So I do prn/locums, and I can definitely tell you—not all agencies are created equal, not by a long shot. Each one obviously has its own pros and cons. In my experience (and from talking with other CRNAs I’ve worked with), the bigger agencies tend to be the ones that offer the lowest pay/rates—likely because of their overhead. I don’t give out my CV before I know where the job is, and I would never lock into a schedule without flexibility. Also, in my experience, agencies that really push large referral bonuses? Red flag.
I’ve done both PRN and locums assignments over the past 5 years, and honestly, I prefer it to when I was W2 at a facility. I actually left the facility I used to work for and now do PRN there because the rates are higher. I make more, but you do have to be proficient at managing your own schedule, paperwork, etc.
In my experience, if you work consistently (or supplement with multiple PRN gigs), form an LLC for tax optimization, pick high-paying locations (like rural or short-staffed sites), and stay on top of budgeting and benefits, you’ll definitely be making around $50k more annually. Could be more or less depending on location. Reply if anyone out there wants more specifics.
