State comparison · 2025
Medical and Health Services Managers salary: Hawaii vs South Dakota
Medical and Health Services Managers in Hawaii earn a median of $147,630. In South Dakota, $122,050. After cost-of-living, the gap is 2.6% — not 21%.
Nominal pay gap
+21%
Hawaii vs South Dakota
COL-adjusted gap
-2.6%
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
South Dakota
Medical and Health Services Managers
- Median
- $122,050
- p25
- $102,550
- p75
- $149,880
- p10
- $84,310
- p90
- $178,630
- COL index (BEA RPP)100 = US average
- 88.6
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.