United States · Pay by job · Healthcare Practitioners
Orthopedic Surgeon salary and take-home pay
The typical US orthopedic surgeon earns $358,550 a year, or $172.38 an hour (BLS, May 2025). In Texas, where the median for this job is $200,780, a single filer keeps about $149,501 a year after federal income tax, Social Security and Medicare.
BLS title: Orthopedic Surgeons, Except Pediatric (SOC 29-1242). Source: U.S. Bureau of Labor Statistics, OEWS May 2025.
How much does an orthopedic surgeon earn?
| Percentile | Bar | A year | An hour |
|---|---|---|---|
| 10th | $84,170 | $40.46 | |
| 25th | $180,610 | $86.83 | |
| Median | $358,550 | $172.38 | |
| 75th | $530,700 | $255.15 | |
| 90th | $659,290 | $316.97 |
The middle half of people in this job earn $180,610 to $530,700 a year, and about 14,100 people do it across the US (BLS, May 2025).
Take-home pay tool
Orthopedic Surgeon · Texas · single · median
$149,501.47 a year after tax
$12,458.46 a month · $5,750.06 a paycheck (every two weeks)
| Pay before tax | $200,780.00 |
|---|---|
| Federal income tax | −$36,921.20 |
| Social Security and Medicare | −$14,357.33 |
| Texas tax and payroll contributions | none |
| Take-home pay | $149,501.47 |
Pay: the median for this job in Texas, $200,780 a year (BLS). One job, standard deduction, nothing taken before tax, the year’s tax spread over 26 paychecks.
What does an orthopedic surgeon take home at each pay point?
A single filer on the national figures, paid every two weeks, with nothing taken before tax:
| Pay a year | Texas | California | New York | |
|---|---|---|---|---|
| 10th | $84,170 | $68,044 | $63,511 | $63,701 |
| 25th | $180,610 | $134,713 | $119,957 | $124,086 |
| Median | $358,550 | $251,858 | $218,241 | $227,403 |
| 75th | $530,700 | $359,710 | $305,800 | $323,462 |
| 90th | $659,290 | $440,220 | $370,107 | $395,164 |
Take-home after federal income tax, Social Security, Medicare and state tax for 2026. New York is outside New York City.
Where does an orthopedic surgeon keep the most after tax?
Our 19 states, ranked by take-home pay on each state’s own median for this job (single filer). Only these 19 states have take-home figures so far.
| Rank | State | Median pay | Take-home |
|---|---|---|---|
| 1 | New Hampshire | $555,670 | $375,354 |
| 2 | Washington | $553,310 | $369,177 |
| 3 | Florida | $473,750 | $324,031 |
| 4 | Georgia | $474,820 | $301,756 |
| 5 | Virginia | $478,710 | $300,427 |
| 6 | Illinois | $426,580 | $273,363 |
| 7 | Michigan | $413,450 | $268,932 |
| 8 | New York | $414,290 | $258,505 |
| 9 | Pennsylvania | $354,020 | $237,904 |
| 10 | Tennessee | $325,520 | $231,165 |
| 11 | Ohio | $323,480 | $221,428 |
| 12 | New Jersey | $341,430 | $220,664 |
| 13 | North Carolina | $323,630 | $217,577 |
| 14 | California | $253,430 | $162,959 |
| 15 | Texas | $200,780 | $149,501 |
Not ranked, because BLS shows only “$239,200 or more” there: Alaska, South Dakota.
Not ranked, because BLS released no median there: Nevada, Wyoming.
How much does an orthopedic surgeon earn in each state?
