An overview of the general cost of living index for West Ocean City, MD is displayed above for your reference. Residents in West Ocean City, MD enjoy a cost of living index of 123. This index is 7% higher than the Maryland average, and 23% higher than the national average. The following categories are used when determining the cost of living index for any given city: health care (5%), transportation (9%), utilities (10%), groceries (13%), housing (30%), and goods/services (33%). Clearly, housing and goods/services make up the majority of the formula for calculating the cost of living index. Because of this, the general cost of living for any given area can be estimated by looking at the cost of everyday goods in that area. For those living in West Ocean City, MD, the average cost of goods and services is 18% higher than it is in Maryland, and it is 7% higher than the national average.