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British Columbia Anesthesiologist Billings Reach C$613,899, 48% Above Manitoba

  • Writer: nuaxia
    nuaxia
  • 2 days ago
  • 3 min read

New physician payment data show anesthesiologists generated significantly higher median gross billings in British Columbia than in Manitoba.


Anesthesiologists recorded median gross physician billings of C$613,899 in British Columbia, compared with C$414,843 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 anesthesiologists comparing practice revenue across provincial healthcare systems.


Key findings

A new analysis of public physician payment disclosures found that anesthesiologists recorded median gross fee-for-service billings of C$613,899 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 anesthesiology among the higher-billing physician specialties in both provinces, reflecting the specialty's essential role in surgical, obstetric and procedural care delivered within Canada's fee-for-service healthcare system.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$613,899 for anesthesiologists, compared with C$414,843 in Manitoba.

The C$199,056 difference means median anesthesiology billings were approximately 48% higher in British Columbia than in Manitoba. While provincial fee schedules, reimbursement systems, surgical activity 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, professional costs, equipment and other operating expenses—will reduce the amount ultimately retained by individual physicians.

Why anesthesiology billings are at this level

Anesthesiology combines perioperative patient management with continuous involvement in surgical procedures, obstetric care and other interventions requiring anaesthesia or sedation.

General and regional anaesthesia, obstetric epidurals, procedural sedation, perioperative assessments and pain management services all contribute to fee-for-service activity. The combination of procedure-based work, operating theatre commitments and high clinical demand can support substantial 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 providing anesthesiology services, including:

  • Clinical and administrative staff

  • Practice and office expenses

  • Medical and monitoring equipment

  • Professional consumables

  • Professional indemnity and regulatory costs

  • Other operating overheads

Consequently, an anesthesiologist'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, which are used in some hospitals and healthcare systems.

What this means for anesthesiologists

For anesthesiologists 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 operating room activity, reimbursement schedules, case complexity and practice arrangements all influence the amount physicians ultimately retain.

As additional provincial payment disclosures become available, specialty-specific comparisons will provide a clearer picture of how anesthesiology 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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