Know your number before you call back.

What's Inside

A complete assignment toolkit:

1. Rate Benchmark Database

   Urology rates by state and setting — urban hospital and rural/critical access — at the 25th, 50th, 75th, and 90th percentile. Fifty states. The number you need before you call the recruiter back.

2. Recruiter Call Scripts

   Word-for-word. The exact sentences:

   • The opening anchor when you've received a below-market offer
   • The counter when they say "this is our standard rate"
   • The surgical plus clinic bundled scope script — combined coverage should command a premium above either alone
   • The call structure script — urologic emergencies need a defined rate, not bundled into base
   • The robotic availability script — confirm da Vinci access before committing to the case mix
3. Urology Leverage Points

   The specific credentials and coverage capabilities that justify a higher rate:

   • Combined surgical OR plus outpatient clinic coverage is a dual-scope arrangement — it should be priced as a bundled premium, not a general hourly rate applied to everything
   • Oncologic robotic urology (prostatectomy, nephrectomy, cystectomy) commands a premium at cancer center assignments and should be explicitly stated as a separate credentialing category
   • Endourology breadth (URS, PCNL, stent management, stone protocol) is the most versatile credential for rural assignment eligibility — and for expanding case mix beyond the general scope
   • A 2024 AUA study found 62% of urologists receive zero separate payment for night and weekend call — the norm only because most physicians never ask. Urologic emergency call should always be a separate line item ($1,500–$2,500/24hr)
4. Contract Red Flag Checklist

   Call coverage rate structure, robotic equipment confirmation, surgical vs. clinic day split, scope of practice boundary beyond urology, and malpractice tail. One page, annotated. Open it while reviewing any contract.

5. Agency Markup Framework

   The math behind what the hospital actually pays for your shift. Urologic surgical cases — particularly robotics and oncologic procedures — generate substantial DRG revenue and downstream pathology and imaging billing. When you know the approximate bill rate, "that's our maximum" means something different.

6. Locum Tax Framework

   The 1099 math most urologists undercount: the S-corp threshold, the Solo 401(k) gap, and the minimum premium required to break even against a W-2 employed rate.

7. Licensing & Credentialing Roadmap

   The licenses, registrations, facility privileges, documents, start gates, and timelines required for the assignment.

8. 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 $340/hr for a rural CAH urology assignment combining OR days and outpatient clinic, this is the sentence from Section 2:

"The market median for rural urology coverage in the South is $370/hr. This assignment combines surgical OR days and outpatient clinic, which should be priced as a bundled scope rather than a single hourly rate — I'd expect something in the $390–410 range. I'd also want to confirm the call structure for urologic emergencies as a separate rate before we finalize. Can we structure it that way?"

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.

— General Surgery MD

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.

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.