1099 Rate Reality Check

What's your W2 package actually worth per hour?

Salary is only part of a W2 package. PTO, bonus, 401k match, health insurance, and employer-paid malpractice all add up. Fill in your real numbers to see the 1099 rate you'd need just to match what your W2 job already gives you.

"Breakeven" starts from your total W2 package value per hour actually worked (salary, bonus, 401k match, health insurance, employer-paid malpractice, CME/license reimbursement, and other benefits — spread only across hours you work, since PTO days are paid without being worked). It then adds roughly 7.65% — the employer-side payroll tax you'd otherwise have covered for you — plus any 1099-side costs you're covering yourself, like self-funded malpractice, amortized across your planned shifts. Income tax itself is left out since it applies at roughly the same rate to both income types. This is a planning estimate, not tax or legal advice — confirm the real numbers with a CPA before deciding.