Calls man. Those 24 hr calls add up big time. Like 10k plus 24 hours weeknight. Multiple 24 hours in a row. Add call stipend on weekends as well (in addition to call hours). “Call stipend” is just another word for bonus money in the locums world. I’ve had an AMC word it as $350/hr weekday plus $500 “stipend”. They use this terminology to artificially keep their rates low to their clients due to market forces. It’s really $412/hr for 8 hours. They just don’t want to word it like that. So a stipend of $3000/24 hr is really adding $125/hr to whatever base rate you negotiate.
The key to being able to work 72/96 straight hours on the clock is to have crna on ob and OR. Obviously it is near suicide to do it MD only. I’ve done 64 hour MD only call. It’s not fun. So all you guys pounding your chest that you don’t need crnas. Try doing 64 hours straight MD only and think next time you say that if you want to make money. Work smarter. Not harder folks. Use the crna to get some rest. Crna has good life also. They raking in 700k 1099 annually they tell me on the locums trail with 10 weeks off.
They will pay you say $425 x 24 hours equals $10200 Plus the $2000-4000 per 24 hour weekend call “stipend”
Add in holiday pay. And I’m not even in house at those rates. My rate is guaranteed on Xmas day. Zero cases or 10 cases.
When places get desperate. They will pay.
Everything is negotiable these days.