Healthcare salaries in South Africa
The median executive Healthcare salary in South Africa is ZAR 2,808,460 per year, with the market band from ZAR 2,600,811 to ZAR 3,016,110 (dpsa.gov.za, 2026-08-31).
By seniority
executive (Medium quality data)
- P25
- ZAR 2,600,811
- Median
- ZAR 2,808,460
- P75
- ZAR 3,016,110
- per month
- ZAR 234,038
About ZAR 234,038 per month at the median.
DPSA OSD 1 April 2025: Head: Clinical Department Grade 1-2 R2,600,811-R3,016,110 combined band. Excludes commuted overtime. Medium.
lead (Medium quality data)
- P25
- ZAR 1,773,222
- Median
- ZAR 1,992,951
- P75
- ZAR 2,212,680
- per month
- ZAR 166,079
About ZAR 166,079 per month at the median.
DPSA OSD 1 April 2025: Medical Specialist Grade 3 (chief specialist) R1,773,222-R2,212,680 (16 notches). Excludes commuted overtime. Medium.
senior (Medium quality data)
- P25
- ZAR 1,341,855
- Median
- ZAR 1,382,332
- P75
- ZAR 1,422,810
- per month
- ZAR 115,194
About ZAR 115,194 per month at the median.
Official DPSA OSD, Appendix F to DPSA Circular 7 of 2025, effective 1 April 2025: Medical Specialist Grade 1 full-time package R1,341,855-R1,422,810 (5 notches). Excludes commuted overtime, which for state doctors commonly adds 20-40%. Medium.
Sources for these numbers
- https://www.dpsa.gov.za/dpsa2g/documents/rp/2025/Annexures%20a-h%20-%2001%20April%202025.xlsx
- https://www.dpsa.gov.za/policy-updates/nlrrm/remuneration_policy/annual_cost_of_living_adjustments/
These are market medians. Your own quote also depends on your current pay, your walk-away floor, and the package you need. Get your personal quote.