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Hematologist

The blood doctor. Leukemia, lymphoma, clots, anemia and transfusions, with a microscope on the desk and thirteen years of training behind you.

Typical pay
$265,930a year
Time to qualify
13 to 14 yearsafter high school
Demand
Moderate
License needed
Yesregulated job

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  1. 1.MoneyWhat you earn and what it costs to get there.4 screens
  2. 2.EducationThe exact path from high school to qualified.4 screens
  3. 3.OptionalThings you don't need, but that help.3 screens
  4. 4.ExtrasDay to day, pros and cons, where you'd work.4 screens
  5. 5.FactoidsThings people don't tell you.3 screens

Quick answers

How much does a hematologist make in the United States?

The median pay is about $265,930 a year. Across everyone in the job it runs from about $69,170 at the lower end to about $452,360 at the upper end. The source is listed under Sources at the end of this page.

How long does it take to become a hematologist in the United States?

13 to 14 years after high school, on the usual route.

What does it cost to become a hematologist?

$190,000 to $345,000 all in for tuition, fees, exams and kit. Living costs are not counted.

Do you need a license to work as a hematologist in the United States?

Yes. It is a regulated job, so you need a license or registration before you can work.

What is the job outlook for a hematologist in the United States?

Moderate demand nationally, from government outlook data. Demand varies by region, so check your area.

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Hematologist salary in the United States

What you earn and what it costs to get there.

What the wage survey shows

Median for the group

$265,930

Bottom tenth

$69,170

Top tenth

$452,360

The federal wage survey has no hematology category. It files the specialty under Physicians, All Other, a mix of specialties. In the 2025 federal wage survey that group's median is $265,930 a year, the bottom tenth earn $69,170 or less and the top tenth $452,360 or more. These figures describe the whole group, not this specialty alone, and they count only physicians paid a wage, so doctors who own their practice are largely missing.

While you are training

$75,651 to $98,247 a year

Dartmouth Health's 2026 to 2027 pay, from the first year of residency to the last year of fellowship

You are a salaried hospital employee from the day after medical school. Every hospital publishes its own scale and they differ by region. It is real money for very long hours, and your medical school loan interest is running the whole time. Nationally, the AAMC (Association of American Medical Colleges) survey of 345 teaching hospitals puts the average first-year stipend at $68,166 as of July 1, 2025, and about $81,807 in the fifth year. Read from the AAMC's data, downloaded in a browser with Claude in Chrome on 6 November 2026, because aamc.org refuses our checker.

What it costs to get there

Four-year bachelor's degree, in-state public
Roughly $11,000 to $15,000 a year in tuition and fees
Medical school, four years
Commonly $40,000 to $70,000 a year all in, less at a public school in your own state
The MCAT (medical school admission test), applications and interviews
$3,000 to $7,000 once you count travel and applying to twenty schools
Licensing and board exams
Three steps of the United States Medical Licensing Examination, roughly $1,000 each, then board exams in internal medicine and again in hematology

Roughly, all in

$190,000 to $345,000

Tuition, fees, exams and kit. Not rent, food or travel

The low end is an in state public university for the bachelor's degree, then a public medical school in your own state, plus the MCAT (Medical College Admission Test), applications and the three steps of the national licensing exam. The high end is a private or out of state medical school at up to $70,000 a year all in. There are also two sets of board exams, first in internal medicine and again in hematology, adding several thousand dollars. Residency and fellowship are paid jobs, so the years after medical school add no tuition, and interest on what you borrow is not counted in these figures.

Most graduates borrow, and the debt is large. Two things blunt it: Public Service Loan Forgiveness, where residency and fellowship years at a nonprofit hospital count toward the ten years of qualifying payments, and the fact that the specialty earns enough afterward to clear the rest.

How the money actually arrives

  • Salary at a cancer center or hospital

    The most common arrangement. Often with a pension or a strong retirement match, and a production bonus.

  • Academic position

    A salary with protected research time, teaching and a university appointment.

  • Private hematology and oncology group

    Partnership after a few years, and a share of the practice including its infusion and drug revenue.

  • Malpractice insurance

    Paid for by the employer in nearly all salaried positions.

How to become a hematologist in the United States

The exact path from high school to qualified.

The path to becoming a hematologist, step by step

You become an internal medicine doctor first, then a blood specialist.

  1. 1

    High school

    Grades 11 and 12

    Top grades in biology, chemistry, math and English. You need a very strong record to get into a competitive science program.

  2. 2

    Bachelor's degree

    4 years

    Any major works if you finish the required science courses. Keep your GPA high, get research and clinical experience, and write the MCAT (medical school admission test).

  3. 3

    Medical school

    4 years

    Two years of classroom science, then two years of clinical rotations. You take the first two steps of the United States Medical Licensing Examination along the way.

  4. 4

    Internal medicine residency

    3 years

    Matched through the national residency match. Hospital wards, intensive care and clinics. In your second or third year you apply to the fellowship match.

  5. 5

    Hematology fellowship and board certification

    2 to 3 years

    Most programs in the United States train hematology and oncology together. Leukemia and lymphoma wards, clotting and bleeding clinics, the blood bank, and reading bone marrow under a microscope. Then board certification and a state medical license.

High school courses that help you become a hematologist

  • Biology

    Blood cells, genetics and the immune system are the entire subject.

  • Chemistry

    Required for every pre-medical path, and organic chemistry is the course that filters people out.

  • Statistics and calculus

    Chemotherapy dosing and clinical trial results are daily math in this field.

  • Physics

    Tested on the MCAT (medical school admission test) and useful for imaging and radiation.

Time and money, at a glance

Years after high school
13 to 14
Medical school acceptance rate
Low. Most schools admit a small fraction of applicants
Total tuition
$200,000 or more once college and medical school are added together
Paid while training?
Yes, during the 5 or 6 years of residency and fellowship

Heavily regulated, at two levels

To practice at all you need a license from the medical board of the state you work in, and every state expects the three steps of the United States Medical Licensing Examination. Moving states means a new license application, though the exams do not repeat. The training itself is regulated separately: residency and fellowship programs are accredited by the Accreditation Council for Graduate Medical Education, and a program that is not accredited will not let you sit your board exams. Board certification in hematology comes after board certification in internal medicine, so it is two exams several years apart.

What helps you get ahead as a hematologist

Things you don't need, but that help.

Focus areas that shape the job

Most hematologists narrow down after fellowship, sometimes with an extra year.

  • Malignant hematology

    Leukemia, lymphoma and myeloma. Chemotherapy, immune therapies and transplants. Intense, and the patients are very sick.

  • Classical hematology

    Clots, bleeding disorders, anemia and sickle cell disease. Clinic based, fewer emergencies, chronically short of specialists.

  • Transfusion medicine

    Running a hospital blood bank and deciding how a limited blood supply gets used. Laboratory based, with its own accreditation standards.

  • Stem cell transplant

    Replacing a patient's entire blood-forming system with donor cells. Only done at major centers.

Nice-to-haves before medical school

  • Research experience

    Hematology is one of the most research-driven specialties in medicine, and fellowship programs notice publications.

  • Comfort at a microscope

    Hematologists still make diagnoses by looking at cells themselves, which is unusual among physicians.

  • Volunteering with patients

    Cancer center volunteering shows you what the work is emotionally, years before you commit to it.

  • Emotional steadiness

    Some of your patients will be young, and some will die despite everything you do.

The combined training is a real choice

Most fellowships in the United States train hematology and medical oncology together, and many doctors finish certified in both. That gives you a wider job market, since community practices usually want someone who can treat breast and lung cancer as well as blood disease. Training in hematology alone is possible and tends to lead toward academic centers, classical hematology clinics and transfusion medicine. Decide which one you want before you rank fellowship programs, because it changes what your working life looks like for the next thirty years.

What being a hematologist is really like

Day to day, pros and cons, where you'd work.

What a hematologist does day to day

Morning rounds on the leukemia ward: patients midway through chemotherapy with almost no immune system, where a fever at 3am is an emergency. Then the microscope, reading blood smears and bone marrow slides to make or confirm a diagnosis. Afternoon clinic: a lymphoma patient in remission, someone with a clot in the leg, a teenager with anemia whose numbers do not add up, a sickle cell patient you have known for years. A call from the blood bank about a patient whose antibodies make finding matched blood difficult. Academic hematologists keep a day or two a week for research.

The honest pros and cons of being a hematologist

The good

  • Some blood cancers are genuinely curable, and you see those cures
  • A rare mix of laboratory work, microscope diagnosis and long-term patient relationships
  • Salaried hospital and cancer center jobs are common, with real benefits
  • Strong research and teaching options if you want them

The hard parts

  • Thirteen or fourteen years before you are fully qualified
  • Large student debt is normal on the way through
  • Patients die, including young ones, and you are the one telling families
  • Mostly concentrated in larger cities with cancer centers

Work life

Typical hours
50 to 60 a week including call
Remote work
Little, though follow-up visits are often virtual
Physical demand
Low, but the hours are long
Unionized
Residents and fellows sometimes, attending physicians rarely

Things nobody tells you about being a hematologist

Things people don't tell you.

Half the job is not cancer

People hear blood doctor and think leukemia. Hematologists also handle clotting and bleeding disorders, sickle cell disease, hemophilia and stubborn anemias. That side of the specialty, sometimes called classical hematology, is chronically short of doctors.

They still look down a microscope

Most modern specialties send samples to a laboratory and read a report. Hematologists routinely examine blood smears and bone marrow slides themselves, and a single abnormal cell spotted on a slide can change a diagnosis and a treatment plan.

Rebooting a person's blood

In a stem cell transplant the patient's diseased marrow is wiped out and replaced with healthy donor stem cells. Weeks later they are producing brand new blood carrying the donor's DNA (deoxyribonucleic acid, the genetic code), and in some cases their blood type changes permanently.

How a hematologist compares

Every list is built from the same numbers shown above, so you can see where this career sits next to the others.

More health careers in the US

Doctors first, then the rest of the field. See every career in health.

Where these numbers come from

Last checked November 2026. Pay figures are typical full-time annual amounts in United States dollars, based on Bureau of Labor Statistics wage data and published pay scales. They vary by state, employer and experience. Tuition is for in-state students at public schools unless the card says otherwise. How every figure on this site is sourced and checked.

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