How much does a Surgeon make in Massachusetts?

BLS puts the average Surgeon pay in Massachusetts at $346,190 a year (BLS, May 2025). On that pay in Massachusetts, after federal taxes, FICA, and Massachusetts state taxes, your estimated take-home pay is approximately $227,025 annually ($18,919/month).

What is the take-home pay for a Surgeon in Massachusetts?

On a $346,190 salary in Massachusetts, your take-home pay is approximately $227,025/year or $18,919/month. Federal tax: $84,301. State tax: $17,090. FICA: $17,774.

Is $346,190 a good Surgeon salary?

$346,190 is the BLS average Surgeon pay in Massachusetts, 7% below the US average of $373,930 (BLS, May 2025). The middle 50% in Massachusetts earn between $90,370 and $516,620.

How do Massachusetts taxes affect Surgeon salaries?

Massachusetts levies state income tax on top of federal taxes. Your estimated state tax on $346,190 is $17,090. Your total effective tax rate is approximately 34.4%.

What are the career growth prospects for Surgeons?

In Massachusetts, the top 10% earn over $561,250 and the bottom 10% under $75,980 (BLS, May 2025). 3% growth projected 2022-2032 (slower than average) overall — but specific subspecialties (cardiothoracic, neurosurgery, plastic, transplant, pediatric subspecialty) face severe shortage with 8-15 year supply lag from training pipeline. Aging Boomer demographic = sustained surgical volume through 2035+. AI/robotics augment but do not replace operative judgment in the 10-year window. Related roles include: Anesthesiologist, Orthopedic Surgeon, Cardiothoracic Surgeon, Neurosurgeon, Plastic Surgeon, Vascular Surgeon, General Surgeon, Trauma Surgeon, Transplant Surgeon, Pediatric Surgical Subspecialist, Surgical Oncologist.

How can a Surgeon in Massachusetts reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Surgeon Salary in Massachusetts (2026)

Average Surgeon pay in Massachusetts

$346,190/year

≈ $166/hour before tax

Middle 50% earn $90,370–$516,620

US average: $373,930

Source: BLS, May 2025 · Surgeons, All Other

After tax (single filer)

$227,025/year

$18,919/month · effective tax rate 34.42%

Federal $84,301
State $17,090
FICA $17,774
Take-home

Pay by role in Massachusetts

Cardiothoracic Surgeon (CT)$595,000–$1,025,000+ TC
Neurosurgeon$585,000–$985,000+ TC
Orthopedic Surgeon (Sports / Joint Replacement)$505,000–$835,000
Trauma Surgeon$535,000–$885,000
General / Colorectal Surgeon$405,000–$655,000
Transplant Surgeon (Liver / Kidney / Heart)$545,000–$945,000

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$227,025
Monthly Take-Home Pay	$18,919
Biweekly Take-Home Pay	$8,732
Hourly Take-Home Pay based on 2,080 hrs/year	$109/hr
Federal Tax	$84,301
State Tax	$17,090
FICA Taxes	$17,774
Effective Tax Rate total taxes ÷ gross salary	34.42%

Estimates only — not tax advice. · Full disclaimer →

Not all Surgeons earn the same — not even close

Massachusetts hosts the densest concentration of top-ranked academic surgical programs in the country. Mass General Brigham (Boston, ~80,000 employees system-wide including Massachusetts General Hospital + Brigham and Women's + others) operates two of the top-5 nationally ranked academic medical centers. Boston Children's Hospital is consistently top-3 nationally ranked pediatric. Dana-Farber Cancer Institute + Brigham and Women's combined operate the country's largest cancer surgical program. Beth Israel Deaconess Medical Center, Tufts Medical Center, plus the Harvard Medical School academic faculty practice round out the picture.

Cardiothoracic Surgeon (CT)

$595,000–$1,025,000+ TC

MGH + Brigham CT surgery · top-5 nationally · transplant + complex aortic + senior academic mix

Neurosurgeon

$585,000–$985,000+ TC

MGH Neurosurgery + Brigham Neurosurgery (both top-10 nationally) · complex skull base + tumor + cerebrovascular

Orthopedic Surgeon (Sports / Joint Replacement)

$505,000–$835,000

MGH Ortho · Brigham · New England Baptist Hospital (ortho specialty hospital) · senior practice owners

Trauma Surgeon

$535,000–$885,000

MGH Level 1 trauma · Brigham · Beth Israel Deaconess · 24/7 high acuity surgical premium

General / Colorectal Surgeon

$405,000–$655,000

MGH general surgery · Brigham · senior community-hospital private practice · robotic specialty

Transplant Surgeon (Liver / Kidney / Heart)

$545,000–$945,000

Brigham transplant program (top-5 nationally) · MGH · combined organ specialty · academic leadership

Urologic Surgeon

$425,000–$715,000

MGH Urology · Brigham · robotic prostatectomy + uro-oncology subspecialty premium

Pediatric Surgeon

$465,000–$745,000

Boston Children's Hospital (top-3 nationally ranked pediatric) · subspecialty academic premium

Oncology Surgeon (Dana-Farber)

$525,000–$895,000

Dana-Farber/Brigham cancer surgery · Brigham complex oncology · academic + clinical-trial premium

Senior Surgical Fellow (PGY-6 to PGY-8+)

$82,000–$108,000

MGH + Brigham + Boston Children's + BIDMC surgical fellowships · PGY scale plus call

Worth knowing: Mass General Brigham (the integrated health system formed from the Partners HealthCare merger of Massachusetts General Hospital + Brigham and Women's Hospital + others) is the structural depth feature most national surgeon-market surveys understate. MGH (founded 1811, the third-oldest US hospital) plus Brigham and Women's together operate two of the top-5 nationally ranked academic medical centers per US News, with substantial research depth ($2B+ combined NIH funding annually). Both maintain Level 1 trauma centers plus extensive surgical subspecialty depth in cardiothoracic, neurosurgery, orthopedic, transplant, urology, oncology, and plastic surgery. Dana-Farber Cancer Institute (Boston, separate institution but clinically integrated with Brigham via the Dana-Farber/Brigham Cancer Center) operates the country's largest cancer surgical program. Boston Children's Hospital (top-3 nationally ranked pediatric, ~480 beds, Harvard Medical School affiliated) drives pediatric surgical depth. Senior surgical subspecialty positions at Harvard Medical School-affiliated hospitals clear $585-1,025K+ TC with academic-faculty mix. The MA Fair Share Amendment 4% surtax (Article 44, passed Nov 2022 via Question 1, effective 2023) applies to income above $1.117M (2026 indexed) — combined top effective 9% on income above the threshold, which catches many senior MGH + Brigham surgical subspecialty attendings. The $2M estate exemption (one of the lowest US thresholds, raised from $1M by HB 4104 of Oct 2023) drives meaningful HNW FL/NH relocation patterns at retirement-stage surgical careers.

Sources & Methodology

Salary figures are market estimates for Surgeons in Massachusetts and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Massachusetts 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.

Run your own numbers