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British Columbia Plastic Surgeon Billings Reach C$602,498, Provincial Analysis Finds

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

New physician payment data show plastic surgeons generated median gross billings of more than C$600,000 in British Columbia.


Plastic surgeons recorded median gross physician billings of C$602,498 in British Columbia, 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 plastic surgeons assessing practice revenue within Canada's healthcare system.

Key findings

A new analysis of public physician payment disclosures found that plastic surgeons recorded median gross fee-for-service billings of C$602,498 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.

While British Columbia reports a dedicated plastic surgery category, an equivalent plastic surgery category is not separately reported in the Manitoba dataset, meaning a direct provincial comparison is not possible using the available published data.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$602,498 for plastic surgeons.

The Manitoba physician payment disclosures published within the Open Compensation analysis do not include a standalone plastic surgery specialty category, preventing a like-for-like comparison between the two provinces.

This reflects differences in how provincial physician payment data are categorised and reported, rather than an absence of plastic surgery services. It is also important to note that these figures represent gross fee-for-service billings before practice overhead, rather than physician salary or take-home income.

Why plastic surgery billings are at this level

Plastic surgery combines specialist consultations with a wide range of reconstructive and procedural interventions, many of which attract fee-for-service reimbursement.

Reconstructive surgery following trauma or cancer treatment, hand surgery, skin cancer reconstruction, microsurgery and other operative procedures all contribute to billable clinical activity. The specialty's combination of complex surgery, outpatient consultations and follow-up care can support substantial levels of gross billings.

It is important to recognise that these data relate to publicly funded physician billings and do not include privately funded cosmetic procedures, which may represent a significant component of practice for some plastic surgeons.

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 plastic surgery practice, including:

  • Clinical and administrative staff

  • Practice premises

  • Surgical facilities and procedure costs

  • Specialist surgical equipment

  • Medical consumables

  • Professional indemnity and other overheads

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

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

What this means for plastic surgeons

For plastic surgeons benchmarking their practice activity, the findings provide a useful indication of gross fee-for-service billings within British Columbia's publicly funded healthcare system.

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

As additional provincial payment disclosures become available using comparable specialty classifications, a clearer picture of how plastic surgery billings vary across Canada will emerge.

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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