comparison

The full salary range (10th to 90th percentile) in East Honolulu spans $35,372,Hilo spans $30,876. East Honolulu has a wider pay range, meaning more potential for high earners but also more variation.

East Honolulu
P10 (Entry)$42,212
P25$46,468
Median$55,034
P75$59,609
P90 (Top)$77,584
Hilo
P10 (Entry)$42,640
P25$46,129
Median$53,274
P75$60,045
P90 (Top)$73,516

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, East Honolulu ($46,131 effective) pays 3.30% more than Hilo ($44,655 effective).

East Honolulu
Nominal: $55,034
CoL Index: 119.3
Adjusted: $46,131
Hilo
Nominal: $53,274
CoL Index: 119.3
Adjusted: $44,655

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose East Honolulu if…

  • Higher median salary ($55,034/year)
  • Better top-earner potential ($77,584)
  • Larger job market (12 employed)
  • Better purchasing power (CoL-adjusted: $46,131)
  • You prefer the Hawaii area and lifestyle

Choose Hilo if…

  • You prefer the Hawaii area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, emergency medical technician salaries in East Honolulu grew -7.4% from 2024 to 2025, compared to -7.4% growth in Hilo over the same period.

East Honolulu, HI

+-7.4%

$56,135 (2024) → $52,007 (2025)

Hilo, HI

+-7.4%

$54,340 (2024) → $50,344 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays emergency medical technicians more: East Honolulu or Hilo?

East Honolulu has a higher median emergency medical technician salary at $55,034/year, compared to Hilo at $53,274/year — a difference of $1,760 (3.30%).

What is the hourly rate difference between East Honolulu and Hilo?

East Honolulu emergency medical technicians earn $26.46/hr while Hilo hygienists earn $25.61/hr (2026 est.).

Should I relocate from East Honolulu to Hilo as a emergency medical technician?

Consider more than just salary when comparing East Honolulu and Hilo. Factor in cost of living (CoL-adjusted: East Honolulu = $46,131, Hilo = $44,655), job availability (12 vs 7 employed), commute, and career growth potential.

What do entry-level emergency medical technicians earn in East Honolulu vs Hilo?

Entry-level (10th percentile) emergency medical technicians earn $42,212 in East Honolulu and $42,640 in Hilo. The Hilo area offers higher starting salaries.
AP

Written by Aisha Patel, EMT-P

Career Analyst

Aisha has 10 years of experience as an emergency medical technician. She specializes in pre-hospital care and triage. Aisha works primarily in urban emergency services.

Clinically reviewed by Carlos Mendoza, EMT-BData verified by Fatima Ali, EMT-I

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.82% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Aisha Patel, EMT-P, a licensed emergency medical technician with 10+ years of clinical experience. · View source data at BLS.gov