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The Financial Cost of Smoking in Maryland (1=Highest, 25=Avg.): Overall rank for Maryland: 3 rd Out-of-Pocket Cost per Smoker $234,242 (Rank: 2 nd ) Financial-Opportunity Cost per Smoker $3,970,866 (Rank: 2 nd ) Health-Care Cost per Smoker $276,449 (Rank: 5 th ) Income Loss per Smoker $850,703 (Rank: 2 nd ) Total Cost Over Lifetime per Smoker: $5,348,819 Total Cost per Year per Smoker: $111,434 To view the full report and your state or the Districts rank, please visit: WalletHubs Methodology: Out-of-Pocket Costs: To determine per-person Out-of-Pocket Costs Over a Lifetime, we took the average cost of a pack of cigarettes in each state and multiplied that figure by the total number of days in 48 years