Air ambulance from Honolulu to Seattle

Reviewed by the AirAmbulance.org editorial team · Updated 6 November 2026 · Editorial policy

An air ambulance from Honolulu (Hawaii, USA) to Seattle (USA) is a 4,310 km medical flight. Hawaii patients and Pacific Northwest visitors flying to Seattle.

How the flight works

• A ground ambulance takes the patient from the hospital in Honolulu to the aircraft.
• A medical crew (usually a flight nurse and paramedic, more for critical patients) cares for the patient during the 5 h 55 min flight.
• On landing, a ground ambulance takes the patient straight to the receiving hospital or home: a "bed-to-bed" service.

Good to know on this route

• In an emergency in Honolulu, call 911 first. We're not an emergency service.
• Seattle is 2 hours ahead of Honolulu (as of November 2026; daylight saving can shift this by an hour). Allow for it when doctors at both ends need to talk.

Air ambulance or commercial escort?

If the patient is stable and can sit upright for take-off and landing, a medical escort on a commercial flight from Honolulu can cost far less. Critical-care and stretcher patients usually need a private air ambulance.

What it costs

This distance sits between regional and transatlantic flights, so it is priced by quote. For reference, regional fixed-wing flights are often published at $15,000–$70,000 and transatlantic flights at $90,000–$180,000.

Every flight is priced individually: the aircraft, the medical crew, ground ambulances at both ends and any permits all change the figure, and insurance may cover some or all of it. Ask for a quote for this route; it's free and there's no obligation.

Paperwork and arrival

This is a domestic US flight, so no passport is needed for US citizens, but the receiving hospital must accept the patient before departure. Have the patient's ID, insurance details and a medical summary ready.

Distances are great-circle between the main airports; times are estimates. General information only, not medical or insurance advice.