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What nephrologists make

Typical net

$400,000

Part-time or new

$280,000

Large dialysis practice

$550,000

Job Bank's page for nephrologists pools every specialist physician and lists a median of about $311,000 a year. CIHI (Canadian Institute for Health Information) does not break nephrology out; it reports average gross payments of about $445,000 for internal medicine and its subspecialties (2023 to 2024). Those are billings before overhead. Nephrology is hospital-based with low overhead, and supervising dialysis units pays steadily, so most nephrologists net roughly $350,000 to $450,000. This is an estimate. It varies by province and by how you bill.