Urology 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.
Urology — National Benchmark
Locum market rates, 2026.
P25
$317/hr
Median
$367/hr
P75
$425/hr
P90
$490/hr
Regional Estimates
| Region | Setting | P25 | Median | P75 |
|---|---|---|---|---|
| Northeast | Urban Hospital | $286/hr | $332/hr | $384/hr |
| Rural Critical Access Rural / CAH | $299/hr | $347/hr | $402/hr | |
| Midwest | Urban Hospital | $322/hr | $374/hr | $433/hr |
| Rural Critical Access Rural / CAH | $337/hr | $391/hr | $453/hr | |
| South | Urban Hospital | $375/hr | $434/hr | $503/hr |
| Rural Critical Access Rural / CAH | $392/hr | $455/hr | $527/hr | |
| Southeast | Urban Hospital | $338/hr | $392/hr | $454/hr |
| Rural Critical Access Rural / CAH | $354/hr | $410/hr | $475/hr | |
| West | Urban Hospital | $303/hr | $351/hr | $407/hr |
| Rural Critical Access Rural / CAH | $317/hr | $368/hr | $426/hr | |
| Southwest | Urban Hospital | $335/hr | $389/hr | $450/hr |
| Rural Critical Access Rural / CAH | $351/hr | $407/hr | $471/hr |
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Market Overview
Urology locum demand is driven by a combination of aging population, prostate and urologic cancer volume, and persistent rural shortages for both surgical and outpatient clinic coverage. Locum urologists cover inpatient surgical services, outpatient procedure clinics (cystoscopy, TURP, stone management), and call coverage at smaller hospitals. Rural CAH assignments often combine surgical and clinic coverage in a single contract.
- Combined surgical + clinic coverage in rural assignments generates strong daily rates
- Robotic surgery demand drives urban premium at cancer centers and academic affiliates
- Aging demographics ensure sustained locum demand across all regions
- Endourology breadth (stone, scope, stent) is the most useful credential for rural assignment eligibility
Get the full Urology negotiation toolkit — 50-state rate tables,
word-for-word recruiter scripts, and contract red flag checklist.
Get the Toolkit — $99 →Key Leverage Points
Urban Hospital
- Robotic surgery certification (da Vinci) is standard at most urban surgical assignments — confirm availability before committing
- Endourology capability (URS, percutaneous nephrostomy, stone management) expands assignment eligibility at facilities without subspecialty coverage
- Oncology experience (prostatectomy, nephrectomy, cystectomy) commands a premium at cancer center assignments
- Block OR scheduling is the dominant format; outpatient clinic coverage should be priced separately from surgical days
Rural Critical Access
- Rural urology coverage combines surgical and clinic functions in most assignments — confirm full scope of practice expectations before accepting
- Call coverage for urologic emergencies (urinary retention, urosepsis, renal colic) is typically required — confirm rate structure for call days
- Travel, housing, and malpractice tail are standard inclusions; confirm all three before signing
- Cystoscopy and basic endoscopy capability is required at most rural assignments
Contract Review Checklist
Items to review carefully before signing
- Call coverage obligations not defined — urology emergencies are common; confirm call frequency and rate
- Malpractice tail not included — confirm who pays and what the policy covers for surgical complications
- Robotic equipment availability not confirmed — some facilities lack functional robotic platforms
- Scope of practice not defined — some rural contracts expect general surgical coverage beyond urology
Urology 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.
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