Dialysis Technician Salary in Pearl City, HI: $46,180 (2026)
Quick Answer:A full-time dialysis technician in Pearl City, HI earns a median $46,180/year (≈ $22.20/hour) in nominal terms for 2026 — projected from BLS OEWS 2025 (SOC 29-2099). Once you factor in Pearl City's price level (19% above national, BEA RPP 119.3), that paycheck buys what $38,709 would nationally. Nominal pay sits 2.9% below the Hawaii state average.
Based on BLS state-level estimates · View source

In 2026, dialysis technicians in Pearl City, Hawaii, are projected to earn a median annual salary of $46,180, slightly above the national median of $45,322. Salary ranges in the area span from $34,263 at the lower end to $71,578 for those at the higher end of the spectrum. This data, based on 2025 BLS data, reflects local economic conditions and cost-of-living adjustments, which are indicated by a cost of living index of 119.3 in Pearl City, suggesting that living expenses are higher than the national average. For professionals in this field, various factors, such as shift differentials for evening or early-morning shifts, can significantly influence earnings, marking it as a competitive job market for dialysis technicians.
About the Pearl City Market
Salary estimated from Hawaii average ($54,000) adjusted for local cost of living.
Salary Breakdown
| Percentile | Annual | Hourly |
|---|---|---|
| Entry Level (P10) | $34,263 | $16.48 |
| Lower Range (P25) | $41,375 | $19.89 |
| Median (P50)(typical) | $46,180 | $22.20 |
| Upper Range (P75) | $59,110 | $28.42 |
| Top Earners (P90) | $71,578 | $34.41 |
Median Salary Position
1.89% above the national average
2026 Salary Percentile Distribution in Pearl City
In Pearl City, HI, the dialysis technician salary spread from the 10th to 90th percentile is $37,315 (2026 est.). At $46,180, the local median is 1.89% above the national median of $45,322.
Salary Calculator
At 40 hours/week in Pearl City: You'd be in the lower-middle range
How Pearl City Dialysis Technician Pay Compares
Pearl City median: $46,180/year (2026)
| Compared To | Median Salary | Pearl City Pays |
|---|---|---|
| Hawaii Average | $47,559 | -2.90% less |
| National Average | $45,322 | +1.89% more |
Dialysis Technicians in Pearl City, HI earn a median of $46,180 per year (2026 est.), which is 1.89% higher than the national median of $45,322 and 2.90% below the Hawaii state average of $47,559.
Cost-of-Living Adjusted Salary
Pearl City has a cost of living 19.30% above the national average.
Adjusted salary = nominal × (100 / CoL index). CoL index: 100 = national average.
Pearl City, HI has a cost-of-living index of 119.3 (above the national average of 100). While the nominal salary of $46,180 is competitive, the higher cost of living reduces purchasing power to an effective $38,709 — a 16.18% reduction.
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2021 BLS Actual
$40,995
2025 BLS Actual
$45,093
2026 Current Est.
$46,180
2021–2027 Growth
+15.4%
Salary Trajectory for Dialysis Technicians in Pearl City (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 2.41% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $40,995 | Actual |
| 2022 | $40,341 | Actual |
| 2023 | $42,564 | Actual |
| 2024 | $62,527 | Actual |
| 2025 | $45,093 | Actual |
| 2026(current) | $46,180 | Estimated |
| 2027 | $47,293 | Projected |
Based on 5 years of BLS OEWS data for the Pearl City metropolitan area, the median dialysis technician salary grew 10.0% from $40,995 (2021) to $45,093 (2025). At a 2.41% compound annual growth rate, salaries are projected to reach $47,293 by 2027 — a total increase of $6,298 (15.36%) from 2021.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Pearl City 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) | $34,263 – $41,375 |
| 3-5 years (Mid Career) | $41,375 – $46,180 |
| 5+ years (Experienced) | $46,180 – $59,110 |
| 10+ years (Top Earner) | $59,110 – $71,578 |
DT salary ranges estimated from BLS percentile data. Individual dialysis technician compensation varies by employer, certifications, and specialization.
Dialysis Technician Job Market in Pearl City
With only eight dialysis technicians currently employed in Pearl City, the job market can be characterized as niche, reflecting both challenges and opportunities. The cost of living index suggests that although salaries may appear competitive, take-home purchasing power can be limited, making it important for technicians to seek roles that offer additional benefits, such as home dialysis training or positions with military and VA renal services. Outpatient dialysis chains like Fresenius and DaVita, which dominate the local market, typically offer the highest compensation levels, often aided by structured pay systems that include added incentives for charge or lead technicians. To maximize pay in Pearl City, prospective dialysis technicians should consider roles that involve cross-training in biomedical equipment or those with responsibilities for home dialysis oversight, which are becoming increasingly relevant as the industry shifts towards more decentralized patient care options.
More salary data for Pearl City, HI:
Frequently Asked Questions
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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 $45,093 for dialysis techniciansin the Pearl City 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 Pearl City 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