Emergency Medicine Physician Salaries: State-by-State Breakdown 2025
Curious about the financial landscape of emergency medicine in the United States? The data reveals that emergency medicine physicians are handsomely compensated, with salaries often exceeding the national average across various medical specialties. This article delves into the specifics of emergency medicine physician salaries, exploring averages, variations by state, and the factors influencing compensation.
The financial rewards for emergency medicine physicians are considerable. According to data from sources like Indeed, ACEPNow, and the United States Bureau of Labor Statistics, the field offers a robust income. For those seeking the most up-to-date figures, clicking on salary links provides the latest insights. The national average salary for these critical care providers has seen a steady rise.
| Category | Details |
|---|---|
| Profession | Emergency Medicine Physician (ER Doctor) |
| Average Annual Salary (2023-2024) | $379,000 (Medscape's 2024 report), though figures vary based on source and methodology. Some reports suggest averages closer to $398,000 |
| Hourly Rate (US Average) | Approximately $230 per hour (as of April 2025). However, data varies and can range between $78.06 and $194 per hour, depending on the source. |
| Salary Range | Typically between $77,000 and $340,000 per year. Senior-level physicians (8+ years experience) may earn an average of $492,283 |
| Key Factors Influencing Salary | Years of experience, geographical location, type of healthcare facility, education, and employment type (W2 vs. 1099). |
| Highest Paying State | Washington |
| Lowest Paying State | Florida |
| 1099 Employment | Around 25% of emergency medicine physicians report 1099 employment, which can lead to higher earnings (19% higher salaries and 13% higher hourly rates in some cases). |
| Geographical Location's Impact | Salaries are significantly impacted by location. For example, average annual salary in California is $402,600 or $194 per hour, but hourly pay in the state can range widely. |
| Career Progression | Experienced physicians can earn around $284,065, with those later in their careers potentially earning $323,399 per year. |
| Australian Market (2025) | Between AUD$250,000 to AUD$450,000 per year. |
| Reference | Medscape Emergency Medicine Physician Compensation Report 2024 |
The financial trends in emergency medicine are compelling. Recent reports, like Medscape's 2024 Emergency Medicine Physician Salary Report, place the average salary at $379,000 for 2023. This marks an 8% increase over 2022's average of $352,000 and exceeds the 3% compensation growth seen across the U.S. in general. This growth underscores the value placed on these specialists and the increasing demand for their services.
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Over a longer timeframe, the gains are even more significant. Looking back over the past decade, emergency physician salaries have increased by 34.5%. This indicates a steadily growing market for emergency medicine professionals. According to Medscape's 2022 report, the average salary was $373,000, a rise reflecting the impact of the pandemic on the healthcare industry.
It is crucial to understand that these figures are averages and that a variety of factors can influence actual earnings. Experience is a primary driver; seasoned physicians generally command higher salaries. The geographic location also plays a vital role, with some states offering significantly higher compensation than others. As of April 20, 2025, the average hourly pay for an emergency medicine physician in California was around $154.14, however ZipRecruiter reports a wide range of salaries, from $52.90 to $189.55 per hour. Pay can also differ depending on the healthcare facility, with hospitals, clinics, and other settings offering different pay scales.
The report reveals a shift in employment types as well. A notable percentage of emergency medicine physicians, approximately 25%, work under 1099 contracts. This type of employment has often correlated with higher earnings. In several studies, 1099 physicians reported salaries and hourly rates that were noticeably higher than those of their W2 counterparts. This trend points to the importance of understanding different compensation structures and how they can affect overall income potential.
Beyond the average salary, there are variations in hourly rates. Data from sources like ZipRecruiter and other surveys show different rates per hour. In California, for example, the hourly rate as of April 2025 is reported to average around $154.14, with a considerable range depending on the experience and location within the state.
For those considering this field, it is also important to consider the impact of the Covid-19 pandemic on the emergency medicine job market. The market has started to recover; reports from late 2023 showed a rise of approximately 20 percent from the prior year, but the market was still behind pre-pandemic levels. The rise in pay, despite market conditions, signals a sustained demand for emergency medicine physicians.
It's also worth noting that the Australian market presents different pay scales. In 2025, the average salary in Australia for an emergency medicine physician ranges from AUD$250,000 to AUD$450,000 per year. The exact figure depends on variables like experience, location, and the kind of healthcare facility. This underscores the global nature of the profession and the variety of financial incentives available.
In addition to financial considerations, understanding the total compensation package is essential. Reports often take bonuses and other incentives into account when calculating earnings. Some physicians may also have opportunities to participate in incentives or receive pay increases based on performance or other factors.
When examining salaries, it is important to compare across different sources to get the best picture of the current market. Websites, such as Indeed and ZipRecruiter, offer the most current information. Additionally, insights from professional organizations such as the American College of Emergency Physicians (ACEP) are useful for those seeking to stay informed about compensation trends.
While pay is a significant aspect of the job, many physicians emphasize non-monetary factors like work-life balance and the fulfillment of helping patients. However, understanding the financial rewards is crucial for making informed career choices. A grasp of factors such as state-by-state variations, employment models, and the effects of experience and education can assist in navigating the field.
The data consistently reflects the critical role emergency medicine physicians play within the healthcare system. Whether considering a career change or assessing current pay, the available information provides valuable insights into the financial realities of this vital profession.
As a final point of consideration, keep in mind the significant variation in salaries. For example, in Arizona, the average annual salary is $364,600 or $175 per hour. The hourly pay varies by location and experience within the state. Similarly, the average salary for emergency medicine physicians in the United States as a whole is reported as $162,369, but the range is often between $77,000 and $340,000 per year.
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