Missouri Locum Tenens Rates by Specialty
Missouri locum rates vary by specialty and setting. Orthopedic Surgery currently has the highest listed urban median at $493/hr. The listed top marginal state income tax rate is 4.7%.
Missouri Locum Rates by Specialty
Median hourly rates in $/hr. Region: Midwest.
| Specialty | Urban Hospital — MedianUrban Median | Rural / Critical Access — MedianRural Median |
|---|---|---|
| Anesthesiology | $342/hr | $395/hr |
| Cardiology | $333/hr | $289/hr |
| Dermatology | $345/hr | $300/hr |
| Emergency Medicine | $274/hr | $297/hr |
| Family Medicine | $143/hr | $165/hr |
| Gastroenterology | $382/hr | $400/hr |
| General Surgery | $399/hr | $347/hr |
| Hematology-Oncology | $401/hr | $420/hr |
| Hospitalist | $192/hr | $222/hr |
| Internal Medicine | $155/hr | $175/hr |
| Neonatology | $216/hr | $258/hr |
| Neurology | $301/hr | $332/hr |
| Obstetrics & Gynecology | $279/hr | $315/hr |
| Orthopedic Surgery | $457/hr | $398/hr |
| Otolaryngology (ENT) | $331/hr | $346/hr |
| Pain Management | $374/hr | $391/hr |
| Pathology | $378/hr | $329/hr |
| Pediatrics | $155/hr | $171/hr |
| Physical Medicine & Rehabilitation | $201/hr | $210/hr |
| Psychiatry | $227/hr | $280/hr |
| Radiology | $398/hr | $346/hr |
| Urology | $374/hr | $391/hr |
Highest-Paying Specialties in Missouri
Urban median hourly rate
| Specialty | Urban Median |
|---|---|
| Orthopedic Surgery | $493/hr |
| Pain Management | $402/hr |
| Radiology | $395/hr |
| Urology | $352/hr |
| Dermatology | $351/hr |
Missouri Tax, Licensing, and Market Notes
State income tax: 4.7% top marginal rate.
Missouri has two strong urban medical markets — St. Louis, anchored by Barnes-Jewish Hospital and Saint Louis University, and Kansas City, anchored by the University of Missouri–Kansas City and Saint Luke's Health System. Between them, the Ozarks plateau and the southeastern Bootheel are among the most medically underserved rural regions in the Midwest. Missouri's central location makes it a common locum destination for multi-state travelers, and compact participation facilitates physician mobility. Rates are moderate with meaningful rural premiums.
Licensing: Missouri participates in the IMLC. Qualifying physicians can use it to obtain a separate Missouri medical license through an expedited process.