OT Assistant Salary

East Honolulu vs Hilo: Occupational Therapy Assistant Salary (2026)

Compare occupational therapy assistant salaries between East Honolulu, HI and Hilo, HI. All figures are 2026 estimates projected from BLS 2025 data.

East Honolulu, HI
$86,929
$41.79/hr
Hilo, HI
$84,149
$40.46/hr

Side-by-Side Comparison

MetricEast Honolulu, HIHilo, HI
Median Salary$86,929$84,149
Hourly Rate$41.79$40.46
Entry Level (P10)$61,718$62,554
25th Percentile$73,390$72,856
75th Percentile$91,441$92,216
Top Earner (P90)$108,748$102,763
Total Employed127
Side-by-side bar chart comparing East Honolulu ($86,929) and Hilo ($84,149) occupational therapy assistant salaries.East HonoluluHiloMedian Salary$86,929$84,149Entry Level (P10)$61,718$62,554Top Earner (P90)$108,748$102,763US Median $74,332

Verdict

East Honolulu, HI offers better overall compensation for occupational therapy assistants, winning 4 out of 4 metrics compared to Hilo.

The salary gap between East Honolulu and Hilo is $2,780 (3.30%). East Honolulu's median is +16.95% compared to the US national median of $74,332.

Salary Range Comparison

The full salary range (10th to 90th percentile) in East Honolulu spans $47,030,Hilo spans $40,209. East Honolulu has a wider pay range, meaning more potential for high earners but also more variation.

East Honolulu
P10 (Entry)$61,718
P25$73,390
Median$86,929
P75$91,441
P90 (Top)$108,748
Hilo
P10 (Entry)$62,554
P25$72,856
Median$84,149
P75$92,216
P90 (Top)$102,763

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, East Honolulu ($72,866 effective) pays 3.30% more than Hilo ($70,536 effective).

East Honolulu
Nominal: $86,929
CoL Index: 119.3
Adjusted: $72,866
Hilo
Nominal: $84,149
CoL Index: 119.3
Adjusted: $70,536

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 ($86,929/year)
  • Better top-earner potential ($108,748)
  • Larger job market (12 employed)
  • Better purchasing power (CoL-adjusted: $72,866)
  • 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, occupational therapy assistant salaries in East Honolulu grew 0.4% from 2024 to 2025, compared to 0.4% growth in Hilo over the same period.

East Honolulu, HI

+0.4%

$84,202 (2024) → $84,553 (2025)

Hilo, HI

+0.4%

$81,509 (2024) → $81,849 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays occupational therapy assistants more: East Honolulu or Hilo?

East Honolulu has a higher median occupational therapy assistant salary at $86,929/year, compared to Hilo at $84,149/year — a difference of $2,780 (3.30%).

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

East Honolulu occupational therapy assistants earn $41.79/hr while Hilo hygienists earn $40.46/hr (2026 est.).

Should I relocate from East Honolulu to Hilo as a occupational therapy assistant?

Consider more than just salary when comparing East Honolulu and Hilo. Factor in cost of living (CoL-adjusted: East Honolulu = $72,866, Hilo = $70,536), job availability (12 vs 7 employed), commute, and career growth potential.

What do entry-level occupational therapy assistants earn in East Honolulu vs Hilo?

Entry-level (10th percentile) occupational therapy assistants earn $61,718 in East Honolulu and $62,554 in Hilo. The Hilo area offers higher starting salaries.
JL

Written by Jordan Lee, MS, OTR/L

Career Analyst

Jordan Lee has 10 years of experience as an occupational therapist. Their specialty is working with children with developmental disorders. They have worked in various healthcare settings including schools and rehabilitation facilities.

Clinically reviewed by Maria Gonzalez, COTA/LData verified by Samuel Chen, OTR/L

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 2.81% 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 Jordan Lee, MS, OTR/L, a licensed occupational therapy assistant with 10+ years of clinical experience. · View source data at BLS.gov