What is the current $/wRVU in oncology these days? For the hospital-based community general oncologist, small town Midwest. Are numbers as high as $130/wRVU realistic? I am up for a contract renewal in summer 2025 and want to make sure I ask the appropriate amount and I am not short selling. I am currently at $100/wRVU which I feel is may be a bit low for 2025? Thank you.
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Current $ per wRVU rate?
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$100 is where I am now in the NW. This is $20 higher than at the job I left 2 years ago (and they have gone up by $5 in the last 2y). Might be higher in the MW. Not here to debate "fair compensation". Just providing a data point.
That sounds awful and correct.
$97 small city in Southwest
$100 small city in Midwest
Also important is what year they base the wRVUs off of and what are they doing with G2211
$100 small city in Midwest
Also important is what year they base the wRVUs off of and what are they doing with G2211
Agreed.
To add to the data point I provided, 2023 CMS numbers (will update to 2024 in the FY starting next July) and credit for G2211 whether payor pays or not.
(Note that, despite the fact that I work in a rural CAH setting, these numbers are the same for the entire region of this large system which is mostly urban/suburban.) I have a much higher base than the other folks do but I'm still 25% ahead of my wRVU targets on a quarterly basis with another 2 weeks to go in the quarter, will probably wind up 30+% above target for the first half of the year).
My wRVUs have been around $ 100-110 the few yrs I’ve been with a hospital system, with just minor ups and downs.
Asking for $130 per RVU for a tough-to-fill spot in the Midwest sounds fair to me.
I feel bad for whoever took the $67 deal—there’s gotta be something else going on to make that worth it.
About OneOncology, are these really private practices with good potential for growth?
Asking for $130 per RVU for a tough-to-fill spot in the Midwest sounds fair to me.
I feel bad for whoever took the $67 deal—there’s gotta be something else going on to make that worth it.
About OneOncology, are these really private practices with good potential for growth?
I'm not too familiar with OneOncology. Only interviewed with one of their practices and was turned off by some financial guy from OneOncology at the interview.
I heard they squeeze oncologists to see more and more patients to reach RVU targets etc. I also heard from one of the Tennessee Oncology employees (Huge OneOncology practice) that starting salary there was 290k or 310k? Either way, thats laughable.
There are NE academic centers with better starting salary. Is that’s a joke?
$100 in my midwest town, hospital employed. Base + productivity model.
A friend gets $95 in nearby midwest town.
For PP is usually low for first 2-3 years (sweat equity) but then you become a partner. That's the cost to buy in.
If One Oncology offer is forever salary/production model - that's laughable. Would not even look at that. Really depends on what the eventual comp is after partnership.
A friend gets $95 in nearby midwest town.
For PP is usually low for first 2-3 years (sweat equity) but then you become a partner. That's the cost to buy in.
If One Oncology offer is forever salary/production model - that's laughable. Would not even look at that. Really depends on what the eventual comp is after partnership.
brentux1985
New Member
To add a data point - have a friend at City of Hope at $66...
I keep trying to convince them they are getting fleeced but alas.
I keep trying to convince them they are getting fleeced but alas.
Do they not believe you when you say they are being fleeced? Or do they think this is the standard rate and that everybody else gets around the same rate? Or do they think they receive other benefits at their institution that offsets the $66? Just wondering.
Academic jobs may offer no rvu bonus or something very tiny. 25-40$.
For non academic I agree 60 is pretty meager
55 - 70 range is basically what hybrid practice will pay in the Northeast unfortunately and probably in California as well. The only way to do very specialized practice though is in those types of groups, without other major academic requirements, so people trade that off. Also getting to work with fellows/residents/medical students in a teaching setting and doing some research if you want to. There are definitely other jobs that let you do all of that also to different extents, but you have to look and inquire about specifics. Most private practices do not want you spending time in clinic explaining the nuances of FOLFOX to a fellow.
My experience is that when "City of Hope" previously named as "Cancer Treatment Centers of America" - usually the physicians that I dealt with in my zone were very shady, not sure if they are left outs that did not get any meaningful employment elsewhere. Never communicated and very ethically questionable practice at times. Perhaps the allure of living close to metro cities with decent comp for people not able to find a job in that area is the factor.
Big city or small town?
Small town.
