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British Columbia Obstetrician-Gynecologist Billings Reach C$567,094, 27% Above Manitoba

  • Writer: nuaxia
    nuaxia
  • 21 hours ago
  • 3 min read

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


Obstetrician-gynaecologists recorded median gross physician billings of C$567,094 in British Columbia, compared with C$446,391 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 obstetrician-gynaecologists comparing practice revenue across provincial healthcare systems.

Key findings

A new analysis of public physician payment disclosures found that obstetrician-gynaecologists recorded median gross fee-for-service billings of C$567,094 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 obstetrics and gynaecology among the higher-billing physician specialties in both provinces, reflecting the specialty's combination of outpatient care, procedural activity and surgical services within Canada's fee-for-service healthcare system.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$567,094 for obstetrician-gynaecologists, compared with C$446,391 in Manitoba.

The C$120,703 difference means median obstetrics and gynaecology billings were approximately 27% 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, medical equipment and other operating costs—will significantly reduce the amount ultimately retained by individual physicians.

Why obstetrics and gynaecology billings are at this level

Obstetrics and gynaecology combines routine outpatient care with procedural and surgical services across women's health, pregnancy and reproductive medicine.

Antenatal care, labour and delivery, caesarean sections, gynaecological surgery, colposcopy, hysteroscopy and ongoing outpatient management all contribute to fee-for-service activity. The combination of continuity of care, emergency cover and procedural work 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 operating an obstetrics and gynaecology practice, including:

  • Clinical and administrative staff

  • Practice premises

  • Surgical and delivery facilities

  • Medical and diagnostic equipment

  • Medical consumables

  • Professional indemnity and other overheads

Consequently, an obstetrician-gynaecologist'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 obstetrician-gynaecologists

For obstetrician-gynaecologists benchmarking their practice or considering 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 delivery volumes, surgical case mix, reimbursement schedules and operating costs all influence the amount physicians ultimately retain.

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