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  4. California

Source: SalaryDr salary data for Neurosurgery in California (N=20 verified submissions, updated February 11, 2026, data as of 2026-02-11). URL: https://www.salarydr.com

Average Neurosurgeon Salary in California

As of February 11, 2026, a Neurosurgeon in California earns approximately $880,000 per year ($73,333 monthly). Based on an average 64-hour work week, this translates to about $325 per hour. Looking for a broader view? See the Neurosurgeon salary overview or compare nearby states below.

Based on
20 salaries

How Much Do Neurosurgeons Make in California?

From 20 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 $1,113,333 - a 33% increase.

Local Practice Settings and Employers in California

In California, the most common work environment is Hospital Employed (65% of physicians). On average, base salary accounts for 82% of total compensation—about $894,500—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 4.4/5 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: February 11, 2026

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Salary Distribution

Distribution based on 20 verified physician salary submissions.

Median Salary: $880,000

Physician Satisfaction in Neurosurgery

Satisfaction Rating

4.4/5

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

$1,086,000

Median Salary

$880,000

Salary Range

$870,000 - $1,000,000

National Comparison

National Average

$1,086,000

Difference

+0% vs National Average

Sample Size

20 local / 20 national reports

Salary by Practice Type

Private Practice
Average Salary
$1,681,000
Sample Size
5 submissions
Hospital-employed
Average Salary
$883,846
Sample Size
13 submissions
Practice TypeAverage SalarySample Size
Private Practice$1,681,0005 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
5 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
$966,563
Sample Size
16 submissions
16+ years
Average Salary
$2,287,500
Sample Size
2 submissions
Years of ExperienceAverage SalarySample Size
3-5 years$850,0001 submissions
6-10 years$830,0001 submissions
11-15 years$966,56316 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.

Redding1
* 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.

Oregon
← 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.
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.

Related Specialties

  • Internal Medicine salary data and compensation trends
  • Family Medicine salary data and compensation trends
  • Radiology salary data and compensation trends

Popular Locations

New York City, NY

Average Salary: $400,000

Based on 150 reports

Los Angeles, CA

Average Salary: $380,000

Based on 120 reports

Chicago, IL

Average Salary: $350,000

Based on 100 reports

Houston, TX

Average Salary: $340,000

Based on 90 reports

Miami, FL

Average Salary: $360,000

Based on 80 reports

Boston, MA

Average Salary: $370,000

Based on 70 reports

* Showing locations with the most reported salaries.

* Some locations may be omitted if they have fewer than 3 reports.

Neurosurgery Market Insights: California

Local market conditions, cost of living, and opportunities for Neurosurgery physicians in California.

Cost of Living Analysis

Overall Cost Index:138% of national average
Housing Costs:154% of national average
Healthcare Costs:109% of national average
State Income Tax:Yes
Tax Burden:High
Salary Adjusted for Cost of Living:
$637,681
Lower cost of living increases purchasing power by -28%

Major Healthcare Employers

1
Kaiser Permanente
Major healthcare employer in California
2
Sutter Health
Major healthcare employer in California
3
Cedars-Sinai
Major healthcare employer in California
4
UCLA Health
Major healthcare employer in California
5
Stanford Health Care
Major healthcare employer in California
Career Tip: These health systems often offer competitive Neurosurgery positions with comprehensive benefits packages.

Market Opportunities

Academic Medicine

Teaching hospitals and medical schools offer Neurosurgery positions with research opportunities.

Private Practice

Established and startup practices seeking Neurosurgery physicians with partnership potential.

Locum Tenens

High-demand temporary positions offering flexibility and competitive hourly rates.

Key Market Factors for Neurosurgery in California

Advantages:

  • • Multiple major healthcare employers
  • • Growing demand for Neurosurgery services
  • • Established medical community

Considerations:

  • • Above-average housing costs
  • • Higher tax burden
  • • Malpractice insurance requirements
  • • State licensing and credentialing process
  • • Competition from established practices

Considering a move to California?

Compare Neurosurgery salaries across different locations and practice settings.

Frequently Asked Questions

Get answers to the most common questions about physician salaries in Neurosurgery in California.

Data Source: All salary information is based on verified submissions from practicing physicians and is updated regularly to reflect current market conditions.

How to Transition to Neurosurgery in California

Complete guide for physicians looking to transition careers or relocate to Neurosurgery in California.

6 Steps6 Months
1

Assess Your Current Position

Evaluate your current specialty, compensation, job satisfaction, and career goals. Identify specific reasons for wanting to transition and what you hope to achieve.

2

Research Target Opportunities

Investigate Neurosurgery opportunities in California, including salary ranges, practice settings, required qualifications, and market demand.

Learn more →
3

Identify Skill Gaps

Compare your current qualifications with requirements for your target role. Identify any additional training, certifications, or experience needed for a successful transition.

4

Network with Professionals

Connect with Neurosurgery physicians in California through medical associations, conferences, and professional networks. Conduct informational interviews to gain insights.

5

Develop Transition Plan

Create a timeline for your transition including any required training, licensing requirements, financial planning for potential income changes, and family considerations.

6

Execute Your Transition

Begin applying for positions, complete any required training, and manage the logistics of your career change including contract negotiations and relocation if necessary.

Professional Tip: This guide provides general recommendations. Always consult with career advisors, mentors, and legal professionals for personalized advice specific to your situation.