Medicare & Medicaid in Alabama (AL)
2026 healthcare costs, coverage, and spending data for Alabama.
$10,171
Spending/Capita
1,606,677
Medicare Enrollees
2,175,570
Medicaid Enrollees
10.2%
Uninsured Rate
Medicare Premiums in Alabama
Part B Premium
$185/mo
Part D Premium (Avg)
$43/mo
Medigap Premium (Avg)
$292/mo
Medicaid Expansion: No - Alabama has not expanded Medicaid
Procedure Costs in Alabama
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $151,109 | $120,887 | $30,222 |
| Kidney Transplant | $98,233 | $78,586 | $19,647 |
| Coronary Artery Bypass Graft (CABG) | $77,610 | $62,088 | $15,522 |
| Heart Valve Replacement | $77,247 | $61,798 | $15,449 |
| Spinal Fusion | $59,446 | $47,557 | $11,889 |
| Defibrillator Implantation (ICD) | $51,458 | $41,166 | $10,292 |
| Total Hip Replacement | $39,775 | $31,820 | $7,955 |
| Total Knee Replacement | $38,331 | $30,665 | $7,666 |
| Hip Fracture Repair | $30,669 | $24,535 | $6,134 |
| Laminectomy | $27,812 | $22,249 | $5,562 |
| Cardiac Catheterization with Stent | $27,399 | $21,919 | $5,480 |
| Lumbar Disc Surgery | $25,749 | $20,600 | $5,150 |
| Pacemaker Implantation | $24,546 | $19,637 | $4,909 |
| Sepsis Treatment | $23,986 | $19,189 | $4,797 |
| Colectomy | $22,143 | $17,715 | $4,429 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Arthroscopic Knee Surgery | $8,864 | $7,091 | $1,773 |
| TURP (Prostate) | $7,594 | $6,075 | $1,519 |
| Dialysis Access Surgery | $7,250 | $5,800 | $1,450 |
| Endoscopic Sinus Surgery | $6,291 | $5,033 | $1,258 |
| Bunionectomy | $6,092 | $4,874 | $1,218 |
| Lithotripsy (Kidney Stones) | $6,075 | $4,860 | $1,215 |
| Hemorrhoid Surgery | $5,989 | $4,791 | $1,198 |
| Tonsillectomy | $5,158 | $4,126 | $1,032 |
| Septoplasty | $4,977 | $3,982 | $995 |
| Adenoidectomy | $4,803 | $3,842 | $961 |
| Carpal Tunnel Release | $4,319 | $3,455 | $864 |
| Pilonidal Cyst Surgery | $3,833 | $3,067 | $767 |
| Nasal Polyp Removal | $3,795 | $3,036 | $759 |
| Cataract Surgery (Outpatient) | $3,631 | $2,905 | $726 |
| Varicose Vein Treatment | $3,587 | $2,870 | $718 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $4,013 | $3,210 | $803 |
| Nuclear Stress Test | $1,956 | $1,564 | $391 |
| MRI Brain | $1,727 | $1,382 | $345 |
| MRI Spine (Cervical) | $1,653 | $1,322 | $331 |
| CT Angiography | $1,607 | $1,285 | $321 |
| MRI Spine (Lumbar) | $1,411 | $1,129 | $282 |
| MRI Shoulder | $1,234 | $987 | $247 |
| MRI Hip | $1,160 | $928 | $232 |
| Bone Scan | $1,047 | $837 | $209 |
| MRI Knee | $1,016 | $813 | $203 |
| CT Scan Head | $999 | $799 | $200 |
| CT Scan Abdomen/Pelvis | $986 | $789 | $197 |
| CT Scan Chest | $808 | $646 | $162 |
| CT Colonography (Virtual) | $765 | $612 | $153 |
| Echocardiogram | $588 | $470 | $118 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $267 | $214 | $53 |
| Annual Wellness Visit | $261 | $261 | $0 |
| Allergy Testing | $252 | $201 | $50 |
| Wound Care Visit | $248 | $199 | $50 |
| Bone Density Test (DEXA Scan) | $246 | $197 | $49 |
| Psychiatry Visit | $231 | $185 | $46 |
| Mammogram (Screening) | $222 | $222 | $0 |
| Mental Health Counseling | $220 | $176 | $44 |
| Office Visit (New Patient) | $186 | $149 | $37 |
| Speech Therapy Session | $183 | $146 | $37 |
| Physical Therapy Session | $182 | $146 | $36 |
| EKG (Electrocardiogram) | $176 | $141 | $35 |
| Shingles Vaccination | $173 | $173 | $0 |
| Office Visit (Established Patient) | $171 | $137 | $34 |
| Vision Exam (Diabetic) | $162 | $129 | $32 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Blood Type and Crossmatch | $56 | $45 | $11 |
| Vitamin D Level | $47 | $38 | $9 |
| Blood Culture | $44 | $35 | $9 |
| BNP (Heart Failure Marker) | $43 | $35 | $9 |
| Comprehensive Metabolic Panel | $41 | $33 | $8 |
| Troponin Level | $40 | $32 | $8 |
| Complete Blood Count (CBC) | $37 | $29 | $7 |
| Iron Studies (Ferritin) | $35 | $28 | $7 |
| PSA (Prostate-Specific Antigen) | $34 | $27 | $7 |
| Hemoglobin A1C | $34 | $27 | $7 |
| Thyroid Panel (TSH) | $33 | $26 | $7 |
| Glucose Tolerance Test | $32 | $25 | $6 |
| Liver Function Panel | $31 | $25 | $6 |
| Urine Drug Screen | $30 | $24 | $6 |
| Lipid Panel | $30 | $24 | $6 |
Compare Alabama With Other States
Frequently Asked Questions
How much does Medicare spend per person in Alabama?
In 2026, the average Medicare spending per beneficiary in Alabama is $10,171.
How many people are enrolled in Medicare in Alabama?
Alabama has approximately 1,606,677 Medicare beneficiaries.
Did Alabama expand Medicaid?
No, Alabama has not expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Alabama?
The uninsured rate in Alabama is 10.2%.
What is the average Medigap premium in Alabama?
The average Medigap (Medicare Supplement) premium in Alabama is $292 per month.