How come anesthesiologists make more money than many surgeons? (per MGMA)

  • Please review the updated member agreement. Included is a new statement supporting the scientific method and evidence-based medicine. Claims or statements about disease processes should reference widely accepted scientific resources. Theoretical medical speculation is encouraged as part of the overall scientific process. However, unscientific statements that promote unfounded ideological positions or agendas may be removed.

naus

Junior Member
15+ Year Member
Oct 18, 2004
391
27
Status
I've been shadowing a few anesthesiologists lately and really digging the specialty, so don't take this post as trying to start any kind of animosity between surgery and anesthesia. Anesthesia is a lot more interesting after taking the basic sciences classes.

Is it because of malpractice premiums that anesthesiologists make more than many surgeons (except perhaps ortho, CT, and neuro)? Why does gen surg get such a short stick? What's the reimbursement fee structure like for anesthesiology? How are you paid? Is there a global period?

Is private practice anesthesia viable post-Obamacare?
 
Last edited:

jetproppilot

Turboprop Driver
10+ Year Member
Mar 12, 2005
5,858
114
level at FL210
Status
I've been shadowing a few anesthesiologists lately and really digging the specialty, so don't take this post as trying to start any kind of animosity between surgery and anesthesia.

(JET) that statement from you means you are trying to create animosity between surgery and anesthesia.

Anesthesia is a lot more interesting after taking the basic sciences classes.

(JET) Yeah whatever Slim

Is it because of malpractice premiums that anesthesiologists make more than many surgeons (except perhaps ortho, CT, and neuro)?

(JET) No.

What's the reimbursement fee structure like for anesthesiology? How are you paid?

(JET) Uhhhh, who are you? Do you ask your dad how much he makes?

Is private practice anesthesia viable post-Obamacare?
(JET) I live at a place independent of Obama. We don't take Medicare or Medicaid.

Next question, Slim?
 
Last edited:
About the Ads

sevoflurane

Ride
15+ Year Member
Jul 16, 2003
5,159
1,974
Visit site
Status
Attending Physician
What Jet is saying is that payer mix is extremely important in any practice.

We make good money because we do amazing stuff and are ALWAYS in the OR = cash cow of the hospital. General surgeons spend a good % of their time in clinics.

Hope that helps.
 

jetproppilot

Turboprop Driver
10+ Year Member
Mar 12, 2005
5,858
114
level at FL210
Status
What Jet is saying is that payer mix is extremely important in any practice.

We make good money because we do amazing stuff and are ALWAYS in the OR = cash cow of the hospital. General surgeons spend a good % of their time in clinics.

Hope that helps.
GEEZUS HOW GREAT IT IS TO HAVE FRIENDS. SORRY MAN THAT YOU HAD TO PICK UP MY SLACK. MY BAD MAN. I'LL TRY HARDER NEXT TIME.:thumbup:
 

urge

10+ Year Member
Jun 23, 2007
3,819
1,202
Status
Attending Physician
How come anesthesiologists make more money than many surgeons? (per MGMA)
How come you are surprised by this?

Most surgeries are not rocket science.
 

epidural man

ASA Member
10+ Year Member
Jun 3, 2007
3,257
928
50
San Diego
Status
Attending Physician

Narcotized

7+ Year Member
May 10, 2009
1,255
3
Status
How come anesthesiologists make more money than many surgeons?
Same reason the guy who manages and oversees the entire meat packing process from raising the animal to processing, packaging, and distribution makes more money than the butcher that simply cuts it up.
 

Nooblet

10+ Year Member
5+ Year Member
Aug 1, 2007
346
3
Status
Resident [Any Field]
Same reason the guy who manages and oversees the entire meat packing process from raising the animal to processing, packaging, and distribution makes more money than the butcher that simply cuts it up.
:thumbup:
 

Frank Rizzo

Member
10+ Year Member
May 13, 2005
471
3
Status
Same reason the guy who manages and oversees the entire meat packing process from raising the animal to processing, packaging, and distribution makes more money than the butcher that simply cuts it up.
yep, that just did it! I was leaning towards grilling one of these for dinner this evening... off to the butcher I go!



