MD1-4 Schedule · Grade (俸給表 · 級) Salary
医療職（一） 4級 — Medical I (Physicians). Physicians at national hospitals / research institutes.
Step-by-step pay table
| Step (号俸) | Annual | Monthly (approx) | Hourly (approx) |
|---|---|---|---|
| 1 | ￥6,794,400 | ￥566,200 | ￥3,267 |
| 2 | ￥6,867,600 | ￥572,300 | ￥3,302 |
| 3 | ￥6,928,800 | ￥577,400 | ￥3,331 |
| 4 | ￥6,985,200 | ￥582,100 | ￥3,358 |
| 5 | ￥7,036,800 | ￥586,400 | ￥3,383 |
| 6 | ￥7,088,400 | ￥590,700 | ￥3,408 |
| 7 | ￥7,129,200 | ￥594,100 | ￥3,428 |
| 8 | ￥7,164,000 | ￥597,000 | ￥3,444 |
| 9 | ￥7,194,000 | ￥599,500 | ￥3,459 |
| 10 | ￥7,221,600 | ￥601,800 | ￥3,472 |
Beyond base: annual adjustments
Base tables understate real take-home. Japan federal employees receive the following annual adjustments on top of the MD1-4 base shown above.
| Mandatory adjustment | Formula | Added to min | Added to max |
|---|---|---|---|
期末手当 + 勤勉手当 (seasonal bonuses) Combined June + December bonuses typically total about 4.5 months of the monthly base. Set annually by the National Personnel Authority based on private-sector benchmarking. | 4.5× monthly | +￥2,547,900 | +￥2,708,100 |
| MD1-4 total with mandatory adjustments | ￥9,342,300 | ￥9,929,700 |
Frequently asked
A MD1-4 in the Japan federal civil service earns between ￥6,794,400 and ￥7,221,600 per year in 2026, before locality adjustments, allowances, and bonuses. These figures are published by National Personnel Authority (人事院 / Jinjiin).
The base pay scale is set centrally by National Personnel Authority (人事院 / Jinjiin) and applied uniformly across eligible federal employers, but agency-specific supplements, locality pay, and bargaining agreements can produce meaningful differences in take-home pay.
Directly from National Personnel Authority (人事院 / Jinjiin) at https://www.jinji.go.jp/. Each page on FedSalary carries the retrieval date and a link back to the primary source.