Physician Pay · HOSPITALIST MEDICINE
Hospitalist Medicine pay: locum, telehealth, per diem & consulting rates (2026)
Real data on what hospitalist medicine physicians earn across every type of physician work. Tell us yours, and we'll show you what direct looks like.
What we hear from hospitalist medicine physicians
Hospitalists tell us facility bill rates run $260–$300/hr for rounding and admit coverage, while agencies pay out around $170–$185/hr. Direct rates we've seen on Saile run higher because there's no middleman. The actual number depends on census, admit load, nocturnist vs. daytime, and geography.
The Spread
What your staffing agency isn't telling you
When a facility pays a markup rate for your shift, where does the difference go? It's not malpractice. It's not credentialing. It's the spread — the gap between what the facility is billed and what you take home. Most agencies will never show you the bill rate. We will.
Facility pays
$280/hr
You receive
$180/hr
Agency keeps
$100/hr
Example based on typical community hospitalist day shift rates. Your number is probably different. Submit it below and we'll show you where you fall.
Help us expose locum tenens markup
Anonymous. Takes 30 seconds. The more physicians tell us, the better we can call out who's taking what.
How Saile works
01 · Upload once
Credentials, licenses, DEA — all in one profile.
02 · Match direct
Facilities reach you directly. No recruiter.
03 · Keep the spread
No 30–50% agency markup. Ever.
Frequently asked questions
How much do hospitalists make as locums? +
Locum hospitalists typically earn $160–$280/hr depending on census, shift type, and geography. Direct rates on Saile can run higher because there's no agency markup.
What do staffing agencies take from hospitalist placements? +
Hospitalist agency spreads commonly run 30–40% of the facility bill rate — often $90–$120/hr per shift kept by the agency.
Can hospitalists work locum without an agency? +
Yes. Saile connects hospitalists directly with hospital medicine groups, critical access hospitals, and health systems — no agency, no non-compete.
Are there nocturnist shifts on Saile? +
Yes. Daytime, swing, and nocturnist hospitalist shifts post regularly. Create a profile to see what's live in your market.
Built by physicians. For physicians.
Direct shifts. Transparent rates. No middleman.