How much does a Surgeon make in Maryland?

BLS puts the average Surgeon pay in Maryland at $317,130 a year (BLS, May 2025). On that pay in Maryland, after federal taxes, FICA, and Maryland state taxes, your estimated take-home pay is approximately $202,421 annually ($16,868/month).

What is the take-home pay for a Surgeon in Maryland?

On a $317,130 salary in Maryland, your take-home pay is approximately $202,421/year or $16,868/month. Federal tax: $74,130. State tax: $16,427. FICA: $17,092. MD county tax (2.25% assumed): $7,060.

Is $317,130 a good Surgeon salary?

$317,130 is the BLS average Surgeon pay in Maryland, 15% below the US average of $373,930 (BLS, May 2025). The middle 50% in Maryland earn between $134,850 and $458,540.

How do Maryland taxes affect Surgeon salaries?

Maryland levies state income tax on top of federal taxes. Your estimated state tax on $317,130 is $16,427. Your total effective tax rate is approximately 36.2%.

What are the career growth prospects for Surgeons?

In Maryland, the top 10% earn over $593,000 and the bottom 10% under $85,570 (BLS, May 2025). 3% growth projected 2022-2032 (slower than average) overall — but specific subspecialties (cardiothoracic, neurosurgery, plastic, transplant, pediatric subspecialty) face severe shortage with 8-15 year supply lag from training pipeline. Aging Boomer demographic = sustained surgical volume through 2035+. AI/robotics augment but do not replace operative judgment in the 10-year window. Related roles include: Anesthesiologist, Orthopedic Surgeon, Cardiothoracic Surgeon, Neurosurgeon, Plastic Surgeon, Vascular Surgeon, General Surgeon, Trauma Surgeon, Transplant Surgeon, Pediatric Surgical Subspecialist, Surgical Oncologist.

How can a Surgeon in Maryland reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Surgeon Salary in Maryland (2026)

Average Surgeon pay in Maryland

$317,130/year

≈ $152/hour before tax

Middle 50% earn $134,850–$458,540

US average: $373,930

Source: BLS, May 2025 · Surgeons, All Other

After tax (single filer)

$202,421/year

$16,868/month · effective tax rate 36.17%

Federal $74,130
State $16,427
MD county (2.25% min.) $7,060
FICA $17,092
Take-home

Pay by role in Maryland

Cardiothoracic Surgeon (CT)$585,000–$995,000+ TC
Neurosurgeon$575,000–$945,000+ TC
Orthopedic Surgeon (Sports / Joint Replacement)$495,000–$815,000
Trauma Surgeon (UMMS Shock Trauma)$535,000–$885,000
General / Colorectal Surgeon$395,000–$635,000
Transplant Surgeon (Liver / Kidney)$535,000–$945,000

See all 10 roles with notes

See the full tax breakdown

Category	Amount
Annual Take-Home Pay	$202,421
Monthly Take-Home Pay	$16,868
Biweekly Take-Home Pay	$7,785
Hourly Take-Home Pay based on 2,080 hrs/year	$97/hr
Federal Tax	$74,130
State Tax	$16,427
MD County Tax (2.25% min.)	$7,060
FICA Taxes	$17,092
Effective Tax Rate total taxes ÷ gross salary	36.17%

Estimates only — not tax advice. · Full disclaimer →

Not all Surgeons earn the same — not even close

Maryland's surgeon market is concentrated at Johns Hopkins University School of Medicine surgical departments (cardiothoracic, neurosurgery, orthopedic, transplant, urology, plastic, vascular, general surgery) and University of Maryland Medical System (UMMS) Shock Trauma Center — the only state-mandated primary adult resource center for trauma in the country. Walter Reed National Military Medical Center adds DoD surgical practice plus the USUHS academic affiliation. MedStar Health (regional system) plus Adventist HealthCare round out community surgical practice.

Cardiothoracic Surgeon (CT)

$585,000–$995,000+ TC

Hopkins CT surgery (heart-lung transplant program top-5 nationally) · UMMS · senior academic + private practice mix

Neurosurgeon

$575,000–$945,000+ TC

Hopkins Neurosurgery (highest-ranked program nationally) · UMMS · complex spine + tumor + cerebrovascular

Orthopedic Surgeon (Sports / Joint Replacement)

$495,000–$815,000

Hopkins Ortho · Anderson Orthopaedic Institute · MedStar Sports Med · private-practice senior partners

Trauma Surgeon (UMMS Shock Trauma)

$535,000–$885,000

UMMS Shock Trauma Center (only state-mandated primary adult trauma resource) · 24/7 high acuity · trauma premium

General / Colorectal Surgeon

$395,000–$635,000

Hopkins general surgery · UMMS robotic · senior community-hospital private practice

Transplant Surgeon (Liver / Kidney)

$535,000–$945,000

Hopkins Transplant Center (top-5 nationally for combined liver + kidney + heart) · academic leadership track

Urologic Surgeon

$425,000–$695,000

Hopkins Urology · UMMS Urology · robotic prostatectomy + oncology subspecialty premium

Plastic Surgeon (Reconstructive)

$435,000–$745,000

Hopkins Plastic + UMMS reconstructive (post-mastectomy, complex trauma) · private cosmetic supplement

Pediatric Surgeon

$465,000–$745,000

Hopkins Children's Center · Children's National DC adjacent · pediatric subspecialty academic premium

Senior Surgical Fellow (PGY-6 to PGY-8+)

$80,000–$98,000

Hopkins + UMMS + Walter Reed surgical fellowship programs · PGY scale plus call

Worth knowing: Johns Hopkins University School of Medicine surgical programs are consistently among the country's strongest academic surgical centers — Hopkins Neurosurgery, Hopkins Transplant, and Hopkins Orthopedic all rank top-10 nationally by US News + research funding metrics. Hopkins Hospital + Hopkins Bayview operate one of the busiest tertiary-care surgical centers in the country, including the world-class Hopkins Transplant Center (top-5 nationally for combined liver + kidney + heart). University of Maryland Medical System (UMMS) Shock Trauma Center (R Adams Cowley Shock Trauma, the country's first established trauma center, opened 1969) is the only state-mandated primary adult resource center for trauma in the US — handles ~7,500 trauma admissions/year with sustained high-acuity surgical demand. Senior trauma surgeons at Shock Trauma clear $535-885K TC. The MD combined effective rate for surgical subspecialty at $700K+ TC in Montgomery County (3.20% piggyback) is ~8.8% (the marginal rate is 6.25% + 3.20% = 9.45% over $500K, a bracket added by the 2025 BRFA); at $1M+ surgical subspecialty TC the combined marginal rate reaches 9.70% (effective ~9.0%) — among the highest US state-level burdens, driving meaningful FL relocation patterns at HNW surgical-career retirement stage. Estate tax $5M exemption (one of the lowest in the country) compounds the HNW relocation pressure.

Sources & Methodology

Salary figures are market estimates for Surgeons 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