Anesthesiologist Salary in Maryland 2026,
$418,010 Median | BLS Data by City

The published Maryland figure is $418,010 a year, or $200.97 an hour, per BLS OEWS May 2025 — 6.8% above the national median of $391,490. The band runs $170,770 at the 10th percentile to $506,640 at the 90th, with $312,720 at the 25th and $450,090 at the 75th. The comparatively high 25th percentile reflects a specialty in which almost all practitioners work clinically and full-time.

Baltimore-Columbia-Towson publishes $418,010, which is identical to the statewide figure, and no estimate was released for Hagerstown-Martinsburg — so the metro table adds nothing to the state row for this occupation. Maryland's Washington-area counties are reported within the Washington-Arlington-Alexandria metropolitan area and do not appear here either.

It is a rate-setting arrangement unique in the United States, operating under a federal agreement, in which Maryland's Health Services Cost Review Commission sets what hospitals may charge and all payers — Medicare, Medicaid and commercial insurers alike — pay the same regulated rates. For hospital-based specialties this matters because the hospital's revenue per case is regulated rather than negotiated, which shapes how anaesthesia services are contracted, staffed and subsidised. It is the single most distinctive feature of practising hospital medicine in this state.

No. The Maryland Board of Physicians issues a single physician licence covering both MDs and DOs, with no anaesthesiology endorsement. Specialty standing comes from an anaesthesiology residency and American Board of Anesthesiology certification, neither of which the state administers, and hospital privileging is the operative gate for practice. The board also licenses several allied health professions, which is a slightly unusual concentration of functions in one body.

BLS published wage estimates for this cell but not an employment count, which generally indicates the employment estimate did not meet publication standards. The practical consequences are stated plainly on this page: no claim is made about the size of Maryland's anaesthesiology workforce, and the annual openings figure quoted is the national total rather than a pro-rated Maryland share, because pro-rating requires an employment base that this release does not provide.

Indirectly but substantially. Under Maryland's system a hospital's revenue per case is regulated rather than negotiated with insurers, which removes the commercial payer mix as a variable — a case is worth the same regardless of who is paying for it. For anaesthesia that changes the calculus around service line profitability, the negotiation between anaesthesia groups and hospitals over subsidies and coverage, and the incentives around where procedures are performed. It does not directly set physician pay, but it sets the constraints within which hospital anaesthesia arrangements are made.

Two things. There is no employment base published, so the reliability of the estimate cannot be assessed the way it can where a workforce count exists, and the metro row simply duplicates the state row. And this is a wage-and-salary measure applied to a specialty in which group partnership, call stipends and productivity components are meaningful parts of income and are captured unevenly. The $506,640 ninetieth percentile marks where the published data ends rather than where Maryland anaesthesia income ends.

Subspecialty first — cardiac, paediatric and pain medicine command distinct rates, and the fellowship investment is what the $450,090 seventy-fifth percentile largely represents. Then practice structure: hospital employment, independent group practice and academic appointment carry different income and call profiles, and the group model interacts directly with Maryland's regulated hospital economics. Then call burden, which is heavy in this specialty and separately compensated in most arrangements. And then case mix and site, since ambulatory surgery centre work and complex hospital anaesthesia are different propositions.