Thx Narc!
 

45408

aw buddy
10+ Year Member
7+ Year Member
Jun 14, 2004
16,957
53
Status
Resident [Any Field]
Same reason the guy who manages and oversees the entire meat packing process from raising the animal to processing, packaging, and distribution makes more money than the butcher that simply cuts it up.
Damn, if there's a job where I can just show up and cut, a la IR, let me know.
 

SLUser11

CRS
15+ Year Member
Feb 22, 2005
2,880
798
Status
Attending Physician
Same reason the guy who manages and oversees the entire meat packing process from raising the animal to processing, packaging, and distribution makes more money than the butcher that simply cuts it up.
OK. :thumbup:


:laugh:
 
About the Ads

tima

10+ Year Member
7+ Year Member
Jun 27, 2007
595
176
East Coast
Status
Medical Student
How easily can an anesthesiologist do overtime or find a part-time job for the weekends? Are there many opportunities to supplement the income?
 
Last edited:

IlDestriero

Ether Man
10+ Year Member
Nov 24, 2007
7,813
7,632
The ivory tower.
Status
Attending Physician
How easily can an anesthesiologist do overtime or find a part-time job for the weekends? Are there many opportunities to supplement the income?
Find the right job and you won't need to moonlight.;) You could always go on vacation from your day job and do a locums week somewhere. They pay around $12-1500/day for 8 hrs, overtime pays more.
I'd rather have more vacation though.
Some jobs, PP and acad, pay extra for taking call. At one job I looked at, a couple of guys said they never took call because there was always someone else that wanted to make a few extra $$. Win:win.
 

2win

10+ Year Member
Apr 25, 2008
1,177
33
Status
Attending Physician
yep, that just did it! I was leaning towards grilling one of these for dinner this evening... off to the butcher I go!



Thx Narc!
Just browsing this thread and I saw it....
Man - send me a private message about your butcher.
2win
 

jetproppilot

Turboprop Driver
10+ Year Member
Mar 12, 2005
5,858
114
level at FL210
Status
How easily can an anesthesiologist do overtime or find a part-time job for the weekends? Are there many opportunities to supplement the income?
Supplement the income?

Uhhhhhhhhhhhhhhhhh..,

Why?

We aren't

flipping burgers.:smuggrin:
 

Frank Rizzo

Member
10+ Year Member
May 13, 2005
471
3
Status
Just browsing this thread and I saw it....
Man - send me a private message about your butcher.
2win
Sorry, just a pic from the interwebs. The marbling in that cut is unbelievable though. The one I grilled tonight only looked half this good, but it still tasted like heaven! Its amazing what just a little salt and pepper and about 3-4 minutes per side on a hot-ass grill will get ya!
 

jetproppilot

Turboprop Driver
10+ Year Member
Mar 12, 2005
5,858
114
level at FL210
Status
Sorry, just a pic from the interwebs. The marbling in that cut is unbelievable though. The one I grilled tonight only looked half this good, but it still tasted like heaven! Its amazing what just a little salt and pepper and about 3-4 minutes per side on a hot-ass grill will get ya!
Dude it's nearly 11 o'clock in my world and after reading your post

I'M READY TO GRILL!!!
 
Feb 14, 2011
132
0
California
Status
Pre-Dental
I've been shadowing a few anesthesiologists lately and really digging the specialty, so don't take this post as trying to start any kind of animosity between surgery and anesthesia. Anesthesia is a lot more interesting after taking the basic sciences classes.

Is it because of malpractice premiums that anesthesiologists make more than many surgeons (except perhaps ortho, CT, and neuro)? Why does gen surg get such a short stick? What's the reimbursement fee structure like for anesthesiology? How are you paid? Is there a global period?

