OB/GYN 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$215$252$295BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$235$278$325BLS OEWS 2024 + CHG Healthcare 2025 Survey
MidwestUrban Hospital$198$235$272BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$218$258$302BLS OEWS 2024 + CHG Healthcare 2025 Survey
SouthUrban Hospital$190$225$262BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$210$248$292BLS OEWS 2024 + Weatherby Healthcare 2025
WestUrban Hospital$225$265$308BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$245$288$338BLS OEWS 2024 + CHG Healthcare 2025 Survey

Market Overview

OB/GYN locum demand is among the fastest-growing of any surgical specialty, driven by the rural obstetric desert crisis. Over 400 rural hospitals have closed their OB units since 2015, creating acute demand for locum OB/GYN physicians willing to staff rural labor and delivery. Locum OB/GYN rates reflect this shortage.

Key Leverage Points

Urban Hospital
  • MFM (maternal-fetal medicine) subspecialty commands a 30–40% premium
  • LEEP and colposcopy procedural capability expands outpatient assignment options
  • Overnight call for labor coverage is the highest-leverage negotiating point
  • Reproductive endocrinology background opens IVF clinic locum opportunities
Rural Critical Access
  • Rural OB coverage is a near-crisis shortage — facilities will meet your rate
  • Solo L&D coverage capability is required and commands the highest premiums
  • Compact state license significantly expands available rural assignments
  • Combining OB and GYN surgical coverage in one provider is worth a premium

Contract Review Checklist

Items to review carefully before signing

  • On-call obligation not specified — OB call is 24/7 by nature; confirm rate structure
  • Malpractice tail not included — OB tail coverage is among the most expensive in medicine
  • No Cesarean section expectation clarified — confirm C-section volume and comfort
  • Scope of practice not defined — some rural contracts include gynecologic surgery beyond expectations
OB/GYN Negotiation Toolkit
Expanded benchmark tables, sample negotiation language, contract review checklist, and state-by-state take-home comparisons. One-time purchase.
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