What are the costs for a medical cannabis card in Columbia in 2026?

For residents of Columbia, the cost of accessing medical cannabis is structured so that most expenses come from the medical evaluation, while state-related fees remain minimal.

Provider evaluation fees: To get certified, patients must see a provider registered with the Maryland Cannabis Administration.

• Typical range: $45 to $200+
• Costs depend on the provider, visit type, and whether it’s an initial consultation or renewal
• Telehealth options are commonly available and may affect pricing

 

State registration and ID costs: There is no standard state registration fee:

• Patient registration: Free
• Digital ID card: Free
• Physical ID card (optional): $25

 

Some individuals may qualify for a waiver of the physical card fee, such as those enrolled in Medicaid or certain VA programs.

Other expenses to consider: Follow-up evaluations to keep certification active

• Cannabis product purchases, which vary by dispensary and product type
• Potential discounts offered by some providers