Neurology 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$195$228$265BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$210$248$292BLS OEWS 2024 + CHG Healthcare 2025 Survey
MidwestUrban Hospital$182$215$248BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$198$232$272BLS OEWS 2024 + CHG Healthcare 2025 Survey
SouthUrban Hospital$175$208$240BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$190$225$265BLS OEWS 2024 + Weatherby Healthcare 2025
WestUrban Hospital$205$240$278BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$220$258$302BLS OEWS 2024 + CHG Healthcare 2025 Survey

Market Overview

Neurology locum demand is driven primarily by acute stroke coverage requirements at hospitals seeking Joint Commission certification. Teleneurology has expanded coverage options, but on-site neurologists command a substantial premium. Rural hospitals increasingly rely on locum neurologists for 24/7 stroke coverage.

Key Leverage Points

Urban Hospital
  • Vascular neurology training commands a 20–25% premium at stroke centers
  • EEG reading capability significantly expands your available assignments
  • Teleneurology arrangements can supplement on-site coverage income
  • Academic-level subspecialty skills (epilepsy, movement disorders) open niche high-rate slots
Rural Critical Access
  • Stroke coverage is a core revenue driver for rural hospitals — your leverage is strong
  • Teleneurology hybrid (remote strokes, in-person consults) is now standard at many rural sites
  • General neurology breadth (not just stroke) makes you more valuable at isolated facilities
  • Travel and housing are standard; negotiate for a rental car given rural distances

Contract Review Checklist

Items to review carefully before signing

  • Stroke activation response time not defined — unreasonable response expectations must be documented
  • Teleneurology technology not provided by facility — confirm equipment responsibility
  • Unlimited consult volume without census cap — set a daily consult ceiling
  • Call coverage for weekends at weekday rate — nights and weekends should carry a differential
Neurology Negotiation Toolkit
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