Physician compensation, 2026

Pulmonary / Critical Care Salary

Pulmonary and critical care blends a procedural clinic with intensive care coverage, and the ICU schedule is the financial center of gravity. Unit shifts and call define both income and lifestyle.

National median
$405,000
Typical range (p10 to p90)
$320k to $510k
Median annual wRVUs
7,500
Call burden
High

Median total cash compensation for a mid-career attending. Source: Medscape 2024 (publicly cited). Treat figures as medians, not targets. Real compensation varies widely by geography, employment model, and experience.

Live anonymous cohort, Pulmonary / Critical Care

This cohort is still being built.

We display a live Pulmonary / Critical Care cohort once at least 10 attendings have submitted in the last 24 months. Until then, the published benchmark and regional table below are your reference. Be one of the first to seed it.

Submit your comp anonymously

Pulmonary / Critical Care pay by region

Directional regional medians, anchored to the Medscape 2024 national figure and US Census region adjustments. The South and Midwest pay more in absolute dollars because physician supply is lower and demand is higher; the Northeast runs lower with a higher cost of living.

RegionMedian total compNotes
National median$405,000Doximity 2024 / Medscape 2024 nationwide median.
South$445,500Highest absolute compensation. Houston, Jacksonville, Charlotte, Atlanta lead.
Midwest$437,400Indianapolis and St. Louis often top Doximity median tables.
West$413,100Wide spread. California pays well but is offset by cost of living.
Northeast$392,850Lower in absolute terms (high supply of physicians) and higher cost of living.

Regional figures are modeled adjustments to the national median, not separately surveyed values. Use them for direction, not as an offer benchmark.

What drives Pulmonary / Critical Care compensation

  • ICU coverage volume and intensivist shift structure, the dominant income component for most.
  • Procedure mix in clinic, including bronchoscopy and pleural procedures, which lifts the wRVU profile.
  • Call burden, which is heavy in this specialty and carries a real premium.
  • Employed versus group critical care staffing models, which set the ceiling.

Model your own number, not the median

Pulmonary / Critical Care reports a median of about 7,500 wRVUs a year. Your take-home is that volume times your contract rate, above your threshold. Plug your real visit mix into the calculator and see the bonus your specific offer produces, then negotiate against it.

Negotiation levers at offer time

  • Convert ICU coverage to dollars per shift so critical care and clinic time can be compared directly.
  • Price the call schedule explicitly given how heavy it is in this specialty.
  • Confirm whether clinic procedures credit fully to your production alongside unit work.

Pulmonary / Critical Care at a glance

Median total comp
$405,000
Clinical hours / week
55
Fellowship years
3
Median annual wRVUs
7,500
Private practice share
12%
Call burden
High

Demanding call. Strong job security post-COVID. Mostly employed. Typical setting: icu + outpatient pulm clinic.

Frequently asked questions

What drives pulmonary and critical care pay?

ICU coverage. Intensivist shift volume and structure dominate income for most pulmonary and critical care physicians, with clinic procedures adding to the wRVU profile.

Is the call burden reflected in compensation?

It should be. Call is heavy in this specialty, and the schedule is one of the clearest income-for-lifestyle trades to negotiate explicitly.

How should I compare an ICU-heavy offer to a clinic-heavy one?

Convert both to dollars per shift and dollars per wRVU. Mixing annualized base with shift work obscures which offer actually pays more for your intended schedule.

Keep going

Educational reference, not financial, billing, or legal advice. Published medians are publicly cited from Medscape 2024. The live cohort is self-reported and anonymized; individual rows are never exposed and a cohort is shown only at a minimum size. Verify any number against your own contract and market before acting on it.