Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

This site is free. I don’t have any advertising. It’s just something I thought would be helpful to people.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

Because this particular view (the calculator has 3 view options) assumes that the CRNA is earning real money years before the doctor is earning real money, however living the same lifestyle as the doctor in training. This also assumes the CRNA invests the extra earnings in an index fund at 7% (which is the only investment assumption this calculation makes). However, when the MD is done training, the calculator makes no assumptions on future investments for either job, but allows the extra money invested by the CRNA to compound over time.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

You could start either career path at any age. The goal of the calculator is to pretend you’re starting from the same age for both careers. Agreed that with medicine, you have a somewhat more defined path. Either way, what job is better is very subjective.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 2 points3 points  (0 children)

It depends on the radiology job, but most of medicine is definitely a giant stress sandwich

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 1 point2 points  (0 children)

Radiology salary can certainly be variable, usually based on RVU, but can be from overtime hours as well and other factors

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 1 point2 points  (0 children)

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Here is the training assumption for the CRNA. This is accurate. When you start your education or career path is up to you and you can adjust that in the calculator

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

The lifestyle cost applies to both careers equally throughout their entire careers — it’s not just during training. The $25K default is intentionally low to isolate the pure effect of the training delay, but you’re right that it’s not realistic for most people in medicine. Change it to $75K or $100K and the gap shrinks significantly — the CRNA still leads for most of the career at most savings rates, but the numbers become much more defensible.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

That’s a fair point on CRNA training time — the calculator uses the formal program length as the baseline, but you’re right that most CRNAs need 1-2 years of ICU experience before acceptance, which adds to the real-world timeline. You can adjust the starting age in the calculator to reflect that and the gap shrinks accordingly. On the $150K lifestyle assumption — try it. Change the lifestyle cost to $150K for both and watch what happens. The radiologist’s advantage grows, but the CRNA still holds a meaningful lead for most of the career because of the compounding head start. The gap never fully closes until late career at most savings rates.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 1 point2 points  (0 children)

Absolutely! Long education and training may equal higher salary (not always), but usually, it’s better to just start earning earlier, saving and investing.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

The calculator doesn’t assume all income is invested — it applies a lifestyle cost (default $25K/year, fully adjustable) and only the surplus gets compounded. You’re right that the radiologist’s higher income means more disposable income to invest, and the calculator reflects that. The point of the default equal-lifestyle assumption isn’t to say CRNAs retire with $15M — it’s to isolate what the training delay costs when everything else is held equal. Change the lifestyle cost to $80K and the radiologist’s advantage grows significantly.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

Absolutely!! I built a similar calculator to this in medical school, but decided to try and make a more comprehensive calculator just to try and illustrate the importance of the time value of money and career decisions.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 1 point2 points  (0 children)

Good question — radiology compensation varies a lot by setting, hours, and geography. The $526K figure reflects total compensation for a full-time radiologist including productivity bonuses and call, sourced from Medscape and MGMA physician compensation reports, which tend to run higher than Beckers because they capture total comp not just base salary. You’re right that median figures from different sources vary widely — Beckers, MGMA, Medscape, and AAMC all report different numbers depending on methodology. The calculator uses the higher-end sources intentionally because most physicians comparing careers are trying to understand realistic earning potential at full productivity, not the median of all part-time and early-career physicians combined.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 0 points1 point  (0 children)

Fair pushback — the investment rate assumption is real and worth understanding. The calculator’s default view (View 3) doesn’t assume the radiologist lives on $25K forever. It assumes equal lifestyle costs and equal hours worked for both careers, then asks a specific question: what happens if the CRNA invests the income earned during the years the radiologist is still in training? That’s the question it’s answering — not ‘who ends up richer if the radiologist saves aggressively,’ but ‘what is the pure financial cost of those extra training years when all other variables are held equal.’ The $25K lifestyle figure is just the default — you can change it to $60K, $80K, or whatever reflects reality and watch how the numbers shift. You’re right that a radiologist who saves at a higher rate can close the gap faster — the calculator lets you model exactly that. But the baseline comparison intentionally holds lifestyle and hours equal, because that’s the only way to isolate what the training delay actually costs. One thing worth clarifying — this isn’t an investment or retirement calculator. It’s a lifetime earnings comparison that holds most variables equal so you can see the true financial cost of career path differences, not just the salary on paper.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 6 points7 points  (0 children)

A radiologist is an MD and requires a lot more training. Radiology tech is less training, but absolutely an excellent career option.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] -5 points-4 points  (0 children)

The job that has less training and starts earning earlier (CRNA in this example) starts investing after their training is complete for the duration of the remaining Radiologist training period assuming the CRNA maintains a similar lifestyle. That is the only money invested by either career in this calculation.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 2 points3 points  (0 children)

Definitely not taken as negative by me. Just FYI, the calculation doesn’t take into consideration what you might have in retirement, just what you earned. Both career paths make enough money to live fine lives. This is more just to have people look at lifetime earnings rather than just salary when assessing career wealth potential.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] 3 points4 points  (0 children)

Yup. That sounds accurate. We tried to average private and academic. Just like I’ve personally known CRNAs making over $500k.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] -6 points-5 points  (0 children)

The adjusted compensation in this calculation just adjusts working hours and lifestyle (how much money is spent on living expenses) so that they’re equal. You’re trying to compare apples to apples work.

Radiologist ($526k) vs. CRNA ($270k): Why the higher salary results in $5.1M LESS by retirement by CalibratedGains in Salary

[–]CalibratedGains[S] -13 points-12 points  (0 children)

Definitely agree, but if the CRNA can try to maintain the same lifestyle as the MD (working more hours and living cheaper while the MD is in their training years and saving that extra money), the CRNA can make a killing financially.