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Neurology 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.

Neurology — National Benchmark

Locum market rates, 2026.

P25
$239/hr
Median
$282/hr
P75
$334/hr
P90
$386/hr

Regional Estimates

Neurology hourly rate benchmarks by region and setting
RegionSettingP25MedianP75
NortheastUrban Hospital$215/hr$253/hr$300/hr
Rural Critical Access Rural / CAH$237/hr$279/hr$330/hr
MidwestUrban Hospital$255/hr$301/hr$356/hr
Rural Critical Access Rural / CAH$281/hr$332/hr$393/hr
SouthUrban Hospital$259/hr$305/hr$361/hr
Rural Critical Access Rural / CAH$285/hr$337/hr$398/hr
SoutheastUrban Hospital$252/hr$298/hr$352/hr
Rural Critical Access Rural / CAH$278/hr$328/hr$388/hr
WestUrban Hospital$250/hr$295/hr$349/hr
Rural Critical Access Rural / CAH$275/hr$325/hr$384/hr
SouthwestUrban Hospital$297/hr$351/hr$415/hr
Rural Critical Access Rural / CAH$327/hr$387/hr$457/hr
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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.

  • Acute stroke coverage is the dominant demand driver — Joint Commission certification requirements create predictable need
  • Teleneurology enables remote coverage, but on-site presence commands a substantial premium
  • Vascular neurology training commands 20–25% above general neurology rates at stroke centers
  • EEG reading capability expands coverage options beyond stroke to epilepsy monitoring programs
Get the full Neurology negotiation toolkit — 50-state rate tables, word-for-word recruiter scripts, and contract red flag checklist.
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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
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.
Get the Toolkit — $99 →