Is private practice anesthesia viable post-Obamacare?
I believe it's the fact that general anesthesiologists are not paid to put you under but to make sure to bring you back.
 

BCM

ASA Member
10+ Year Member
Aug 1, 2009
61
7
EST
Status
Attending Physician
I've been shadowing a few anesthesiologists lately and really digging the specialty, so don't take this post as trying to start any kind of animosity between surgery and anesthesia. Anesthesia is a lot more interesting after taking the basic sciences classes.

Is it because of malpractice premiums that anesthesiologists make more than many surgeons (except perhaps ortho, CT, and neuro)? Why does gen surg get such a short stick? What's the reimbursement fee structure like for anesthesiology? How are you paid? Is there a global period?

Is private practice anesthesia viable post-Obamacare?
Overhead is a big factor. Surgeons and many other specialists must generate enough revenue to pay for office space with exam rooms, supplies, staff to answer the phone and call backs, overhead insurance, etc. before they get paid. This can eat up over 50% of every dollar that comes in. These expenses are much lower and some don't exist for Anesthesiologists.
 
Last edited:

Bertelman

Maverick!
10+ Year Member
Feb 12, 2006
4,191
12
Had a Cooch
Status
Attending Physician

bronx43

Word.
10+ Year Member
Apr 22, 2006
2,181
935
Status
Attending Physician
I've been shadowing a few anesthesiologists lately and really digging the specialty, so don't take this post as trying to start any kind of animosity between surgery and anesthesia. Anesthesia is a lot more interesting after taking the basic sciences classes.

Is it because of malpractice premiums that anesthesiologists make more than many surgeons (except perhaps ortho, CT, and neuro)? Why does gen surg get such a short stick? What's the reimbursement fee structure like for anesthesiology? How are you paid? Is there a global period?

Is private practice anesthesia viable post-Obamacare?
Is there any real reason why anything makes more money than anything else in the current reimbursement model? It's simply pre-set reimbursement rates determined by third party payers and organizations that are entirely removed from any semblance of a free market. Why do orthopedic surgeons make more than general surgeons? Why do dermatologists make more than ICU docs? Why do CRNAs make more than some internists? Why do radiation oncologists make more than surgical oncologists? If you can answer that, you can answer your own question.
 
About the Ads

jetproppilot

Turboprop Driver
10+ Year Member
Mar 12, 2005
5,858
114
level at FL210
Status
Is there any real reason why anything makes more money than anything else in the current reimbursement model? It's simply pre-set reimbursement rates determined by third party payers and organizations that are entirely removed from any semblance of a free market. Why do orthopedic surgeons make more than general surgeons? Why do dermatologists make more than ICU docs? Why do CRNAs make more than some internists? Why do radiation oncologists make more than surgical oncologists? If you can answer that, you can answer your own question.
:thumbup:

Spot on.

Impossible to rationalize.

It is what it is.
 

loveumms

Senior Member
10+ Year Member
Jul 9, 2005
664
92
PA
Status
Attending Physician
Because we keep the patient alive while the surgeon tries to kill them (literally). That should be a good enough reason.
 

eosinophilic

7+ Year Member
Sep 21, 2010
39
17
Status
Reimbursement in the "Operating Theatre" is similar to reimbursement in Hollywood.

Anesthesiologists are the producers of the OR.

Surgeons are the actors.
 

NeuroChris

Neurosurgery for Pimps
Jul 21, 2011
103
1
Status
Medical Student
Lol, they make bucket loads of money haha, but they dont make more than ortho or Neurosurgeons.
 

