Objective: To examine differences in location of service and management for patients receiving early pregnancy loss (EPL) care based on racial/ethnic identity Design: Retrospective cohort study Setting: A single university-affiliated urban tertiary care center in the United States Population: A cohort of 796 received care for EPL at a single university-affiliated urban tertiary care center from July 1, 2021, through June 30, 2023. Methods: Descriptive statistics for demographic factors were generated reporting frequencies and percentages, continuous variables were expressed as a mean with standard deviation, and chi-squared tests were performed. Descriptive statistics were used to describe the demographics of this patient population and frequency of location of service and management type. Multivariate logistic regression models assessed the relationship between location of services (ED and OB triage vs. other), management type (expectant vs. active management), and patient race and ethnicity. Statistics are reported as adjusted odds ratio (aOR) and 95% confidence interval (CI). Main Outcome Measures: location of service, management type Results: There were differences in care location and management based on race/ethnicity. Black/African/African American and Hispanic/Latinx patients were more likely to receive care in the emergency department or gynecology triage compared to their white counterparts. Black/African/African American patients were also more likely to receive expectant management and office procedural management compared to their white counterparts. Receiving treatment in the emergency department or gynecology triage was associated with expectant management. Conclusions: Racial disparities exist in both location of service and management type for EPL.