Gastroenterology Locum Compensation Benchmarks
Based on BLS OEWS public data and CMS geographic adjustment factors, processed through a locum-adjusted model, calibrated and validated against publicly posted rates and observations.
Gastroenterology — National Benchmark
Locum market rates, 2026.
P25
$326/hr
Median
$378/hr
P75
$439/hr
P90
$502/hr
Regional Estimates
| Region | Setting | P25 | Median | P75 |
|---|---|---|---|---|
| Northeast | Urban Hospital | $306/hr | $355/hr | $412/hr |
| Rural Critical Access Rural / CAH | $320/hr | $371/hr | $431/hr | |
| Midwest | Urban Hospital | $330/hr | $382/hr | $444/hr |
| Rural Critical Access Rural / CAH | $345/hr | $400/hr | $464/hr | |
| South | Urban Hospital | $379/hr | $440/hr | $511/hr |
| Rural Critical Access Rural / CAH | $397/hr | $461/hr | $534/hr | |
| Southeast | Urban Hospital | $373/hr | $433/hr | $502/hr |
| Rural Critical Access Rural / CAH | $390/hr | $453/hr | $525/hr | |
| West | Urban Hospital | $328/hr | $380/hr | $441/hr |
| Rural Critical Access Rural / CAH | $343/hr | $397/hr | $461/hr | |
| Southwest | Urban Hospital | $341/hr | $395/hr | $459/hr |
| Rural Critical Access Rural / CAH | $356/hr | $413/hr | $480/hr |
Rate Evaluator
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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.
- Primarily procedure-focused — most locum GI assignments are endoscopy suite coverage days
- Advanced endoscopy (EUS, ERCP) commands 30–50% above standard GI rates
- Rural facilities with aging populations have persistent colonoscopy backlogs and limited GI access
- IBD subspecialty expertise opens academic center and infusion center assignment categories
Get the full Gastroenterology negotiation toolkit — 50-state rate tables,
word-for-word recruiter scripts, and contract red flag checklist.
Get the Toolkit — $99 →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
Gastroenterology Negotiation Toolkit
Word-for-word scripts for every recruiter objection, 50-state rate tables at P25/50/75/90,
leverage points by credential and shift type, and a contract red flag checklist.
$99 one-time.
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