Medicare & Medicaid in Colorado (CO)
2026 healthcare costs, coverage, and spending data for Colorado.
$13,692
Spending/Capita
2,535,420
Medicare Enrollees
3,413,894
Medicaid Enrollees
3.7%
Uninsured Rate
Medicare Premiums in Colorado
Part B Premium
$185/mo
Part D Premium (Avg)
$76/mo
Medigap Premium (Avg)
$290/mo
Medicaid Expansion: Yes - Colorado expanded Medicaid under the ACA
Procedure Costs in Colorado
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Kidney Transplant | $150,402 | $120,322 | $30,080 |
| Liver Transplant | $150,286 | $120,229 | $30,057 |
| Coronary Artery Bypass Graft (CABG) | $71,451 | $57,161 | $14,290 |
| Heart Valve Replacement | $61,643 | $49,315 | $12,329 |
| Spinal Fusion | $57,649 | $46,119 | $11,530 |
| Defibrillator Implantation (ICD) | $38,224 | $30,579 | $7,645 |
| Total Hip Replacement | $36,861 | $29,489 | $7,372 |
| Pacemaker Implantation | $34,241 | $27,393 | $6,848 |
| Total Knee Replacement | $29,267 | $23,413 | $5,853 |
| Laminectomy | $26,822 | $21,457 | $5,364 |
| Sepsis Treatment | $24,283 | $19,426 | $4,857 |
| Carotid Endarterectomy | $22,516 | $18,013 | $4,503 |
| Hip Fracture Repair | $21,933 | $17,546 | $4,387 |
| Lumbar Disc Surgery | $21,653 | $17,323 | $4,331 |
| Colectomy | $19,852 | $15,882 | $3,970 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| TURP (Prostate) | $9,264 | $7,411 | $1,853 |
| Lithotripsy (Kidney Stones) | $8,669 | $6,935 | $1,734 |
| Endoscopic Sinus Surgery | $7,135 | $5,708 | $1,427 |
| Dialysis Access Surgery | $7,071 | $5,657 | $1,414 |
| Bunionectomy | $6,100 | $4,880 | $1,220 |
| Arthroscopic Knee Surgery | $6,035 | $4,828 | $1,207 |
| Septoplasty | $5,535 | $4,428 | $1,107 |
| Tonsillectomy | $5,516 | $4,413 | $1,103 |
| Cataract Surgery (Outpatient) | $4,361 | $3,489 | $872 |
| Pilonidal Cyst Surgery | $4,343 | $3,474 | $869 |
| Nasal Polyp Removal | $4,215 | $3,372 | $843 |
| Hemorrhoid Surgery | $3,778 | $3,022 | $756 |
| Bronchoscopy | $3,653 | $2,922 | $731 |
| Carpal Tunnel Release | $3,526 | $2,821 | $705 |
| Ganglion Cyst Removal | $3,399 | $2,719 | $680 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $2,734 | $2,187 | $547 |
| Nuclear Stress Test | $2,404 | $1,923 | $481 |
| MRI Spine (Cervical) | $1,625 | $1,300 | $325 |
| MRI Brain | $1,598 | $1,278 | $320 |
| MRI Shoulder | $1,439 | $1,151 | $288 |
| MRI Spine (Lumbar) | $1,410 | $1,128 | $282 |
| CT Angiography | $1,308 | $1,047 | $262 |
| MRI Hip | $1,068 | $855 | $214 |
| MRI Knee | $1,006 | $805 | $201 |
| CT Scan Abdomen/Pelvis | $912 | $730 | $182 |
| CT Scan Head | $873 | $698 | $175 |
| CT Colonography (Virtual) | $819 | $655 | $164 |
| CT Scan Chest | $796 | $637 | $159 |
| Bone Scan | $782 | $626 | $156 |
| Echocardiogram | $611 | $488 | $122 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Mammogram (Screening) | $282 | $282 | $0 |
| Allergy Testing | $269 | $215 | $54 |
| Sleep Study Consultation | $268 | $214 | $54 |
| Office Visit (New Patient) | $239 | $191 | $48 |
| Bone Density Test (DEXA Scan) | $222 | $178 | $44 |
| Annual Wellness Visit | $221 | $221 | $0 |
| Wound Care Visit | $202 | $161 | $40 |
| Psychiatry Visit | $202 | $161 | $40 |
| Shingles Vaccination | $192 | $192 | $0 |
| Office Visit (Established Patient) | $185 | $148 | $37 |
| Physical Therapy Session | $157 | $125 | $31 |
| Occupational Therapy Session | $154 | $123 | $31 |
| Mental Health Counseling | $152 | $121 | $30 |
| Speech Therapy Session | $149 | $119 | $30 |
| Skin Cancer Screening | $146 | $117 | $29 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $57 | $45 | $11 |
| Blood Type and Crossmatch | $55 | $44 | $11 |
| Blood Culture | $54 | $43 | $11 |
| PSA (Prostate-Specific Antigen) | $48 | $38 | $10 |
| Thyroid Panel (TSH) | $47 | $38 | $9 |
| Troponin Level | $47 | $38 | $9 |
| Glucose Tolerance Test | $45 | $36 | $9 |
| Comprehensive Metabolic Panel | $42 | $34 | $8 |
| Liver Function Panel | $40 | $32 | $8 |
| BNP (Heart Failure Marker) | $40 | $32 | $8 |
| Pap Smear Lab Processing | $37 | $30 | $7 |
| Urine Drug Screen | $31 | $25 | $6 |
| B12 Level | $30 | $24 | $6 |
| Stool Occult Blood Test | $30 | $30 | $0 |
| Kidney Function Panel (BUN/Creatinine) | $29 | $23 | $6 |
Compare Colorado With Other States
Frequently Asked Questions
How much does Medicare spend per person in Colorado?
In 2026, the average Medicare spending per beneficiary in Colorado is $13,692.
How many people are enrolled in Medicare in Colorado?
Colorado has approximately 2,535,420 Medicare beneficiaries.
Did Colorado expand Medicaid?
Yes, Colorado expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Colorado?
The uninsured rate in Colorado is 3.7%.
What is the average Medigap premium in Colorado?
The average Medigap (Medicare Supplement) premium in Colorado is $290 per month.