Healthcare

Surgeon Salary in South Carolina (2026)

The average Surgeon in South Carolina earns around $540,000/year. After taxes, your estimated take-home is $334,294/year ($27,858/month).

Take-Home Pay Breakdown

CategoryAmount
Annual Take-Home Pay
$334,294
Monthly Take-Home Pay
$27,858
Biweekly Take-Home Pay
$12,857
Hourly Take-Home Pay

based on 2,080 hrs/year

$161/hr
Federal Tax
$152,134
State Tax
$31,243
FICA Taxes
$22,329
Effective Tax Rate

total taxes ÷ gross salary

38.09%
Estimates only — not tax advice. · Full disclaimer →

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Surgeon Salary Ranges in South Carolina

Entry Level (0–3 yrs)

$410,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$540,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$950,000

/year

See tax breakdown →

Not all Surgeons earn the same — not even close

South Carolina's surgeon market is anchored by MUSC Charleston (the only OR academic medical center with substantial cardiothoracic + neurosurgery + transplant + Hollings Cancer Center surgical programs, only Level 1 adult trauma center in the Lowcountry), Prisma Health Greenville Memorial Hospital (Level 1 adult trauma center for Upstate SC), Roper St. Francis Healthcare Charleston surgical programs, Children's of MUSC Hospital (Level 1 pediatric trauma + academic pediatric surgery), Spartanburg Regional Medical Center surgical programs, plus AnMed Anderson + McLeod Florence community surgery.

Senior Cardiothoracic Surgeon (MUSC)

$615,000–$1,585,000+ TC

MUSC CT Surgery · transplant + heart-lung · academic + program leadership

Senior Neurosurgeon (MUSC)

$715,000–$1,785,000+ TC

MUSC Neurosurgery · brain + spine + functional · academic premium

Senior Transplant Surgeon (MUSC)

$545,000–$1,185,000+ TC

MUSC Transplant Center · liver + kidney + pancreas + heart

Senior Orthopedic Surgeon

$465,000–$985,000+ TC

MUSC + Prisma Sports Medicine · Roper · OrthoCarolina · sports medicine premium

Senior Trauma Surgeon (MUSC / Prisma)

$425,000–$685,000

MUSC Level 1 adult trauma · Prisma Greenville Memorial Level 1 adult trauma · Lowcountry + Upstate

Senior General Surgeon

$345,000–$585,000

MUSC + Prisma + Roper + AnMed · academic + community senior band

Senior Plastic / Reconstructive Surgeon

$425,000–$885,000+ TC

MUSC Plastic Surgery + Mt. Pleasant + Greenville private practice · academic + private mix

Senior ENT / Otolaryngology

$425,000–$785,000+ TC

MUSC ENT + Prisma ENT · sleep + head/neck oncology subspecialty premium

Senior Pediatric Surgeon (Children's MUSC)

$425,000–$785,000+ TC

Children's of MUSC · Prisma Children's Hospital · academic pediatric surgical specialty

Surgical Fellow (MUSC)

$78,000–$108,000

Surgical fellowship at MUSC · transitioning to attending band

Worth knowing: MUSC's Hollings Cancer Center is the only NCI-designated cancer center in South Carolina and a feature most national surgeon surveys understate for SC. The Hollings Cancer Center at MUSC (one of only 73 NCI-designated cancer centers nationally + the only NCI-designated cancer center in South Carolina) operates substantial cancer surgical innovation across surgical oncology + cardiothoracic + head/neck + breast + GI + hepatobiliary + gynecologic + urologic subspecialty programs. MUSC is the only OR academic medical center in SC + the only Level 1 adult trauma center in the Lowcountry. Senior MUSC cardiothoracic + neurosurgical subspecialists clear $615K-$1.79M+ TC. Prisma Health Greenville Memorial Hospital operates the only Level 1 adult trauma center for Upstate SC — substantial trauma + general surgery + orthopedic surgical practice supporting senior trauma surgeons at $425-685K TC. Children's of MUSC + Prisma Children's Hospital anchor SC pediatric surgical care. SC joined IMLC in 2017. SC's 6.5% top bracket catches senior subspecialty surgical comp at $250K+ TC but is substantially lower than OR/MN's 9.85-9.9% tops — combined with SC's RTW + no estate tax + lower cost of living vs Northeast/Midwest, SC is competitive for senior surgeon recruitment + retention.

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