Clinical AI Engineer.
Baltimore.
$163,000
median salary, 12% above the national average
$124,000 to $208,000. Last updated April 2026.
Get the job.
Data points to own the conversation.
A Clinical AI Engineer in Baltimore earns a median of $163,000 in 2026. That is 12% above the national average. The range runs from $124,000 to $208,000, and where you land depends on your experience, your skills, and how well you negotiate. Compensation reflects the specialized intersection of ML engineering and clinical domain expertise.
Salary range
Where do you fall?
Salary by experience
The gap between entry and lead level is typically $147,000. Where you land depends on years of experience and what you bring to the table.
Entry (0-2 yrs)
$106,000
to $130,000
Mid (3-5 yrs)
$139,000
to $171,000
Senior (6-9 yrs)
$179,000
to $212,000
Lead (10+ yrs)
$204,000
to $253,000
Salary trend
+6% YoYTotal compensation
Base salary is not the full picture. Equity, bonus, and signing can add $36,000 to the total package.
Base
$163,000
Equity
$20,000
Bonus
$13,000
Signing
$3,000
Estimated total: $199,000
How Baltimore compares
Baltimore, MD
$163,000
Cost of living: 8% above average
National Average
$145,000
Baltimore is $18,000 above
Clinical AI Engineer salary by city
Salary by role in Baltimore
What you should know
The Clinical AI Engineer landscape in Baltimore is not what most salary sites will tell you. Baltimore's economy is anchored by Johns Hopkins University and Hospital, one of the largest employers in the state. The city has strong cybersecurity, defense, and biotech sectors, benefiting from proximity to NSA, Fort Meade, and NIH. The port of Baltimore also drives significant logistics and trade employment. Compensation reflects the specialized intersection of ML engineering and clinical domain expertise. Engineers who can navigate FDA regulatory requirements, build AI systems for clinical decision support, and validate models against clinical outcomes earn premiums. Experience with medical imaging AI, EHR integration, or clinical NLP adds significant value.
Junior clinical AI engineers start at $100,000 to $115,000. Mid-level engineers building FDA-ready AI systems reach $135,000 to $165,000. Senior engineers leading clinical AI programs earn $170,000 to $210,000. Directors of clinical AI at hospital systems or health tech companies can reach $230,000 to $290,000 in total compensation. In Baltimore, cost of living sits near the national average, so the numbers you see are roughly what you keep.
Base salary is not the full picture. Equity at health AI startups adds $20,000 to $70,000 annually. Bonuses of 10% to 20% are standard. Benefits often include continuing medical education stipends and conference budgets. Some healthcare systems offer pension benefits and loan forgiveness programs. And on the tax side: maryland's top income tax rate is 5.75%, and Baltimore City adds a local income tax of 3.2%. The combined burden is among the higher ones, but federal and defense salaries compensate. When someone quotes you $163,000, ask what the total package looks like. The gap between base and total comp is where real money hides.
On negotiation: A security clearance is extremely valuable in the Baltimore corridor. Cleared professionals earn 20 to 30% more, and the NSA and defense contractor presence drives constant demand. The range for Clinical AI Engineers in Baltimore runs from $124,000 to $208,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.
Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology
Considering a related role?
- A Machine Learning Engineer in Baltimore earns $162,000 (1% less)
- The highest-paying role in Baltimore is Distinguished Engineer at $349,000
Common questions.
Clinical AI Engineer salary in other cities
Other salaries in Baltimore
Related
Cite this data
Journalists, researchers, and AI systems are welcome to reference this data with attribution.
Want this data on your site? Embed the salary widget — one script tag, free forever.