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As of October 2025, the average salary for a residency in internal medicine stands at $165,294 per year, translating to about $79 per hour. This salary varies significantly by location and experience level. For instance, residents in metropolitan areas often earn more due to the higher cost of living. Factors influencing salary include the institution, geographic area, and additional certifications.
Residencies in internal medicine can yield higher salaries in specific states and cities. For example, cities like San Francisco and New York are among the highest-paying locations, reflecting their competitive healthcare markets. Understanding the salary landscape can help new residents negotiate better offers and choose locations that align with their financial goals.
Each state presents unique earning potential based on local healthcare demands. For instance, states like California and Massachusetts report higher average salaries compared to others. By researching these figures, medical graduates can make informed choices about where to begin their careers.
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The average residency in internal medicine salary in Massachusetts, Delaware, and New York are the highest in the U.S. The lowest average residency in internal medicine salary states are North Carolina, Montana, and Missouri.
| Rank | State | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | New Hampshire | $125,681 | $60.42 |
| 2 | North Dakota | $123,943 | $59.59 |
| 3 | Massachusetts | $130,882 | $62.92 |
| 4 | Connecticut | $128,898 | $61.97 |
| 5 | Maine | $122,551 | $58.92 |
| 6 | Oregon | $128,850 | $61.95 |
| 7 | New York | $130,049 | $62.52 |
| 8 | New Mexico | $120,114 | $57.75 |
| 9 | Delaware | $130,537 | $62.76 |
| 10 | Nevada | $121,686 | $58.50 |
| 11 | Wisconsin | $116,432 | $55.98 |
| 12 | New Jersey | $124,963 | $60.08 |
| 13 | Pennsylvania | $118,037 | $56.75 |
| 14 | Vermont | $117,935 | $56.70 |
| 15 | Alaska | $123,524 | $59.39 |
| 16 | California | $125,670 | $60.42 |
| 17 | Minnesota | $112,320 | $54.00 |
| 18 | Arizona | $112,585 | $54.13 |
| 19 | Mississippi | $116,272 | $55.90 |
| 20 | Washington | $115,362 | $55.46 |
| 21 | Idaho | $117,925 | $56.69 |
| 22 | Rhode Island | $113,749 | $54.69 |
| 23 | Ohio | $111,369 | $53.54 |
| 24 | Utah | $113,416 | $54.53 |
| 25 | Virginia | $116,904 | $56.20 |
| 26 | Louisiana | $109,543 | $52.66 |
| 27 | Hawaii | $114,838 | $55.21 |
| 28 | Kentucky | $106,541 | $51.22 |
| 29 | Illinois | $104,620 | $50.30 |
| 30 | Maryland | $116,379 | $55.95 |
| 31 | Florida | $105,892 | $50.91 |
| 32 | Wyoming | $106,745 | $51.32 |
| 33 | West Virginia | $105,585 | $50.76 |
| 34 | Kansas | $103,718 | $49.86 |
| 35 | South Carolina | $106,013 | $50.97 |
| 36 | South Dakota | $104,419 | $50.20 |
| 37 | Arkansas | $104,348 | $50.17 |
| 38 | Nebraska | $103,713 | $49.86 |
| 39 | Indiana | $101,157 | $48.63 |
| 40 | Iowa | $101,989 | $49.03 |
| 41 | Georgia | $105,751 | $50.84 |
| 42 | Michigan | $100,796 | $48.46 |
| 43 | Texas | $101,794 | $48.94 |
| 44 | North Carolina | $97,711 | $46.98 |
| 45 | Alabama | $103,001 | $49.52 |
| 46 | District of Columbia | $102,619 | $49.34 |
| 47 | Montana | $97,325 | $46.79 |
| 48 | Missouri | $96,658 | $46.47 |
| 49 | Oklahoma | $87,636 | $42.13 |
| 50 | Colorado | $95,104 | $45.72 |
| 51 | Tennessee | $94,423 | $45.40 |
The highest-paying cities for residencies in internal medicine are Salem, MA, Rochester, NY, and New Haven, CT.
| Rank | City | Avg. salary | Hourly rate |
|---|---|---|---|
| 1 | Salem, MA | $149,236 | $71.75 |
| 2 | Rochester, NY | $148,273 | $71.29 |
| 3 | New Haven, CT | $145,042 | $69.73 |
| 4 | Salem, OR | $144,629 | $69.53 |
| 5 | Los Angeles, CA | $138,977 | $66.82 |
| 6 | New Brunswick, NJ | $138,439 | $66.56 |
| 7 | Abington, PA | $129,920 | $62.46 |
| 8 | Warren, OH | $125,806 | $60.48 |
| 9 | Minneapolis, MN | $123,848 | $59.54 |
| 10 | Tucson, AZ | $123,568 | $59.41 |
| 11 | Roanoke, VA | $123,238 | $59.25 |
| 12 | Orlando, FL | $117,927 | $56.70 |
| 13 | Evanston, IL | $114,532 | $55.06 |
| 14 | Atlanta, GA | $114,205 | $54.91 |
| 15 | Sioux Falls, SD | $113,796 | $54.71 |
| 16 | Montgomery, AL | $113,568 | $54.60 |
| 17 | Flint, MI | $107,749 | $51.80 |
| 18 | Columbia, MO | $104,008 | $50.00 |
A residency in internal medicine's salary ranges from $84,000 a year at the 10th percentile to $322,000 at the 90th percentile.

