The 2004 Miss Hawaii USA and Teen USA pageants concluded with Justine Michioka winning the title of Miss Hawaii USA and Sonya Balmores winning the title of Miss Hawaii Teen USA 2004. They will go on to compete for the titles of Miss USA 2004 and Miss Teen USA 2004.
The Top 5 finalists at the 2004 Miss Hawaii USA Pageant were:
First Runner-Up - Valerie Seagrave
Second Runner-Up - Monica Ivey
Third Runner-Up - Kanani Oury
Fourth Runner-Up - Trisha Barbosa