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What to Pay a Labor & Delivery Registered Nurse in Honolulu, HI (2026)

Last updated: May 15, 2026 Built for: Total Rewards, Comp, HR Sample: BLS OEWS + disclosed-range postings
Market Median
$130,000
base, annual
Competitive Range
$113K–$150K
25th–75th percentile
YoY Movement
+4.0%
trailing 12 months
Days to Fill
~36
Honolulu metro average
To hire a Labor & Delivery Registered Nurse in Honolulu at market, plan on a base salary range of $113,000 to $150,000, with $130,000 as the midpoint. To attract candidates in a market where average time-to-fill runs 36 days, expect to lead at $150K–$172K plus a sign-on bonus, common in skilled nursing settings. Hawaii requires a pay range in job postings.

How to set your L&D RN pay range in Honolulu

Three pay positions, modeled against current Honolulu market data. Pick the one that matches your comp philosophy and the role's strategic value.

Lag Market
Pay Below Median
$99K–$113K
Workable in non-acute settings with strong non-cash differentiation. Expect longer fill times and turnover ~1.4× the Honolulu average.
Match Market — recommended
Pay at Median
$123.2K–$138K
Default for most Honolulu employers. Competitive enough to fill in ~36 days. A range width of ~30% (min $113,000 to max $150,000) keeps compa-ratio movement smooth across a L&D RN's typical 8–12 year tenure.
Lead Market
Pay Above Median
$142K–$172K
Use for hard-to-fill specialties (wound care, IV therapy, bilingual), 24/7 SNF roles, or when speed-to-hire trumps budget. Reduces fill time by 35–45% on average.

L&D RN salary percentile distribution in Honolulu, HI

Where the Honolulu market actually sits for L&D RN base pay.

10th $99K
25th $113K
Median $130K
75th $150K
90th $172K

Most Honolulu employers building a range for this role anchor the midpoint to the market median ($130,000) and set range width at 30–35% — a min of $113,000 and a max of $150,000. This keeps the band wide enough for experience-based progression without concentrating range penetration at the cap.

Hawaii pay transparency compliance for L&D RN job postings

What you must post when hiring a L&D RN in Hawaii.

Required. Hawaii requires employers with 50 or more employees to include an hourly rate or salary range that reasonably reflects the expected pay in job listings, under Act 203, effective January 1, 2024. Internal transfers and promotions are excluded, as are public sector roles with pay set through collective bargaining. The Hawaii Civil Rights Commission enforces the law.
Requirement Applies When Penalty for Non-Compliance
Pay range in job postings Employers with 50 or more employees must follow the law. The law sets no specific fines. Violations go through the Hawaii Civil Rights Commission's complaint process, with the remedies available under Hawaii employment discrimination law.

For a L&D RN role in Honolulu, a compliant good-faith range looks like $113,000 to $150,000. Job listings must include an hourly rate or salary range that reasonably reflects the expected pay.

Top L&D RN employers in Honolulu — who you're competing against

Top healthcare employers hiring L&D RNs in the Honolulu metro and what they're posting.

Employer Type Disclosed Range Sign-on Bonus
The Queen's Health Systems Academic medical center system $122K–$153K Very common ($10K–$18K)
Hawaii Pacific Health Health system $122K–$153K Very common ($10K–$18K)
Kaiser Permanente Hawaii Integrated health system $122K–$153K Very common ($10K–$18K)
Adventist Health Castle Health system $122K–$153K Very common ($10K–$18K)
Kapiolani Medical Center Pediatric / women's specialty $122K–$153K Very common ($10K–$18K)

L&D RN talent supply and hiring difficulty in Honolulu

How hard is it to fill a L&D RN role in Honolulu.

~36
Avg Days to Fill
~1,040
Active Postings
~6,500
Honolulu L&D RN Workforce
Very tight
Supply : Demand

Honolulu L&D RN market runs perpetually tight — specialty requires 1–2 years of orientation and turnover is unusually low. High-risk perinatal centers command additional premiums.

Skill premiums L&D RN candidates command in Honolulu, HI

Skill / Credential Pay Premium Demand Signal
RNC-OB (Inpatient Obstetric) +7–10% Standard for L&D
C-EFM (Electronic Fetal Monitoring) +5–8% Standard progression
High-risk perinatal experience +7–11% Very high — MFM centers
Lactation consultant (IBCLC) +5–8% Growing

L&D RN total compensation in Honolulu — what candidates expect beyond base

Total rewards mix for L&D RNs in Honolulu. "Prevalence" reflects share of Honolulu disclosed-range postings including each element.

Component Typical Value Prevalence in Honolulu Postings
Base salary $130,000 (median) 100%
Shift differential +14–22% premium ~92%
Sign-on bonus $13K–$26K ~82%
RNC-OB certification pay +7–10% on base ~72%
On-call pay (some units) $4–$8/hr standby + 1.5× hourly ~48%
Estimated total comp benchmark ~$161K–$190K —

Shift differentials and sign-on bonuses are typically table stakes rather than differentiators. Tuition reimbursement for LPN-to-RN bridge programs is increasingly the lever that wins competitive offers, particularly for early-career candidates.

L&D RN pay by setting in Honolulu — SNF, hospital, clinic, home health

Where the L&D RN range splits by employer type in the Honolulu metro.

Setting Median Competitive Range Hiring Difficulty
Community L&D unit $125,000 $112K–$143K Very high
Academic L&D unit $138,000 $122K–$156K Very high
High-risk / MFM center $146,000 $130K–$166K Very high
Mother-baby / postpartum $122,000 $109K–$140K High
Antepartum unit $127,000 $114K–$146K High

FAQ: hiring a Labor & Delivery Registered Nurse in Honolulu, HI

Market median is $130,000 for base pay. To match market, set a range with the midpoint at $130,000 — typically $113,000 to $150,000. To lead the market, plan on $150K–$172K base plus a sign-on bonus.
Hawaii requires employers with 50 or more employees to include an hourly rate or salary range that reasonably reflects the expected pay in job listings, under Act 203, effective January 1, 2024. Internal transfers and promotions are excluded, as are public sector roles with pay set through collective bargaining. The Hawaii Civil Rights Commission enforces the law. For this role in Honolulu, a good-faith range is $113,000–$150,000.
$117,000 falls below the Honolulu market median of $130,000 — roughly at the 25th–50th percentile locally. Acceptable in SNF or physician office settings where the candidate pool is deeper; below-market for hospital or specialty roles.
Roughly 82% of Honolulu L&D RN postings include a sign-on bonus ($13K–$26K). High-risk perinatal centers offer top-of-market bonuses.
Average fill time is approximately 36 days in the Honolulu metro. Roles paid above the 75th percentile ($150K+) fill in roughly 18–22 days. Roles below the 25th percentile ($113K) commonly take 45+ days and have elevated turnover within the first 90 days.
By Honolulu-metro posting volume: The Queen's Health Systems, Hawaii Pacific Health, Kaiser Permanente Hawaii, Adventist Health Castle, Kapiolani Medical Center lead the pack.
A 30–35% range width (min to max) is standard for L&D RN in Honolulu — for example, $113,000 to $150,000. Narrower than 25% compresses progression and creates compa-ratio pressure within 18 months.
Job listings are covered. Internal transfers and promotions are excluded, as are public employee positions whose pay is set through collective bargaining.

Related L&D RN pay benchmarks — Hawaii metros and nearby nursing roles

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Data refreshed May 15, 2026. Next scheduled update: August 15, 2026.
© 2026 BetterComp. Market data informational only — not legal advice.