Psychiatry 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$185$215$250BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$210$250$295BLS OEWS 2024 + CHG Healthcare 2025 Survey
MidwestUrban Hospital$175$205$235BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$200$238$280BLS OEWS 2024 + CHG Healthcare 2025 Survey
SouthUrban Hospital$170$198$228BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$195$230$270BLS OEWS 2024 + Weatherby Healthcare 2025
WestUrban Hospital$195$228$265BLS OEWS 2024 + AMN Healthcare 2025 Survey
Rural Critical Access$215$258$305BLS OEWS 2024 + CHG Healthcare 2025 Survey

Market Overview

Psychiatry has the most severe locum shortage of any specialty, driven by a decades-long undersupply of psychiatrists relative to national mental health demand. Rural and critical access settings pay significantly above market to attract any coverage. Telepsychiatry has reshaped the market — many locum psychiatrists cover multiple sites remotely.

Key Leverage Points

Urban Hospital
  • Inpatient and ED coverage capability commands a premium over outpatient-only psychiatrists
  • Child and adolescent subspecialty training doubles the pool of available assignments
  • Addiction medicine certification significantly increases your leverage at urban facilities
  • Weekend and holiday coverage is undersubscribed — use this to negotiate a rate bump
Rural Critical Access
  • Rural psychiatry is a sellers market — most facilities will meet your rate rather than go without
  • Telepsychiatry hybrid arrangements (some remote, some onsite) can increase total weekly earnings
  • Forensic or geriatric training opens niche high-rate assignment categories
  • Travel, housing, and licensing fees are standard coverage — always confirm in writing

Contract Review Checklist

Items to review carefully before signing

  • Patient panel size not specified — unlimited new intakes at an inpatient unit is unsustainable
  • Telepsychiatry rate equal to in-person rate — remote coverage should carry a different rate structure
  • No coverage for state licensing fees in non-compact states — this can cost $500–1,500 per state
  • On-call obligation not defined — psychiatric emergencies after hours must have a rate
Psychiatry 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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