Gastroenterology Locum Compensation Benchmarks

Survey data by region and facility setting. Source: BLS OEWS, AMN Healthcare, CHG Healthcare. For informational purposes only.

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Regional Benchmark Data

P25 / Median / P75 hourly rates in $/hr

RegionSettingP25MedianP75Source
NortheastUrban Hospital$295$348$408BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$318$375$440BLS OEWS 2024 + CHG Healthcare 2025 Survey
MidwestUrban Hospital$272$320$375BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$295$348$408BLS OEWS 2024 + CHG Healthcare 2025 Survey
SouthUrban Hospital$262$308$362BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$285$335$392BLS OEWS 2024 + Weatherby Healthcare 2025
WestUrban Hospital$308$365$428BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$332$392$460BLS OEWS 2024 + CHG Healthcare 2025 Survey

Market Overview

Gastroenterology locum demand is driven by the procedural volume of colonoscopy and upper endoscopy. The locum GI market is primarily procedure-focused — most locum GI physicians are covering endoscopy suite days rather than inpatient consults. Rural facilities with aging populations have high colonoscopy demand and limited GI access.

Key Leverage Points

Urban Hospital
  • Advanced endoscopy (EUS, ERCP) commands a 30–50% premium above standard GI rates
  • IBD subspecialty expertise opens academic center and infusion center coverage options
  • High-throughput endoscopy efficiency (10+ scopes per day) makes you more attractive
  • Hepatology background expands coverage into liver transplant pre/post-op settings
Rural Critical Access
  • Rural GI demand is procedure-driven and highly predictable — strong negotiating position
  • ERCP capability makes you essential to facilities needing emergency biliary decompression
  • Quarterly return arrangements for colonoscopy days are standard at rural sites
  • Inpatient GI bleed coverage willingness adds significant value at rural hospitals

Contract Review Checklist

Items to review carefully before signing

  • Scope count per day not specified — GI locum days can range from 8 to 20 scopes
  • Prep adequacy responsibility on physician — poor prep rate should not reduce your rate
  • Inpatient consult volume not defined — GI consults on top of an endoscopy day is unsustainable
  • ERCP not separately compensated from standard endoscopy — advanced procedures require higher rate
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