Money · 1 of 5
What neurosurgeons make
Typical net
$540,000
Academic or new
$380,000
Busy spine practice
$750,000
Net income after overhead. Spine surgery bills more per hour than brain surgery, so the mix of cases matters. Pay varies by province and billing model: fee-for-service, salary, or blended plans at teaching hospitals. CIHI (Canadian Institute for Health Information) reports average gross payments of about $608,000 for neurosurgery in 2023 to 2024, before overhead, and Job Bank puts the top end for surgeons near $767,000.