Salary Levels by Experience
| Experience Level | Salary Range | Est. Annual Net |
|---|---|---|
| Resident / Fellow | $54,000–$75,000 | ~$53,762 |
| Junior Attending | $365,000–$481,000 | ~$291,594 |
| Senior Attending | $473,000–$598,000 | ~$362,075 |
| Partner / Program Director | $581,000–$913,000 | ~$492,467 |
Tax Breakdown at $448,000 (Bi-Weekly)
| Component | Per Paycheck | Annual | % of Gross |
|---|---|---|---|
| Gross Pay | $17,230.77 | $448,000 | 100% |
| Federal Income Tax | −$4,657.58 | −$121,097 | 27.0% |
| No Florida State Tax 🎉 | $0.00 | $0.00 | 0.0% |
| FICA (SS + Medicare) | −$755.62 | −$19,646 | 4.4% |
| Net Take-Home | $11,818 | ~$307,257 | 68.6% |
What Drives Orthopedic Surgeon Pay in Miami
Orthopedic surgeons in New York City operate at the intersection of sports medicine, trauma care, and elective joint reconstruction, serving patients across flagship academic centers, the Hospital for Special Surgery, and an array of private surgical practices. NYC's concentration of professional sports teams, elite athletes, and a large working-age population sustains exceptional demand for orthopedic care.
Sports orthopedics and joint replacement are the highest-volume and best-compensated subspecialties in the NYC market, with surgeons affiliated with professional sports teams earning premium retainer compensation above clinical salaries. The Hospital for Special Surgery — consistently ranked the nation's top orthopedic hospital — attracts the most complex cases and commands the highest surgeon fees. Private practice orthopedic groups with ambulatory surgery center ownership can yield partner incomes well above $1 million annually.
- Subspecialty (sports, joint replacement, spine, trauma)
- Surgical volume and case complexity
- Ambulatory surgery center ownership or partnership
- Professional sports team or institutional affiliation
Top Miami Employers
Major employers hiring orthopedic surgeons in Miami include: Jackson Health System, Baptist Health, Nicklaus Children's Hospital.
Tax note: At $448,000 in Miami, orthopedic surgeons benefit from no Florida state income tax — only federal taxes and FICA apply. This saves roughly $22,000–$40,000 per year compared to working in a high-tax state.
Frequently Asked Questions
An orthopedic surgeon earning $448,000 in Miami takes home approximately $307,257 per year, or $11,818 per bi-weekly paycheck, after all taxes. The effective tax rate is 31.4%.
Miami orthopedic surgeon salaries range from $54,000–$75,000 at entry level to $581,000–$913,000 for senior professionals. The median mid-career salary is approximately $448,000.
Joint replacement (arthroplasty) surgeons typically earn more due to higher procedure volume and implant-related facility fees, while sports medicine orthopedists may earn comparably or more if they have professional sports team contracts — but both subspecialties sit at the top of the Miami orthopedic pay range.
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