Dialysis Technician Salary in Hilo, HI: $45,149 (2026)
Quick Answer:A full-time dialysis technician in Hilo, HI earns a median $45,149/year (≈ $21.71/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2099). Once you factor in Hilo's price level (19% above national, BEA RPP 119.3), that paycheck buys what $37,845 would nationally. Nominal pay sits 5.1% below the Hawaii state average.
Based on BLS state-level estimates · View source
In Hilo, Hawaii, the median annual salary for dialysis technicians is projected to reach $45,149 in 2026, slightly below the national median of $45,322. This role not only supports patients undergoing dialysis treatment but also includes home dialysis trainers, which can positively influence compensation due to the specialized skills required for training and support. The salary range for technicians in Hilo spans from $35,751 at the 10th percentile to $69,982 at the 90th percentile, reflecting significant variability based on experience, certifications, and specific job responsibilities. These estimates, derived from 2025 BLS data and adjusted for the regional cost of living index, emphasize the evolving landscape of dialysis technician pay in Hilo, especially as home dialysis adoption grows.
About the Hilo Market
Salary estimated from Hawaii average ($54,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $35,751 | $17.18 |
| Lower Range (P25) | $40,227 | $19.34 |
| Median (P50)(typical) | $45,149 | $21.71 |
| Upper Range (P75) | $57,682 | $27.73 |
| Top Earners (P90) | $69,982 | $33.64 |
Median Salary Position
0.38% below the national average
2026 Salary Percentile Distribution in Hilo
In Hilo, HI, the dialysis technician salary spread from the 10th to 90th percentile is $34,231 (2026 est.). At $45,149, the local median is 0.38% below the national median of $45,322.
Salary Calculator
At 40 hours/week in Hilo: You'd be in the lower-middle range
How Hilo Dialysis Technician Pay Compares
Hilo median: $45,149/year (2026)
| Compared To | Median Salary | Hilo Pays |
|---|---|---|
| Hawaii Average | $47,576 | -5.10% less |
| National Average | $45,322 | -0.38% less |
Dialysis Technicians in Hilo, HI earn a median of $45,149 per year (2026 est.), which is 0.38% lower than the national median of $45,322 and 5.10% below the Hawaii state average of $47,576.
Cost-of-Living Adjusted Salary
Hilo has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Hilo, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $45,149 is competitive, the higher cost of living reduces purchasing power to an effective $37,845 — a 16.18% reduction.
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2021 BLS Actual
$40,081
2025 BLS Actual
$44,087
2026 Current Est.
$45,149
2021–2027 Growth
+15.4%
Salary Trajectory for Dialysis Technicians in Hilo (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.41% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $40,081 | Actual |
| 2022 | $39,441 | Actual |
| 2023 | $41,615 | Actual |
| 2024 | $61,132 | Actual |
| 2025 | $44,087 | Actual |
| 2026(current) | $45,149 | Estimated |
| 2027 | $46,238 | Projected |
Based on 5 years of BLS OEWS data for the Hilo metropolitan area, the median dialysis technician salary grew 10.0% from $40,081 (2021) to $44,087 (2025). At a 2.41% compound annual growth rate, salaries are projected to reach $46,238 by 2027 — a total increase of $6,157 (15.36%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Hilo metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 2.41% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Salary by Experience Level
| Experience | Estimated Salary Range |
|---|---|
| 0-2 years (New Graduate) | $35,751 – $40,227 |
| 3-5 years (Mid Career) | $40,227 – $45,149 |
| 5+ years (Experienced) | $45,149 – $57,682 |
| 10+ years (Top Earner) | $57,682 – $69,982 |
DT salary ranges estimated from BLS percentile data. Individual dialysis technician compensation varies by employer, certifications, and specialization.
Dialysis Technician Job Market in Hilo
With just seven dialysis technicians employed in Hilo, competition for positions remains modest, but the area's cost of living index of 119.3 indicates that daily expenses are higher than the national average. This reality impacts take-home pay and purchasing power for technicians in the region. Prominent employers in Hilo, particularly outpatient providers like Fresenius and DaVita, which dominate the market, typically offer competitive pay structures that reward various skills and responsibilities. The variance in salaries can also be influenced by factors like shift differentials and the premium associated with home dialysis training roles. To maximize earning potential, technicians should seek opportunities for advanced certifications through organizations such as NNCC or BONENT, and consider roles that provide stipends for cross-training in biomedical equipment or leadership positions. Understanding these dynamics can help technicians navigate their career paths effectively in Hilo, HI.
More salary data for Hilo, HI:
Frequently Asked Questions
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Can dialysis technicians make $100K in Hilo?
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Written by Jessica Tran, CCRN
Career Analyst
Jessica has over 10 years as a dialysis technician. She specializes in chronic kidney disease management. She works at a community hospital.
Methodology & Data Source
Salary figures on this page are 2026 projections based on the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. The BLS reported a median annual salary of $44,087 for dialysis techniciansin the Hilo metropolitan area. A 2.41% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 compensation. Percentile ranges (P10–P90) represent the full salary distribution across experience levels and practice settings in this market.
Data Sources & Methodology
Salary data for Hilo is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 2.41%, derived from historical BLS wage trends for dialysis technicians (SOC 29-2099).
Compiled and verified by Jessica Tran, CCRN, a licensed dialysis technician with 10+ years of clinical experience. · View source data at BLS.gov