Physician Salary in Maryland (2026)
Average Physician pay in Maryland
$279,010/year
≈ $134/hour before tax
Middle 50% earn $199,990–$384,430
US average: $255,820
Source: BLS, May 2025 · Family Medicine Physicians
After tax (single filer)
$181,589/year
$15,132/month · effective tax rate 34.92%
- Federal $60,788
- State $14,235
- MD county (2.25% min.) $6,202
- FICA $16,196
- Take-home
Pay by role in Maryland
- Surgical Subspecialist (Ortho / Neuro / CT)$535,000–$895,000+ TC
- Cardiology / Gastro / Interventional$425,000–$695,000
- Anesthesiology$395,000–$615,000
- Hospitalist (IM)$255,000–$345,000
- Family Medicine / Primary Care$220,000–$315,000
- Pediatrician (Hospital)$220,000–$320,000
See the full tax breakdown
| Category | Amount |
|---|---|
Annual Take-Home Pay | $181,589 |
Monthly Take-Home Pay | $15,132 |
Biweekly Take-Home Pay | $6,984 |
Hourly Take-Home Pay based on 2,080 hrs/year | $87/hr |
Federal Tax | $60,788 |
State Tax | $14,235 |
MD County Tax (2.25% min.) | $6,202 |
FICA Taxes | $16,196 |
Effective Tax Rate total taxes ÷ gross salary | 34.92% |
Not all Physicians earn the same — not even close
Maryland's physician market is among the country's most concentrated academic-medicine ecosystems. Johns Hopkins University School of Medicine + Johns Hopkins Hospital + Johns Hopkins Bayview (Baltimore) operates the country's #1 NIH-funded medical school for most of the past 30 years. University of Maryland Medical System (UMMS, Baltimore academic medical center, ~30,000 employees) adds parallel academic depth. NIH Bethesda's intramural research program plus the NIH Clinical Center plus Walter Reed National Military Medical Center create a federal-physician career path that doesn't exist anywhere else.
Surgical Subspecialist (Ortho / Neuro / CT)
$535,000–$895,000+ TC
Hopkins senior surgical · UMMS Shock Trauma · academic + private practice mix · MedStar Health
Cardiology / Gastro / Interventional
$425,000–$695,000
Hopkins Cardiology · UMMS Heart and Vascular · MedStar Heart · Adventist HealthCare · procedural premium
Anesthesiology
$395,000–$615,000
Hopkins anesthesia · UMMS · Walter Reed · MedStar · CRNA team supervision common
Hospitalist (IM)
$255,000–$345,000
Hopkins + UMMS + MedStar + Adventist + Holy Cross + Mercy hospital IM staff · 7-on/7-off block
Family Medicine / Primary Care
$220,000–$315,000
MedStar primary care · Hopkins Community Physicians · Adventist HealthCare · rural MD premium
Pediatrician (Hospital)
$220,000–$320,000
Hopkins Children's Center + Children's National DC adjacent · nationally ranked pediatric specialty
Psychiatry
$255,000–$385,000
Hopkins Psychiatry (top-5 nationally) · Sheppard Pratt (oldest US psychiatric hospital, Towson) · MD shortage
NIH Clinical Investigator
$235,000–$425,000
NIH intramural program · Clinical Center investigator · GS-15/Senior Executive Service + clinical premium
Walter Reed / Military Physician
$185,000–$315,000
Walter Reed National Military Medical Center · USUHS faculty · O-5/O-6 rank + civilian-track equivalent
IM / FM Resident (PGY-1 to PGY-3)
$66,000–$80,000
Hopkins + UMMS + MedStar + Adventist + Walter Reed residency programs
Worth knowing: Johns Hopkins University School of Medicine has held the #1 or #2 NIH research funding rank nationally for most of the past 30 years ($850M+ annual NIH funding, ~2,800 faculty), making it the dominant US academic medical center by research scale. Hopkins Hospital + Hopkins Bayview + Hopkins All Children's (St. Petersburg FL) plus Hopkins Applied Physics Laboratory (Laurel MD, $1.4B+ federal contracts) form a research-clinical ecosystem unique nationally. UMMS Shock Trauma Center is the only state-mandated primary adult resource center for trauma — handles ~7,500 trauma cases/year. NIH Bethesda's Clinical Center is the largest US hospital fully dedicated to clinical research (~200 beds, 1,500 active protocols at any time). Walter Reed National Military Medical Center (Bethesda, formed 2011 from merger of Walter Reed Army + Bethesda Naval) is the flagship DoD medical facility. MD joined IMLC in 2018 via HB 1095. The MD combined effective rate for a physician at $400K in Montgomery County (3.20% piggyback) is ~8.5% (the marginal rate there is 5.75% + 3.20% = 8.95%); at $1M+ surgical subspecialty TC the 2025 BRFA's 6.5% bracket plus the Montgomery piggyback puts the combined marginal rate at 9.70% (effective ~9.0%) — among the highest US state-level burdens.
Sources & Methodology
- →IRS Rev. Proc. 2025-32 — 2026 federal brackets and standard deduction
- →IRS Notice 2025-67 — 2026 retirement-plan contribution limits
- →IRS Rev. Proc. 2025-19 — 2026 HSA contribution limits
- →Social Security Administration — 2026 Social Security wage base
- →Maryland Withholding Tax Facts January-December 2026 (COM/RAD 098, Rev. 12/25) - 2026 rate schedules I and II and the $3,200 personal exemption
- →BLS Occupational Employment and Wage Statistics — Physician wage data for Maryland
Salary figures are market estimates for Physicians in Maryland and vary by employer, specialty, seniority, and metro. Take-home math assumes a single filer with no dependents, the standard deduction, and Maryland 2026 state rates. Local taxes, insurance premiums, and pre-tax contributions will move your number — run the calculator for your own situation.
Run your own numbers
- Maryland paycheck calculator → · 401(k), HSA, dependents
- Bonus calculator → · year-end, sign-on, retention
- 1099 tax calculator → · self-employment tax 15.3%
- Capital-gains calculator → · long-term rates, NIIT, state tax
Frequently Asked Questions
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More on Maryland
Salaries by profession, top-paying roles by industry, and an economic breakdown for Maryland in 2026.
Tax brackets, standard deductions, and take-home estimates for Maryland in 2026.
Adjust filing status, 401(k) for your exact 2026 take-home in Maryland.