Average Radiologist Salary in South Africa (2024)

The average Radiologist’s Salary in South Africa is R81,270 per month. An entry-level Radiologist earns a salary range of R59,000, a Mid-career level earns about R79,000, and a senior/experienced level earns R118,000 per month.

Average Radiologist Salary in South Africa

Job Title Approximate Monthly Salary (ZAR)
Entry-Level Radiologist 59,000
Mid-Career Radiologist 79,500
Experienced Radiologist 118,000

Types of Radiologists and Their Functions in South Africa

In South Africa, radiology is a crucial medical speciality encompassing various subspecialties, each with distinct functions and expertise. Radiologists play a pivotal role in diagnosing and monitoring diseases through medical imaging techniques. Here are some key types of radiologists in South Africa and their respective functions:

1. Diagnostic Radiologists

Specializing in interpreting medical images, such as X-rays, CT scans, and MRIs, diagnostic radiologists provide accurate diagnoses to aid clinicians in determining the appropriate treatment for patients.

2. Interventional Radiologists

Interventional radiologists use imaging guidance to perform minimally invasive procedures. Their expertise lies in procedures like angioplasty, embolization, and biopsies, offering alternatives to traditional surgery.

3. Nuclear Medicine Radiologists

Focused on studying physiological functions using radioactive materials, nuclear medicine radiologists utilize techniques like PET scans and SPECT scans to visualize organ function and detect abnormalities at a molecular level.

4. Musculoskeletal Radiologists

Specializing in imaging of the musculoskeletal system, including bones, joints, and soft tissues, these radiologists help diagnose conditions like fractures, arthritis, and sports injuries.

5. Neuroradiologists

Neuroradiologists concentrate on imaging the central nervous system, including the brain and spinal cord. They play a vital role in diagnosing conditions such as strokes, tumours, and neurodegenerative diseases.

6. Pediatric Radiologists

Focused on imaging children, pediatric radiologists have expertise in addressing the unique challenges of pediatric imaging. They play a crucial role in diagnosing and managing various pediatric conditions.

7. Breast Radiologists

Specializing in breast imaging, these radiologists use techniques like mammography, ultrasound, and MRI to detect and diagnose breast abnormalities, including breast cancer.

8. Abdominal Radiologists

Abdominal radiologists focus on imaging the abdominal organs, including the liver, kidneys, and gastrointestinal tract. They help diagnose conditions like liver disease, kidney stones, and digestive system disorders.

9. Cardiothoracic Radiologists

Specializing in imaging the heart and chest, cardiothoracic radiologists contribute to the diagnosis and management of cardiovascular and respiratory conditions through techniques like cardiac CT and chest X-rays.

10. Emergency Radiologists

Emergency radiologists work in emergency departments, providing timely and accurate interpretations of imaging studies to assist in the rapid diagnosis and treatment of patients with acute medical conditions.

In South Africa, these diverse radiology subspecialties collaborate to offer comprehensive diagnostic and interventional services, contributing significantly to patient care and medical advancements in the field of imaging and radiology.

Factors Affecting the Radiologist’s Salaries in South Africa

Radiologists play a crucial role in the healthcare system, employing advanced imaging technologies to diagnose and treat various medical conditions. In South Africa, the salaries of radiologists are influenced by a combination of factors that reflect the country’s unique socio-economic landscape, healthcare infrastructure, and the demand for specialized medical services.

1. Educational Background and Experience

Radiologists with higher academic qualifications, such as postgraduate degrees or certifications, often command higher salaries.
Experience also plays a significant role, with seasoned radiologists generally earning more than their less-experienced counterparts.

2. Specialization and Subspecialties

Radiologists specializing in specific areas, such as neuroradiology or interventional radiology, may receive higher compensation due to the specialized skills and expertise required.
The demand for certain subspecialties can also impact salaries, with emerging fields potentially offering higher earning potential.

