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Hourly wage for hospitalists


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Hello and I apologize if this was a prior topic but am on my phone. I was discussing a hospitalist position with a potential employer and they want me to suggest an hourly wage. The job is as a hospitalist in TX. Average pt load is 15 ppd. Currently the schedule is 7-5, 3-11, and 7-7 and they want someone flexible with some nights possible too. May eventually advance to 7 on/off schedule. CME benefits etc included did not discuss malpractice. Thanks all for the help as they want a reply soon and seem interested in me.

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Average hospitalist salary in the US is something like $93-103k/yr, dep on salary only or salary + production bonus.  How many years of experience do you have?  Assuming a 40 hr work week, that's about $50/hr, so asking $55-60/hr is reasonable, esp if you've been out of school for 3+ years or have some significant experience in hospital based inpatient medicine. 

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RVUs are tricky. 

 

A 99213 (established patient, low complexity visit) gets something like 0.9RVU.  A 99214 gets 1.42.  A new patient low complexity visit (99203) gets almost the same as the 99214.  A surgery may be 37.44RVUs.  Inpatient services have their own scale, but I don't have access to that right at the moment.  It's basically an arbitrary number that helps account for who is doing the most work.  A surgeon may see 5 pts/do 5 surgeries in a day to my 40 urgent care patients.  I can generate 100 RVUs in my day of work, whereas the surgeon can generate 170.  He gets reimbursed more on this scheme and it's warranted in part because he had to go to school for a lot longer than I did to do what he does. 

 

You will receive a certain dollar amount per RVU when you produce over a certain amount or get reimbursed a certain percentage of the RVUs you generate.  That's generally how an RVU reimubursement system works.  Some places even pay a flat fee to the provider for every RVU they generate.  This works out nicely if you generate large numbers of RVUs.  One place I heard of paid $20/RVU.  It's not unusual to generate 8000RVUs in a year.  You do the math. 

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