Honestly it is not exactly 50% tax rate but it can come pretty close in some areas of the country where there just so happen to be a ton of physicians located (California, New York, etc). That in mind you're right. The federal tax rate on $250,000 is 33% which comes out to $63,0000 (as per IRS calculator). Then you have, in my case, Missouri taxes, which is $6,100 (as per MO tax calculator). Then you have SS and Medicare, which come out to another $6,000 (as per FICA calculator). So 63 + 6 + 6 ~ $85,000 withheld, which also doesn't include any local taxes.
$ 250-$85 = $165K. Alright so its not quite as low as $125k. Maybe I should have said a person living in a state with relatively cheaper or average state tax rate will have ~ 34% taken out.Its still a lot, regardless, and again this is an example of Missouri which as far as I know has a very reasonable tax rate compared to East/West coast states.