Neurosurgeon Salary 2023: Average $710K, Wide Variation
Per Medscape 2023: average annual compensation = $710,000.
Key Variables
- Practice model: Private > hospital > academic.
- Region: Northeast, West Coast > Midwest, South.
- Experience: Steady increase over first 15–20 years.
- Subspecialty: Complex spine, cerebrovascular, tumor, functional > general cranial.
- Academic rank: Endowed chairs, grants add income.
Components
- Base salary + RVU/production bonuses.
- Call pay (often separate).
- Ownership stakes (ASC, imaging, device royalties).
- Medicolegal consulting, expert witness.
Top 10% exceed $1M. High liability, 60–80 hr weeks, 14–16 year training path.
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