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British Columbia Urologist Billings Reach C$759,827, 20% Above Manitoba

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

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


Urologists recorded median gross physician billings of C$759,827 in British Columbia, compared with C$631,108 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 urologists comparing practice revenue across provincial healthcare systems.

Key findings

A new analysis of public physician payment disclosures found that urologists recorded median gross fee-for-service billings of C$759,827 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 urology among the highest-billing physician specialties in both provinces, reflecting the specialty's combination of surgical procedures, diagnostic investigations and outpatient care within Canada's fee-for-service healthcare system.

British Columbia versus Manitoba

British Columbia recorded median gross physician billings of C$759,827 for urologists, compared with C$631,108 in Manitoba.

The C$128,719 difference means median urology billings were approximately 20% 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 urology billings are at this level

Urology combines specialist consultations with a broad range of diagnostic, endoscopic and surgical procedures, creating multiple billable activities throughout the patient pathway.

Procedures such as cystoscopy, prostate biopsies, stone management, minimally invasive surgery, cancer treatment and ongoing management of urinary tract conditions contribute to fee-for-service activity. The combination of procedural work and longitudinal patient care can support 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 urology practice, including:

  • Clinical and administrative staff

  • Practice premises

  • Procedure and surgical facilities

  • Endoscopic and diagnostic equipment

  • Consumables

  • Professional indemnity and other overheads

Consequently, a urologist'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 urologists

For urologists 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, procedural mix, patient complexity 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 urology 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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