Enter the offer and your tax situation. We show what actually lands in your account after taxes and real-world costs — and your true net hourly rate. Compare two gigs side by side.
Comparing a local shift against a travel gig, or a W-2 offer against a 1099 offer? Click Enable compare to model a second scenario.
Marginal, not average. Extra-shift income stacks on top of your existing income, so we tax every dollar at your marginal rates. This is the correct way to evaluate incremental work.
1099 self-employment tax. For 1099 income we apply SE tax of 15.3% (12.4% Social Security + 2.9% Medicare) on 92.35% of net earnings, then deduct half of SE tax from income before income tax — the standard IRS method. If your W-2 wages already exceed the Social Security wage base ($176,100 for 2025), most physicians only owe the 2.9% Medicare portion on 1099 income; toggle this in results if it applies. We also add the 0.9% Additional Medicare tax for high earners.
W-2 shifts are assumed to be at an employer where you have already passed the Social Security wage base, so only Medicare (1.45% + 0.9% additional) applies. If this is a second employer and you're under the wage base, your paycheck withholding will differ (you may recover excess SS withholding at filing).
Not included: retirement-plan contributions and their tax deferral, QBI deduction eligibility for 1099 income (can reduce effective tax meaningfully), city/local taxes, and malpractice cost differences. These can move the answer — treat results as a strong estimate, not a filing document.
This is an educational estimate, not tax, legal, or financial advice. Confirm significant decisions with a qualified professional.