Recently I was asked to serve as a consultant on a medical matter. Interestingly, they requested my hourly price for my services. I thought about this and wondered, “What am I worth in per hour in the open market?”
It is an interesting question to ponder.
I have decided to ask the blog-o-sphere. Call it a bit of “free market economics.” For the record, 100% of my hourly wage for my services will be sent to our cardiovascular research fund at our hospital to avoid any conflict of interest. I will not see ANY of the money the blog-o-sphere decides personally, but I really want to know what people think.
So where to begin?
Should I compare my hourly wage to MGMA standards for the annual physician salary of a physician of my subspecialty? If so, do I pick the 50% percentile, 25th percentile, 75th percentile, or 95th percentile? On what basis do I have to assure this is a fair price? Who sets this price? Are these data accurate or based on earlier years’ hospital data and physician surveys? Can I verify that their hourly price is justified? If so, how? Or are their data proprietary?
Or maybe I should set my price based on the 2013 Physician Fee Schedule Proposed Rule? (I have no idea how to calculate it, but I’m sure there’s a per-hour number in there somewhere).
Or should I compare my hourly wage to other advanced medical professionals like cardiothoracic surgeons or neurosurgeons?
Or maybe, since primary care doctors are the most numerous physicians out there and I want to be fair, I should calculate my price based on their salaries? Again, do I base my price on where I live and what I guess primary care doctors are making these days? Should I base my price on their estimated gross salary or net salary?
Or what about other well-paid advanced degree professions, like lawyers? Should I charge a price similar to a corporate law firm partner? Or maybe just his junior partner?
Or maybe I should consider setting the price relative to some really smart hospital CEOs or COOs? Should I compare my hourly price to theirs? After all, they carry some pretty big responsibilities managing all those lives, too.
Or maybe I should take it a step further. Maybe I should set my hourly price to others in the pharmaceutical, insurance, or medical device industry. Wow, I wonder what their hourly price is if one considers not only their salaries, but benefits, stock options, and the like? Our research fund might rock, then! But at the same time, maybe this number will be too high and result in me losing the opportunity to consult. Should I worry about this?
Or (what the heck), maybe I should I compare my hourly wage to a pro baseball player or a pro basketball player? We’re professionals too, right?
Or maybe I should ask a patient who received a pacer from me at two in the morning and got through it fine, without an infection or other complication and lived to see another day what they think I should be paid.
Then again, maybe I should factor in not just what my price should be now, but what my price will be in 2014 when 30 million more people are added to our health care system and doctors are in short supply.
Seriously. What do YOU think a doctor who is board certified in cardiac electrophysiology, cardiology and internal medicine with almost twenty years of medical experience charge to consult on a per-hour basis?
Think about it but be sure to justify your price per hour. Then put it in the comments. I’ll try to post your thoughts as fast as I can, given today’s clinical constraints.
If nothing else, this should be interesting.
Westby G. Fisher, MD, (aka Dr. Wes) is a board certified internist, cardiologist and cardiac electrophysiologist practicing at NorthShore University HealthSystem in Evanston, IL. He is also a Clinical Associate Professor of Medicine at the University of Chicago’s Pritzker School of Medicine. He blogs at Dr.Wes, where this post originally appeared.