BLS metro-level wage data places Pediatricians, General pay in Hawaii / Kauai nonmetropolitan area at a median of $105,840 per year ($50.89/hr/hour), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared to the national median of $210,040, Hawaii / Kauai nonmetropolitan area pays 50% below, which typically tracks with a lower local cost of living or smaller specialized-employer cluster. Approximately 80 pediatricians, generals are employed across the Hawaii / Kauai nonmetropolitan area MSA in SOC 29-1221.

The Hawaii / Kauai nonmetropolitan area pay distribution spans from $77,620 at the 10th percentile to $281,840 at the 90th — a 3.6× spread that reflects experience tenure, specialization, employer size, and the difference between public-sector, nonprofit, and private-sector compensation inside the metro. The 25th percentile sits at $77,620 and the 75th at $222,430, so half of Hawaii / Kauai nonmetropolitan area-based pediatricians, generals earn within that middle band.

Metro figures capture where you actually work, not just where you live — which matters for commuters. BLS draws metro boundaries from the OMB MSA definitions, so Hawaii / Kauai nonmetropolitan area covers the central city plus outlying counties tied to the metro economically. Remember that OEWS wages reflect base pay only: employer-provided health insurance, retirement matches, stock options, signing bonuses, overtime, and tips are excluded and can add 20-40% to real total compensation. Before using this metro median as a negotiation anchor, triangulate against the same occupation's national profile (linked below), its state-wide HI data, and peer-metro comparisons — a median is a starting point, not a ceiling.