3. Location and Urban-Rural Disparities

Salaries can vary significantly based on geographic location, with urban centres generally offering higher compensation than rural areas. Urban areas often have a higher cost of living, which is a crucial factor influencing salary levels.

4. Public vs. Private Sector Employment

Radiologists working in the private sector often earn higher salaries compared to those in the public sector.
Public sector roles may offer other benefits, such as job security and pension plans, which contribute to overall compensation.

5. Demand and Supply of Radiologists

Shortages of skilled radiologists may result in higher salaries as healthcare facilities compete to attract talent.
– Conversely, an oversupply of radiologists in a particular region can lead to lower salary levels.

6. Economic Factors

The overall economic conditions of South Africa can influence salary levels, with periods of economic growth potentially leading to increased demand for healthcare services and higher salaries.

7. Healthcare Policies and Regulations

Government policies and regulations related to healthcare funding and insurance can impact the financial resources available for radiologists’ salaries. Changes in reimbursement rates for medical services may also affect income levels.

8. Technological Advancements

Radiologists proficient in the latest imaging technologies and techniques may command higher salaries as they contribute to enhanced diagnostic capabilities.

How to Become a Radiologist in South Africa

Becoming a radiologist in South Africa requires a combination of rigorous education, specialized training, and practical experience. Radiologists play a crucial role in diagnosing and treating various medical conditions through the use of medical imaging technologies. Here’s a step-by-step guide on how to embark on the journey to becoming a radiologist in South Africa.

Educational Requirements

1. High School Education: Start by completing your high school education with a focus on science subjects, including biology, physics, and mathematics. A strong foundation in these subjects is essential for pursuing a career in medicine.

2. Bachelor’s Degree: After high school, enrol in a recognized university to pursue a Bachelor’s degree in Medicine or a related field. This typically takes about six years and includes both theoretical and clinical components.

Medical School

3. Enroll in Medical School: Upon completing your Bachelor’s degree, apply for admission to a medical school accredited by the Health Professions Council of South Africa (HPCSA). Medical school typically lasts for four to six years and involves intensive study in various medical disciplines.

4. Internship and Community Service: After graduating from medical school, complete a two-year internship at a recognized hospital. Subsequently, fulfil one year of community service to become fully registered with the HPCSA.

Specialization in Radiology

5. Postgraduate Training in Radiology: To become a radiologist, you must specialize in diagnostic or therapeutic radiology. Apply for a residency program in radiology, which typically lasts for four years. This training involves hands-on experience in medical imaging, interpretation of results, and exposure to various radiological procedures.

6. Fellowship (Optional): Consider pursuing a fellowship in a subspecialty within radiology, such as neuroradiology, musculoskeletal radiology, or interventional radiology. While optional, a fellowship enhances your expertise in a specific area and can open up advanced career opportunities.

Licensing and Certification

7. Obtain HPCSA Registration: After completing your postgraduate training, apply for registration with the HPCSA as a specialist radiologist. This step is crucial to practice legally in South Africa.

8. Board Certification (Optional): Although not mandatory, obtaining certification from the Colleges of Medicine of South Africa (CMSA) in Radiology further validates your expertise and may enhance job prospects.

Continuing Professional Development

9. Stay Informed and Engage in Continuous Learning: Radiology is a dynamic field with evolving technologies. Stay updated on the latest advancements, attend conferences, and engage in continuous professional development to provide the best possible care to your patients.



The average Radiologist’s Salary in South Africa is R81,270 per month. The salaries of radiologists in South Africa are shaped by a multifaceted interplay of educational background, specialization, geographic location, employment sector, and broader economic and healthcare factors. Understanding these dynamics is essential for both radiologists seeking competitive compensation and healthcare policymakers aiming to maintain a robust and sustainable radiology workforce.

Becoming a radiologist in South Africa is a demanding but rewarding journey that requires dedication, education, and practical experience. By following these steps, aspiring radiologists can build the necessary foundation to contribute significantly to the healthcare system through the use of advanced medical imaging technologies.