SitraAchra

Attending Anesthesiologist
15+ Year Member
Apr 19, 2004
1,283
182
Status
Attending Physician
Lol, they make bucket loads of money haha, but they dont make more than ortho or Neurosurgeons.
Yeah but we can scratch our nose in the OR. To some...that's priceless.
 

invitro

Member
15+ Year Member
Jun 12, 2002
178
17
Visit site
Status
I don't understand why people think anesthesiologists make so much. I mean have any of you premed fools talked to a gastroenterologist? Or a cardiologist? Or a heme/onc doc? Or a radiologist? Or a Orthopedist/Neurosurgeon/Urologist/Retinologist/Dermatologist/Plastic or Vascular Surgeon/Dentistry subspecialist/Gyn onc surgeon, etc. I have friends/colleagues in all of these fields and you have the potential (not hard to do in midwest/south) to make >500k to up to a million.

Making in >500k in anesthesiology is TOUGH, unless you are in the boondocks AND busting your ass. Wanna do peds anesthesia....uh it's damn near impossible. Good thing I am happy making around 200-300k. :)


Don't believe me? Just look at salary surveys, or BETTER YET, ask people. You'll get to the truth.

Also, if anything those inflated salaries you see people making are reflective of partners in lucrative practices...which apparently is not nearly as common as it once was.

Good luck with your residency choice...
 

dbth77

Membership Revoked
Removed
10+ Year Member
7+ Year Member
May 26, 2005
146
0
Status
I don't understand why people think anesthesiologists make so much. I mean have any of you premed fools talked to a gastroenterologist? Or a cardiologist? Or a heme/onc doc? Or a radiologist? Or a Orthopedist/Neurosurgeon/Urologist/Retinologist/Dermatologist/Plastic or Vascular Surgeon/Dentistry subspecialist/Gyn onc surgeon, etc. I have friends/colleagues in all of these fields and you have the potential (not hard to do in midwest/south) to make >500k to up to a million.

Making in >500k in anesthesiology is TOUGH, unless you are in the boondocks AND busting your ass. Wanna do peds anesthesia....uh it's damn near impossible. Good thing I am happy making around 200-300k. :)


Don't believe me? Just look at salary surveys, or BETTER YET, ask people. You'll get to the truth.

Also, if anything those inflated salaries you see people making are reflective of partners in lucrative practices...which apparently is not nearly as common as it once was.

Good luck with your residency choice...
Grass is always greener, to say anesthesia isn't compensated well, especially hourly, is pretty ridiculous imo
 

bronx43

Word.
10+ Year Member
Apr 22, 2006
2,181
935
Status
Attending Physician
Lol, they make bucket loads of money haha, but they dont make more than ortho or Neurosurgeons.
Lol, a premed talking about ortho/neurosurg money, with a sig about neurosurgery saving lives from GREY'S ANATOMY... go figure.
 

bronx43

Word.
10+ Year Member
Apr 22, 2006
2,181
935
Status
Attending Physician
I don't understand why people think anesthesiologists make so much. I mean have any of you premed fools talked to a gastroenterologist? Or a cardiologist? Or a heme/onc doc? Or a radiologist? Or a Orthopedist/Neurosurgeon/Urologist/Retinologist/Dermatologist/Plastic or Vascular Surgeon/Dentistry subspecialist/Gyn onc surgeon, etc. I have friends/colleagues in all of these fields and you have the potential (not hard to do in midwest/south) to make >500k to up to a million.

Making in >500k in anesthesiology is TOUGH, unless you are in the boondocks AND busting your ass. Wanna do peds anesthesia....uh it's damn near impossible. Good thing I am happy making around 200-300k. :)


Don't believe me? Just look at salary surveys, or BETTER YET, ask people. You'll get to the truth.

Also, if anything those inflated salaries you see people making are reflective of partners in lucrative practices...which apparently is not nearly as common as it once was.

Good luck with your residency choice...
No one ever said those other fields don't make more than anesthesia. The question was why anesthesia makes more than some surgeons - namely general surgeons.
 

45408

aw buddy
10+ Year Member
7+ Year Member
Jun 14, 2004
16,957
53
Status
Resident [Any Field]
No one ever said those other fields don't make more than anesthesia. The question was why anesthesia makes more than some surgeons - namely general surgeons.
Reading is hard?
 
About the Ads