State comparison · 2025
Medical and Health Services Managers salary: Hawaii vs North Dakota
Medical and Health Services Managers in Hawaii earn a median of $147,630. In North Dakota, $105,170. After cost-of-living, the gap is 13.6% — not 40.4%.
Nominal pay gap
+40.4%
Hawaii vs North Dakota
COL-adjusted gap
+13.6%
After BEA Regional Price Parities
Hawaii
Medical and Health Services Managers
- Median
- $147,630
- p25
- $106,550
- p75
- $173,430
- p10
- $80,020
- p90
- $219,760
- COL index (BEA RPP)100 = US average
- 110.0
North Dakota
Medical and Health Services Managers
- Median
- $105,170
- p25
- $89,460
- p75
- $133,470
- p10
- $78,150
- p90
- $179,740
- COL index (BEA RPP)100 = US average
- 89.0
BLS Occupational Employment and Wage Statistics, May 2025. Cost-of-living adjustment from BEA Regional Price Parities (overall index). Hiring velocity from DOL OFLC public disclosure data, recent 180 days vs prior. See methodology.