Average gross salary KES 250,000 — Net take-home pay after all statutory deductions
| Deduction / Item | Monthly (KES) | Annual (KES) |
|---|---|---|
| Gross Salary | 250,000 | 3,000,000 |
| NSSF (Tier I & II, capped) | 4,320 | 51,840 |
| SHIF (2.75%) | 6,875 | 82,500 |
| Housing Levy (1.5%) | 3,750 | 45,000 |
| PAYE (Income Tax) | 62,900 | 754,800 |
| Personal Relief (deducted from PAYE) | 2,400 | 28,800 |
| Net Pay (Take-Home) | 172,155 | 2,065,860 |
| Level / Role | Gross Salary (KES/month) | Notes |
|---|---|---|
| Medical Intern | 70,000 β 100,000 | 1-year internship post-MBChB, government facility |
| Junior Medical Officer | 120,000 β 180,000 | Post-internship, public hospitals & lower-tier private |
| Medical Officer (Mid-level) | 180,000 β 300,000 | Private hospitals, 3β8 years experience |
| Specialist (MMed / Fellowship) | 200,000 β 400,000 | Surgery, Paediatrics, O&G, Medicine β varies widely |
| Consultant | 400,000+ | Top-tier private hospitals, own practice, international orgs |
* Locum rates in private hospitals can reach KES 5,000β15,000 per session. Private practice income is not included above.
A medical officer in Kenya earns approximately KES 150,000β300,000 gross per month in 2025. Using KES 250,000 as a mid-range figure, after deductions (PAYE KES 62,900, NSSF KES 4,320, SHIF KES 6,875, Housing Levy KES 3,750), the net take-home pay is KES 172,155 per month (KES 2,065,860 annually).
On a KES 250,000 gross salary, a doctor's taxable income after NSSF (KES 4,320), SHIF (KES 6,875), and Housing Levy (KES 3,750) is KES 235,055. Applying the 2025 KRA tax bands (25% on KES 32,333β57,333, 30% above KES 57,333) and deducting personal relief of KES 2,400 yields PAYE of KES 62,900 per month β the highest deduction by far.
Yes, significantly. Government medical officers typically earn KES 120,000β200,000 per month, while equivalent roles in top private hospitals like Aga Khan or Nairobi Hospital pay KES 200,000β350,000. Consultants and specialists in private practice can earn KES 500,000β1,000,000+ per month, particularly when combining employed income with locum and private clinic earnings.
The highest-paying medical specializations in Kenya are: Cardiothoracic Surgery, Neurosurgery, Radiology (especially interventional), Anaesthesiology, Ophthalmology, and Orthopaedic Surgery. Specialists in these fields at senior levels in private practice can earn KES 500,000β2,000,000+ per month. These specializations typically require an additional 3β5 years of MMed or Fellowship training after the MBChB.
Other professions in Kenya:
Salary after tax by amount: