ASC administrator vs. physician pay: 6 notes

Here are six breakdowns of how physician pay stacks up compared to ASC leader pay: 

These statistics were pulled from a February report from Outpatient Surgery Magazine and Medscape’s Medscape Physician Compensation Report 2025.

1. Here are the 10 highest-paid physician specialties: 

  • Orthopedic and orthopedic surgery: $543,000 
  • Radiology: $520,000 
  • Plastic surgery: $516,000
  • Cardiology: $506,000
  • Anesthesiology: $499,000
  • Gastroenterology: $495,000
  • Urology: $485,000  
  • Otolaryngology: $473,000
  • Oncology and hematology: $452,000
  • Dermatology: $424,000

2. Here are the 15 physician specialties that reported pay declines:

  • Dermatology: -11%
  • Neurology: -6%
  • Urology: -6%
  • Plastic surgery: -4%
  • Cardiology: -4%
  • Ophthalmology: -4%
  • Gastroenterology: -3%
  • Rheumatology: -3%
  • Orthopedic surgery: -3%
  • Pulmonary medicine: -3%
  • Oncology: -2%
  • Public Health and preventative medicine: -2%
  • Emergency medicine: -1%
  • General surgery: -1%
  • Pediatrics: -1%

3. Nearly half of physicians, 43%, said their compensation remains the same while 28% said it increased by 10% or less. Eleven percent of respondents said their pay dropped by 10% or less; overall, 18% said their pay dropped last year. The specialists overall reporting pay drops include:

4. Here are the average gross salaries for ASC leaders in 2024: 

  • $69,999 or less: 5.9% 
  • $70,000 to $79,999: 5.9% 
  • $80,000 to $89,999: 11.9% 
  • $90,000 to $99,999: 7.9% 
  • $100,000 to $109,999: 7.9%
  • $110,000 to $119,999: 12.9% 
  • $120,000 to $129,999: 11.9% 
  • $130,000 to $139,999: 9.9% 
  • $140,000 to $149,999: 7.9% 
  • $150,000 to $159,999: 5% 
  • $160,000 to $169,999: 4% 
  • $170,000 to $179,999: 2% 
  • $180,000 to $189,999: 2% 
  • $190,000 to $199,999: 3%
  • $200,000 or more: 2%

5. Here are 2024 bonuses for ASC leaders: 

  • $1 to $999: 37.4% 
  • $1,000 to $1,999: 10.1% 
  • $2,000 to $2,999: 5% 
  • $3,000 to $3,999: 5%
  • $4,000 to $4,999: 3% 
  • $5,000 to $9,999: 11% 
  • $10,000 to $14,999: 6%
  • $15,000 to $19,999: 6%
  • $20,000 or more: 4% 
  • No bonus: 10.1% 
  • Not sure yet: 2%

6. Here is how ASC leaders’ pre-tax annual income changed between 2023 and 2024: 

  • Reduction: 3.1% 
  • No change: 27.4% 
  • +1%: 5.2%
  • +2%: 16.5%
  • +3%: 23.7%
  • +4%: 3.1%
  • +5%: 6.2%
  • +6% to 10%: 13.4%
  • +11% or more: 4.1%

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