Psychiatry Call Coverage Shows Largest Percent Growth in Per Diem Payments

We have previously looked at the largest dollar increases in call coverage per diems. We’ll now examine which medical and surgical physician specialties have seen the largest percent growth in their per diem call coverage payments, comparing MD Ranger’s 2017 physician contracting benchmarks to 2009’s benchmarks.


The specialties with the largest percent increases are Psychiatry, Urology, Plastic Surgery, Neurology, Vascular Surgery, and Obstetrics/Gynecology. These highest percent growth specialties have all seen their rates rise by at least 50%, or more than $180, in the past 8 years.

Given the length of time we are evaluating, the set of services with the highest percent increase in median call coverage rates has remained consistent year over year. Only Obstetrics/Gynecology is a new addition to this to the group this year.

It is worth noting that while some of these specialties have high percentage increases and high actual dollar rates, others simply experienced a growth in rates that were relatively low in the first place. Psychiatry is the best example of this—despite the huge percentage increase in rates, the median per diem for all hospitals in 2017 was a comparatively low $300 per diem. Meanwhile, Obstetrics/Gynecology is $620 at the median.

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