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British Columbia Cardiologist Billings Reach C$945,459, 26% Above Manitoba

Writer: nuaxia
nuaxia
Aug 17
3 min read

New analysis of physician payment data shows cardiologists generated substantially higher median gross billings in British Columbia than in Manitoba.


Cardiologists recorded median gross physician billings of C$945,459 in British Columbia, compared with C$748,873 in Manitoba, according to a new analysis of Canadian physician payment disclosures.


While the figures represent gross fee-for-service billings rather than take-home income, they provide a valuable benchmark for cardiologists comparing practice revenue across provincial healthcare systems.


Key findings

A new analysis of public physician payment disclosures found that cardiologists recorded median gross fee-for-service billings of C$945,459 per physician in British Columbia. The analysis uses official physician payment disclosures from the British Columbia Medical Services Plan Blue Book (2024) and Manitoba Health (2024/25) to compare physician billings by specialty.

The findings place cardiology among the highest-billing physician specialties in both provinces, highlighting the specialty's strong reimbursement profile within Canada's fee-for-service healthcare system.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$945,459 for cardiologists, compared with C$748,873 in Manitoba.

The C$196,586 difference means median cardiology billings were approximately 26% higher in British Columbia than in Manitoba. While provincial fee schedules, reimbursement systems, patient volumes and practice models differ, the findings illustrate how gross physician billings can vary across Canadian healthcare systems.

It is important to note that these figures represent gross fee-for-service billings before practice overhead, rather than physician salary or take-home income. Practice expenses—including staffing, premises, diagnostic equipment and other operating costs—will significantly reduce the amount ultimately retained by individual physicians.

Why cardiology billings are at this level

Cardiology combines specialist consultations with a high volume of diagnostic and procedural activity, creating multiple billable services within a typical clinical pathway.

Electrocardiography, echocardiography, stress testing, ambulatory cardiac monitoring, cardiac catheterisation and follow-up consultations all contribute to fee-for-service activity. In many practices, the combination of diagnostic investigations and ongoing management of chronic cardiovascular disease supports consistently high levels of gross billings.

Gross billings are not take-home pay

The figures reported represent gross physician billings, not physician salaries or personal income.

These billings typically cover the cost of operating a cardiology practice, including:

  • Clinical and administrative staff

  • Practice premises

  • Diagnostic equipment

  • Cardiac imaging and monitoring infrastructure

  • Consumables

  • Professional indemnity and other overheads

Consequently, a cardiologist's net income will be substantially lower than the published billing figures.

The analysis also primarily reflects fee-for-service payments and does not fully capture physicians working under salaried or alternative funding arrangements.

What this means for cardiologists

For cardiologists benchmarking their practice or evaluating opportunities in different provinces, the findings provide a useful indication of how gross fee-for-service billings can vary across Canada.

However, billing figures should be interpreted as a measure of practice revenue rather than personal earnings. Differences in reimbursement schedules, patient case mix, procedural activity and operating costs all influence the amount physicians ultimately retain.

As additional provincial payment disclosures become available, specialty-specific comparisons will help build a more comprehensive picture of how cardiology billings vary across Canada's healthcare systems.

Source


The analysis uses physician payment disclosures from the British Columbia Medical Services Plan Blue Book (2024) and Manitoba Health (2024/25). Figures represent gross fee-for-service billings before overhead and should not be interpreted as physician salary or net income.


 

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