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U.S. Department of Health and Human Services
Office of Human Resources

Pay Systems and Tables

IHS provides competitive salaries to its valued workforce under pay systems and pay tables authorized under Title 5 and Title 38 of the United States Code. Within legal and regulatory limits, IHS reviews pay tables and staff compensation to ensure that staff are appropriately and fairly recognized for their responsibilities and contributions. Detailed information regarding the IHS civilian pay systems and pay tables is provided below.

The word Salary spelled out on blocks with a measuring tape under it.

Pay Systems Authorized Under Title 5 of the United States Code

 

General Schedule

Federal Wage System

Senior Executive Service

The Senior Executive Service (SES) is the employment system that applies to any positions that are classified above GS-15 and involve executive management and high policy-making responsibilities. The Senior Executive Service (ES) pay plan is used.

Pay Tables

Executive Schedule

Pay Systems Authorized Under Title 38 of the United States Code

Title 38 of the United States Code provides special pay authorities used to recruit and retain employees in certain health care occupations. It allows IHS to be competitive with other health care facilities in the area. There are two ways that IHS uses the Title 38 pay authorities – Title 38 special salary rates and Title 38 Physician, Dentist and Podiatrist Pay.

Title 38 Special Salary Rates

IHS has authorized higher rates of basic pay than regular GS locality rates for certain health care occupations based on documented recruitment and retention issues and in compliance with the Title 38 statutory criteria. The GS pay plan is used for employees paid from Title 38 special salary rates.

Title 38 Physician, Dentist and Podiatrist Pay

Title 38 Physician, Dentist and Podiatrist Pay (PDP) provides higher annual pay to physicians, dentists and podiatrists who provide direct patient care or services incident to patient care. The system consists of two components: General Schedule pay without locality (Title 5) and Market Pay (Title 38). The GP pay plan is used for clinicians paid under the Title 38 PDP system.

Title 38 Physician, Dentist, and Podiatrist SOP [PDF - 471 KB] (IHS network access required)

IHS Case Checklist for Title 38 PDP Cases Reviewed at IHS Headquarters [PDF -159 KB]

IHS Case Checklist for Title 38 PDP Cases Reviewed in IHS Areas [PDF - 164 KB]

Title 38 Physician and Dentist Pay Approval Authority [PDF - 527 KB]

HHS-691, Request for Title 38 Physician and Dentist Pay (PDP) [PDF - 1 MB]

Title 38 PDP Pay Range Tables Effective 10-5-2025 [PDF - 158 KB]

HHS Instruction 590-1 Title 38 PDP [PDF - 201 KB]

Title 38 PDP – Options for Adjusting Salary and Additional Compensation [PDF - 201 KB]

Prior Years’ Title 38 PDP Pay Range Tables

Comparative salary survey data should be used to determine and defend appropriate compensation levels for federal employees in accordance with statutory and regulatory criteria. IHS has developed a Salary Survey Summary containing data on the most common IHS occupations, available on the IHS OHR SharePoint site (IHS network access required). This summary has salary survey data for use in benchmarking pay levels and evaluating compensation cases. In addition to the summary data, several occupation-specific salary survey reports are also posted. The U.S. Bureau of Labor Statistics provides free salary data for more than 800 occupations and can be used when other salary survey data is not available.

Compensation Pages