| Percentile | Annual salary | Monthly salary | Hourly rate |
|---|---|---|---|
| 90th Percentile | $322,000 | $26,833 | $155 |
| 75th Percentile | $235,000 | $19,583 | $113 |
| Average | $165,294 | $13,775 | $79 |
| 25th Percentile | $116,000 | $9,667 | $56 |
| 10th Percentile | $84,000 | $7,000 | $40 |
The highest paying types of residencies in internal medicine are clinic md associate, endocrinologist, and internist.
| Job title | Annual salary | Monthly salary | Hourly rate | Job openings |
|---|---|---|---|---|
| Endocrinologist | $234,132 | $19,511 | $112.56 | 22,172 |
| Internist | $223,415 | $18,618 | $107.41 | 31,659 |
| Emergency Room Physician | $160,275 | $13,356 | $77.06 | 85,836 |
| General Practice | $117,178 | $9,765 | $56.34 | 55,666 |
| Emergency Medicine Physician | $162,369 | $13,531 | $78.06 | 64,109 |
| Internal Medicine Hospitalist | $207,079 | $17,257 | $99.56 | 22,474 |
Top companies hiring residencies in internal medicine now:
Residency in internal medicine salaries at North Mississippi Medical Clinics Inc and Spartanburg Regional Healthcare System are the highest-paying according to our most recent salary estimates. In addition, the average residency in internal medicine salary at companies like Kaiser Permanente and CHRISTUS Health are highly competitive.
| Rank | Company | Average salary | Hourly rate |
|---|---|---|---|
| 1 | North Mississippi Medical Clinics Inc | $252,301 | $121.30 |
| 2 | Spartanburg Regional Healthcare System | $217,799 | $104.71 |
| 3 | Kaiser Permanente | $217,798 | $104.71 |
| 4 | CHRISTUS Health | $216,864 | $104.26 |
| 5 | Billings Clinic | $211,676 | $101.77 |
| 6 | The Trustees of the University of Pennsylvania | $209,891 | $100.91 |
| 7 | VHS Acquisition Subsidiary Number 1 Inc | $209,891 | $100.91 |
| 8 | Catholic Health Initiatives - Colorado | $209,891 | $100.91 |
| 9 | Partners Healthcare Solutions Inc | $209,891 | $100.91 |
| 10 | Integrity Locums | $209,721 | $100.83 |
| 11 | The Medicus Firm | $208,450 | $100.22 |
| 12 | MercyOne | $208,341 | $100.16 |
| 13 | Southern California Medical Center | $200,462 | $96.38 |
| 14 | Delta Companies | $198,183 | $95.28 |
| 15 | Connecticut Veterinary Center | $197,395 | $94.90 |
| 16 | Texas Health Resources | $197,346 | $94.88 |
| 17 | Conway Medical Center | $196,896 | $94.66 |
| 18 | WESTERN RESERVE HEALTH EDUCATION INC | $195,153 | $93.82 |
| 19 | Texas Health Presbyterian Hospital Rockwall | $190,762 | $91.71 |
| 20 | CVS Health | $190,601 | $91.64 |
The average residency in internal medicine salary has risen by $15,971 over the last ten years. In 2014, the average residency in internal medicine earned $149,323 annually, but today, they earn $165,294 a year. That works out to a 3% change in pay for residencies in internal medicine over the last decade.
Compare residency in internal medicine salaries for cities or states with the national average over time.
Compare residency in internal medicine salaries for individual cities or states with the national average.
| Year | Avg. salary | Hourly rate | % Change |
|---|---|---|---|
| 2025 | $165,000 | $79.47 | +2.4% |
| 2024 | $161,000 | $77.54 | +1.7% |
| 2023 | $159,000 | $76.23 | +0.8% |
| 2022 | $157,000 | $75.62 | -1.8% |
| 2021 | $160,000 | $76.97 | -0.1% |
| Company | Job | Location | Date added | Salary |
|---|---|---|---|---|
| Atlantic Medsearch | Locums Internal Medicine Job Near | Seattle, WA | 06/15/2025 | $354,790 |
| Scpmg | Internal Medicine (Outpatient) | San Diego, CA | 06/14/2025 | $375,275 |
| AMN Healthcare | Internal Medicine Pediatrics | Richmond, VA | 06/13/2025 | $275,000 |
| Trinity Health Corporation | Loyola Medicine GME Residents | Maywood, IL | 06/13/2025 | $66,000 |
| Permanente Medicine | Internal Medicine (Outpatient)-SAN Bernardino County | Rancho Cucamonga, CA | 06/11/2025 | $352,271 |
| National Medical Services | Connecticut-Internal Medicine, New Grads Welcome | Hartford, CT | 06/10/2025 | $219,135 |
| Atlantic Medsearch | Locums Internal Medicine Job Near | Salem, OR | 06/10/2025 | $354,790 |
| Atlantic Medsearch | Locums Internal Medicine Job Near | Seaside, OR | 06/10/2025 | $354,790 |
| Permanente Health Care Ventures, Pc | Internal Medicine/Family Medicine-Gastroenterology | Portland, OR | 06/09/2025 | $210,480 |
| Scpmg | Internal Medicine (Outpatient) | Glendale, CA | 06/09/2025 | $375,275 |
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