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  3. Neurosurgery
  4. California

According to SalaryDr data from 21 verified neurosurgery physicians in California, the median total compensation for Neurosurgery in 2026 is $880,000. The 25th percentile is $870,000 and the 75th percentile is $1,000,000. Base salary: $904,286. Bonuses: $183,333 (17% receive). Satisfaction: 4.3/5. Workload: ~63 hrs/week. Source: https://www.salarydr.com/specialty/neurosurgery/california Sample size: 21. Last updated: March 28, 2026.

Neurosurgeon Salary in California 2026: $880K Median

As of March 28, 2026, a Neurosurgeon in California earns approximately $880,000 per year ($73,333 monthly). Based on an average 63-hour work week, this translates to about $331 per hour. Looking for a broader view? See the Neurosurgeon salary overview or compare nearby states below.

Based on
21 salaries

How Much Do Neurosurgeons Make in California?

From 21 verified physician salary submissions in California, SalaryDr is seeing total compensation ranging from $870,000 to $1,000,000, with top performers (90th percentile) earning up to $3,200,000 annually. Compared to the national median of $880,000, Neurosurgeon salaries in California are in line with the national median.

Bonuses, Hours Worked, and Job Satisfaction

In California, the salary progression for neurosurgeon physicians shows significant growth potential. Entry-level positions start at $840,000, while those with more than 10 years of experience earn a typical salary of $1,113,684 - a 33% increase.

Local Practice Settings and Employers in California

In California, the most common work environment is Hospital Employed (62% of physicians). On average, base salary accounts for 83% of total compensation—about $904,286—with the remaining amount coming from bonuses, profit sharing, and incentives.

Cost of Living and Market Factors in California

California offers unique advantages for neurosurgeon physicians, including high demand in major metropolitan areas and competitive compensation packages. The cost of living in California is higher than the national average but offset by higher salaries.

Work-Life Balance in California

Local neurosurgeon physicians report 4.3/5 career satisfaction, with 90% of those surveyed saying they would choose this specialty again.

🎯 What's It Really Like to Practice Neurosurgery?

Go beyond salary data. Discover real physician experiences, work-life balance insights, and what Neurosurgery doctors love (and would change) about their specialty.

  • ✓Is Neurosurgery a good work-life balance specialty?
  • ✓What do Neurosurgery physicians love about their job?
  • ✓How many hours do Neurosurgery doctors work per week?
View Lifestyle Insights

Browse more Neurosurgeon-adjacent fields to compare compensation and career paths.

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About Our Data

Our salary data is based on anonymous submissions from practicing physicians across the United States. We verify and clean the data to ensure accuracy and remove outliers.

Last updated: March 28, 2026

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Salary Distribution

$0K$250K$500K$750K$1000K$870,00025th$880,000Median$1,000,00075th

Distribution based on 21 verified physician salary submissions.

Median Salary: $880,000

Physician Satisfaction in Neurosurgery

Satisfaction Rating

4.3/5

Average satisfaction rating reported by Neurosurgery physicians (1-5 scale).

Would Choose Again

90%

Percentage of Neurosurgery physicians who would choose this specialty again.

Career Satisfaction

Physicians cite the variety of cases and patient relationships as most rewarding aspects of this specialty.

Primary Challenges

On-call demands, administrative burden, and work-life balance are cited as the top challenges.

Salary Comparison

Location Statistics

Average Salary

$1,087,619

Median Salary

$880,000

Salary Range

$870,000 - $1,000,000

National Comparison

National Average

$1,087,619

Difference

+0% vs National Average

Sample Size

21 local / 21 national reports

Salary by Practice Type

Private Practice
Average Salary
$1,587,500
Sample Size
6 submissions
Hospital-employed
Average Salary
$883,846
Sample Size
13 submissions
Salary breakdown by practice type
Practice TypeAverage SalarySample Size
Private Practice$1,587,5006 submissions
Hospital-employed$883,84613 submissions

* Practice types with fewer than 3 submissions may be omitted for privacy.

Neurosurgery Salaries by Practice Setting in California

Compare salary data across different practice settings for Neurosurgery physicians in California:

Hospital Employed
13 verified submissions
Private Practice
6 verified submissions
Practice settings with fewer than 3 submissions are not shown to ensure data reliability.

Salary by Experience Level

3-5 years
Average Salary
$850,000
Sample Size
1 submissions
6-10 years
Average Salary
$830,000
Sample Size
1 submissions
11-15 years
Average Salary
$975,588
Sample Size
17 submissions
16+ years
Average Salary
$2,287,500
Sample Size
2 submissions
Salary breakdown by years of experience
Years of ExperienceAverage SalarySample Size
3-5 years$850,0001 submissions
6-10 years$830,0001 submissions
11-15 years$975,58817 submissions
16+ years$2,287,5002 submissions

* Experience levels with fewer than 3 submissions may be omitted for privacy.

Neurosurgeon Salaries by City in California

Back to Neurosurgeon Overview →

Browse city-level salary data for neurosurgeon physicians in California. Click any city to see detailed compensation information for that location.

Redding1Ventura1
* Numbers indicate verified salary reports per city

Compare California to Nearby States

View All States →

See how Neurosurgery salaries in California compare to neighboring states.

ArizonaOregon
← Back to Neurosurgery National Overview

Take-Home Pay Calculator

Total Salary
$880,000
Federal Income Tax
-$283,786
State Income Tax
-$117,040
FICA Tax
-$29,333
Take-Home Pay
$449,841
Monthly
$37,487
Taxes (48.9%)
Take-Home (51.1%)
Based on single filing status in California. Results may vary.

Subspecialty Comparison

Oncology

Average Salary
$1,754,167
Sample Size
3 submissions
Focuses on specialized oncology procedures and treatments within neurosurgery, providing expert care in this specific area.

Vascular

Average Salary
$1,028,700
Sample Size
10 submissions
Treats diseases of blood vessels, including complex arterial reconstructions, aneurysm repairs, and minimally invasive endovascular procedures.

Spine

Average Salary
$991,711
Sample Size
19 submissions
Addresses complex spinal disorders through both surgical and non-surgical means, including minimally invasive spine surgery.

Pediatric

Average Salary
$957,575
Sample Size
10 submissions
Provides specialized surgical care for infants, children, and adolescents, addressing congenital conditions and childhood diseases.

Functional

Average Salary
$905,556
Sample Size
9 submissions
Focuses on specialized functional procedures and treatments within neurosurgery, providing expert care in this specific area.
Subspecialty salary comparison
SubspecialtyAverage SalarySample SizeDescription
Oncology$1,754,1673 submissionsFocuses on specialized oncology procedures and treatments within neurosurgery, providing expert care in this specific area.
Vascular$1,028,70010 submissionsTreats diseases of blood vessels, including complex arterial reconstructions, aneurysm repairs, and minimally invasive endovascular procedures.
Spine$991,71119 submissionsAddresses complex spinal disorders through both surgical and non-surgical means, including minimally invasive spine surgery.
Pediatric$957,57510 submissionsProvides specialized surgical care for infants, children, and adolescents, addressing congenital conditions and childhood diseases.
Functional$905,5569 submissionsFocuses on specialized functional procedures and treatments within neurosurgery, providing expert care in this specific area.

* Subspecialties with fewer than 3 submissions may be omitted for privacy.

* Data is aggregated from verified physician submissions.

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