| State | Median pay | People in the job | Take-home (single) |
|---|---|---|---|
| Alabama | $324,570 | 380 | not yet |
| Alaska | $239,200 or more | 30 | – |
| Arizona | $558,970 | 110 | not yet |
| Arkansas | $262,470 | 350 | not yet |
| California | $253,430 | not released | $162,959 (#14) |
| Colorado | $385,410 | 410 | not yet |
| Connecticut | not released | not released | not yet |
| Delaware | not released | not released | not yet |
| District of Columbia | not released | not released | not yet |
| Florida | $473,750 | 580 | $324,031 (#3) |
| Georgia | $474,820 | 490 | $301,756 (#4) |
| Hawaii | not released | 50 | not yet |
| Idaho | not released | not released | not yet |
| Illinois | $426,580 | 170 | $273,363 (#6) |
| Indiana | $177,710 | 500 | not yet |
| Iowa | $189,410 | 260 | not yet |
| Kansas | $311,630 | not released | not yet |
| Kentucky | not released | not released | not yet |
| Louisiana | not released | not released | not yet |
| Maine | not released | 150 | not yet |
| Maryland | not released | not released | not yet |
| Massachusetts | $392,300 | not released | not yet |
| Michigan | $413,450 | 200 | $268,932 (#7) |
| Minnesota | $537,830 | 320 | not yet |
| Mississippi | $544,130 | not released | not yet |
| Missouri | $842,800 | not released | not yet |
| Montana | $560,820 | not released | not yet |
| Nebraska | $507,770 | 200 | not yet |
| Nevada | not released | not released | – |
| New Hampshire | $555,670 | 80 | $375,354 (#1) |
| New Jersey | $341,430 | 420 | $220,664 (#12) |
| New Mexico | not released | not released | not yet |
| New York | $414,290 | 1,450 | $258,505 (#8) |
| North Carolina | $323,630 | 560 | $217,577 (#13) |
| North Dakota | $239,200 or more | 40 | not yet |
| Ohio | $323,480 | 500 | $221,428 (#11) |
| Oklahoma | $530,070 | 30 | not yet |
| Oregon | $239,200 or more | 140 | not yet |
| Pennsylvania | $354,020 | 240 | $237,904 (#9) |
| Rhode Island | not released | not released | not yet |
| South Carolina | $239,200 or more | 100 | not yet |
| South Dakota | $239,200 or more | not released | – |
| Tennessee | $325,520 | 180 | $231,165 (#10) |
| Texas | $200,780 | 490 | $149,501 (#15) |
| Utah | $239,200 or more | 80 | not yet |
| Vermont | $239,200 or more | 50 | not yet |
| Virginia | $478,710 | 170 | $300,427 (#5) |
| Washington | $553,310 | 290 | $369,177 (#2) |
| West Virginia | $597,740 | 120 | not yet |
| Wisconsin | $572,060 | 290 | not yet |
| Wyoming | not released | not released | – |
Median yearly pay for this job in each state, from BLS. Take-home and its rank are for the 19 states with a take-home engine so far. Each linked state shows its highest-paying jobs after tax.
What is the job outlook for an orthopedic surgeon?
BLS expects jobs as an orthopedic surgeon to grow 4% from 2025 to 2035, with about 400 openings a year (BLS Employment Projections 2025–35).
- Job growth, 2025 to 2035
- +4%
- Openings a year
- about 400
- Usual education
- Doctoral or professional degree
- Work experience
- None
- On-the-job training
- Internship/residency
What do similar jobs pay?
The 10 healthcare practitioners jobs closest in pay to an orthopedic surgeon:
- Radiologist median $420,860
- Other Surgeon median $414,010
- Anesthesiologist median $391,490
- Oral and Maxillofacial Surgeon median $352,220
- Emergency Medicine Physician median $335,550
- Dermatologist median $328,730
- Pathologist median $312,400
- Prosthodontist median $311,180
- Ophthalmologist median $300,080
- Obstetrician and Gynecologist median $292,910
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What else can I work out?
- Your paycheck on $358,550, with any pay schedule, 401(k) or HSA.
- Hourly to salary: $172.38 an hour as a yearly salary.
- Your 2026 tax refund on $358,550, with the new deductions for tips and overtime.
Where do these figures come from?
Pay is the BLS estimate for all employers in May 2025 (the latest), and the outlook is from BLS Employment Projections 2025–35. Your own pay depends on your employer, area and experience. Take-home is our estimate for 2026: one job, the standard deduction, nothing taken before tax, from the same engine as our paycheck calculator.
Source: U.S. Bureau of Labor Statistics, OEWS May 2025: Occupational Employment and Wage Statistics tables (BLS); Employment Projections tables (BLS). This site is independent and not part of the BLS.
Questions about orthopedic surgeon pay
How much does an orthopedic surgeon make an hour?
The median is $172.38 an hour (BLS, May 2025). The middle half earn $86.83 to $255.15, and the top 10% earn $316.97 or more.
Which state pays an orthopedic surgeon the most?
Among the 50 states and DC, Missouri has the highest median for this job: $842,800 a year (BLS). BLS shows only “$239,200 or more” in 7 states. After tax, of the 19 states we cover, New Hampshire leaves the most: $375,354 a year for a single filer on its median of $555,670.
What is an orthopedic surgeon’s take-home pay?
On the national median of $358,550, a single filer keeps about $251,858 a year in Texas (no state income tax), $218,241 in California and $227,403 in New York outside New York City, after federal income tax, Social Security, Medicare and state tax. Pick your state in the tool above.
What education do you need to be an orthopedic surgeon?
BLS lists a doctoral or professional degree as the usual way in, with no work experience in a related job and an internship or residency.
Is the number of orthopedic surgeon jobs growing?
BLS expects jobs as an orthopedic surgeon to grow 4% from 2025 to 2035, with about 400 openings a year (BLS Employment Projections 2025–35).