Texas Locum Tenens Rates by Specialty
Texas locum rates vary by specialty and setting. Orthopedic Surgery currently has the highest listed urban median at $498/hr. Texas has no individual state income tax.
Texas Locum Rates by Specialty
Median hourly rates in $/hr. Region: South.
| Specialty | Urban Hospital — MedianUrban Median | Rural / Critical Access — MedianRural Median |
|---|---|---|
| Anesthesiology | $354/hr | $408/hr |
| Cardiology | $361/hr | $314/hr |
| Dermatology | $379/hr | $330/hr |
| Emergency Medicine | $278/hr | $301/hr |
| Family Medicine | $144/hr | $166/hr |
| Gastroenterology | $440/hr | $461/hr |
| General Surgery | $430/hr | $374/hr |
| Hematology-Oncology | $433/hr | $453/hr |
| Hospitalist | $215/hr | $249/hr |
| Internal Medicine | $152/hr | $171/hr |
| Neonatology | $208/hr | $249/hr |
| Neurology | $305/hr | $337/hr |
| Obstetrics & Gynecology | $274/hr | $309/hr |
| Orthopedic Surgery | $498/hr | $433/hr |
| Otolaryngology (ENT) | $394/hr | $412/hr |
| Pain Management | $361/hr | $378/hr |
| Pathology | $371/hr | $323/hr |
| Pediatrics | $156/hr | $171/hr |
| Physical Medicine & Rehabilitation | $194/hr | $202/hr |
| Psychiatry | $204/hr | $252/hr |
| Radiology | $396/hr | $344/hr |
| Urology | $434/hr | $455/hr |
Highest-Paying Specialties in Texas
Urban median hourly rate
| Specialty | Urban Median |
|---|---|
| Orthopedic Surgery | $498/hr |
| Hematology-Oncology | $469/hr |
| Urology | $422/hr |
| Gastroenterology | $418/hr |
| Otolaryngology (ENT) | $408/hr |
Texas Tax, Licensing, and Market Notes
No state income tax. Texas does not tax earned income. At a $200/hr locum rate, your take-home advantage over a 10% state tax state is approximately $20/hr before federal taxes.
Texas is the second-largest physician market nationally and an IMLC member state. Qualifying physicians can use the IMLC's expedited process to obtain a separate Texas license. Texas rates are slightly below the national median due to lower cost of living, but high-demand urban markets (Houston, DFW, Austin) are competitive.
Licensing: Texas participates in the IMLC. Qualifying physicians can use it to obtain a separate Texas medical license through an expedited process.