Potomac R. at Bryan Pt.; Patuxent R. at Chalk Pt. 1 The highest point in Maryland is Hoye Crest at 3,360 feet above sea level on Backbone Mountain, Garrett County. 2 The absolute lowest point in Maryland is a natural depression in the bottom of Chesapeake Bay, often called Bloody Point Hole.

Within the state of Maryland, Backbone Mountain reaches an elevation of 3,360 feet or 1,024 metres, making it Maryland's highest point. Backbone Mountain stretches approximately 39 miles (63 km) southwest to northeast, from the Black Fork near Hambleton in Tucker County, West Virginia to the Savage River Reservoir in Garrett County, Maryland.

2 The absolute lowest point in Maryland is a natural depression in the bottom of Chesapeake Bay, often called Bloody Point Hole. It is 174 feet below sea level and is approximately 1 mile west-southwest off the southern tip of Kent Island, Queen Anne's County.

Trying to reach the highest natural point in each U.S. state brings one to mountains big and small, hills big and small and even a mound or two. Maryland’s Backbone Mountain falls into the “small mountain” category, offering up a nice, short hike and rewarding hikers with expansive views of Maryland to the east and West Virginia to the west.