General Surgeon Salary Guide: 2024 Compensation Trends & Influencing Factors

Current Compensation Data

Source: Medical Group Management Association (MGMA) 2021 data (most recent comprehensive dataset; 2024 reports pending)

  • Median Total Cash Compensation: $317,000
  • 25th-75th Percentile Range: $265,000 - $415,000
  • 90th Percentile: >$550,000

Key Compensation Drivers

1. Geographic Location

  • Highest: Northeast, West Coast, major metros (NYC, LA, Boston, SF)
  • Lowest: Rural Midwest, South (though lower cost of living)
  • Variance: 30-50% between highest/lowest regions

2. Experience Level

  • Early career (0-5 yrs): $250K-$320K
  • Mid-career (6-15 yrs): $320K-$420K
  • Late career (16+ yrs): $350K-$500K+

3. Practice Setting

4. Subspecialty/Focus

  • Trauma/Acute Care Surgery: Premium for call burden
  • Surgical Oncology (HPB, colorectal): Higher RVU procedures
  • Bariatric/Metabolic: High volume, facility fees
  • Minimally Invasive/Robotic: Market demand premium
  • Pediatric Surgery: Separate compensation benchmarks

5. Additional Compensation Elements

  • Call pay: $500-$1,500/shift (trauma higher)
  • Quality/value-based bonuses: 5-15% of base
  • Productivity bonuses (wRVU thresholds)
  • Signing bonuses: $25K-$100K (competitive markets)
  • Retirement: 401k/403b match (3-6%), profit sharing
  • CME allowance: $3K-$5K/year
  • Malpractice: Occurrence vs claims-made; tail coverage

2024 Market Trends

  • Increasing hospital employment (70%+ of surgeons)
  • RVU-based models dominant
  • Work-life balance negotiations (call frequency, OR block time)
  • Non-compete scrutiny (state-dependent)

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SettingTypical RangeNotes
Hospital-employed$300K-$450KRVU-based + quality bonuses; benefits
Academic Medical Center$250K-$380KLower base; research/teaching time; loan forgiveness
Private Practice (Single/Multi-specialty)$300K-$500K+Ownership equity; higher risk; buy-in required
Locum Tenens$1,200-$1,800/dayNo benefits; travel/housing covered