The Obstetrics & Gynecology Rate & Negotiation Toolkit
Know your number before you call back.
The market benchmark. Your assignment-adjusted target. Your walkaway—plus the scripts and assignment playbook to use them.
Get the Toolkit — $992026 Edition · 46–48 pages · Instant download · No subscription.
One underpriced shift can cost more than this toolkit. A $10/hr improvement on one 10-hour shift covers the $99 cost.
Built by a U.S. general surgery physician. No staffing agency affiliation. No referral fees.
Preview the actual guide
See exactly what you're buying.
The sample contains three pages drawn directly from this specialty's 2026 toolkit: the cover, the actual national and regional benchmark page, and a specialty-specific leverage page.
Open the three-page sample →No email required. Real toolkit pages—not a separate brochure.
Market Snapshot
Is your current rate above or below the median? The full 50-state breakdown is in the toolkit.
Built for the decision in front of you
Use the same toolkit at three high-stakes moments.
First locum assignment
Use a clear path through the interview, credentialing, first shift, assignment problems, and exit.
Offer or contract in hand
Set the counter, use the exact language, and review the terms before the assignment becomes expensive to unwind.
Current assignment or renewal
Recalculate the effective rate, identify work creep, and rewrite the terms that mattered in practice.
What's Inside
A complete assignment toolkit:
- Rate Benchmark Database
OB/GYN rates by state and setting — urban hospital and rural/critical access — at the 25th, 50th, 75th, and 90th percentile. Fifty states. Includes MFM subspecialty premium data and 24-hour call rate ranges.
- Recruiter Call Scripts
Word-for-word. The exact sentences:
- The opening anchor when you've received a below-market offer
- The malpractice tail negotiation script — how to make tail coverage a rate equivalency, not an afterthought
- The rural L&D script for solo obstetric coverage assignments
- The MFM premium script for tertiary and academic center placements
- The 24-hour call structure script — how to separate call coverage from base hourly negotiation
- The renewal script when they try to roll your old rate forward
- OB/GYN Leverage Points
The specific OB/GYN credentials and coverage capabilities that justify a higher rate:
- MFM subspecialty commands 44% above the general OB rate at tertiary and academic centers — market range $326–354/hr — this premium is consistent but not priced automatically
- Malpractice tail coverage ($50,000–240,000) is the most critical contract clause in any OB/GYN locum agreement; confirming tail before discussing schedule is not a secondary point, it is the first one
- Solo L&D coverage at rural CAH facilities is the highest-leverage assignment profile in this specialty — these facilities have no alternative and will meet your rate more often than they decline it
- The highest rural OB demand is in North Dakota (73% of counties are maternity deserts), Oklahoma (63%), and West Virginia (62%) — assignments in these states command rates at or above the regional P75
- Contract Red Flag Checklist
On-call obligation structure, C-section volume and comfort expectations, malpractice tail inclusion and policy limits, scope of gynecologic surgery, and coverage for high-risk deliveries. OB/GYN tail coverage is the single most expensive contract clause in the specialty. One page, annotated.
- Agency Markup Framework
Combined OB and gynecologic surgical coverage in one provider eliminates the need for two placements. That value is negotiable. Most agencies don't volunteer to price it for you.
- Locum Tax Framework
The 1099 math: S-corp threshold, Solo 401(k) gap, tail insurance as a pre-tax deduction, and the effective net rate after malpractice costs in the states that pay best.
- Licensing & Credentialing Roadmap
The licenses, registrations, facility privileges, documents, start gates, and timelines required for the assignment.
- From Signed Contract to Final Shift
A specialty-specific first-shift gate, assignment escalation scripts, a stay/pause/leave framework, and a final-shift checklist.
What It Looks Like on the Call
When a recruiter quotes $225/hr for a rural South L&D assignment, this is the sentence from Section 2:
"The rural OB/GYN median for the South is $248/hr. For solo L&D coverage I'd expect to be in the $275–295 range, with tail coverage confirmed in writing before the assignment start date. Is there flexibility to get there, and who's providing the tail?"
Ask about the tail before anything else. You change the numbers to match your state. You say it. That is the product.
Who Built This
For years I took every rate I was offered without pushing back. Not because I was naive. I did not have the data to know whether I should. Neither did anyone I trained with.
I built the same rate model and negotiation framework across 22 physician specialties, then added the contract, credentialing, first-shift, and assignment protections I would want before accepting the work myself.
The agency has this organized. Now you do too.
Built on Evidence, Written for the Call
The toolkit combines 50-state benchmark data, specialty-specific assignment research, current licensing and tax guidance, and 17 peer-reviewed negotiation sources. The research establishes the framework; the product gives you the number, language, and checklists to act on it.
What $99 Has to Do
One $10/hr improvement on one 10-hour shift covers the full price. One avoided unpaid hour can do the same. Every protected shift, corrected contract term, or future renewal comes after that.
46–48-page PDF · Instant download · No subscription.
One Honest Limitation
This will not help you if you are already negotiating above the 75th percentile for your specialty and state. If you don't know what percentile your current rate is, that is the problem this solves.
About the Data
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.