Medicare & Medicaid in Florida (FL)
2026 healthcare costs, coverage, and spending data for Florida.
$13,824
Spending/Capita
3,298,847
Medicare Enrollees
4,481,797
Medicaid Enrollees
9.2%
Uninsured Rate
Medicare Premiums in Florida
Part B Premium
$185/mo
Part D Premium (Avg)
$34/mo
Medigap Premium (Avg)
$218/mo
Medicaid Expansion: No - Florida has not expanded Medicaid
Procedure Costs in Florida
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $181,500 | $145,200 | $36,300 |
| Kidney Transplant | $100,374 | $80,299 | $20,075 |
| Coronary Artery Bypass Graft (CABG) | $93,503 | $74,803 | $18,701 |
| Heart Valve Replacement | $68,104 | $54,484 | $13,621 |
| Defibrillator Implantation (ICD) | $55,166 | $44,133 | $11,033 |
| Spinal Fusion | $52,776 | $42,221 | $10,555 |
| Total Knee Replacement | $34,564 | $27,651 | $6,913 |
| Pacemaker Implantation | $33,087 | $26,470 | $6,617 |
| Cardiac Catheterization with Stent | $31,168 | $24,935 | $6,234 |
| Total Hip Replacement | $28,757 | $23,006 | $5,751 |
| Laminectomy | $28,343 | $22,674 | $5,669 |
| Sepsis Treatment | $27,831 | $22,265 | $5,566 |
| Carotid Endarterectomy | $24,243 | $19,395 | $4,849 |
| Mastectomy | $23,053 | $18,443 | $4,611 |
| Lumbar Disc Surgery | $22,778 | $18,223 | $4,556 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Lithotripsy (Kidney Stones) | $8,483 | $6,786 | $1,697 |
| Arthroscopic Knee Surgery | $7,393 | $5,914 | $1,479 |
| TURP (Prostate) | $6,873 | $5,499 | $1,375 |
| Endoscopic Sinus Surgery | $6,038 | $4,830 | $1,208 |
| Dialysis Access Surgery | $5,979 | $4,783 | $1,196 |
| Septoplasty | $5,399 | $4,319 | $1,080 |
| Bunionectomy | $5,237 | $4,189 | $1,047 |
| Hemorrhoid Surgery | $4,739 | $3,791 | $948 |
| Tonsillectomy | $4,569 | $3,655 | $914 |
| Adenoidectomy | $4,525 | $3,620 | $905 |
| Nasal Polyp Removal | $4,345 | $3,476 | $869 |
| Bronchoscopy | $4,194 | $3,355 | $839 |
| Pilonidal Cyst Surgery | $4,115 | $3,292 | $823 |
| Carpal Tunnel Release | $3,887 | $3,109 | $777 |
| Cataract Surgery (Outpatient) | $3,599 | $2,879 | $720 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,014 | $2,411 | $603 |
| Nuclear Stress Test | $2,339 | $1,871 | $468 |
| MRI Brain | $1,873 | $1,499 | $375 |
| CT Angiography | $1,834 | $1,467 | $367 |
| MRI Hip | $1,565 | $1,252 | $313 |
| MRI Knee | $1,415 | $1,132 | $283 |
| CT Scan Abdomen/Pelvis | $1,347 | $1,078 | $269 |
| MRI Spine (Cervical) | $1,299 | $1,039 | $260 |
| MRI Shoulder | $1,206 | $965 | $241 |
| Bone Scan | $1,121 | $897 | $224 |
| MRI Spine (Lumbar) | $1,086 | $869 | $217 |
| CT Scan Chest | $1,001 | $801 | $200 |
| CT Colonography (Virtual) | $815 | $652 | $163 |
| Fluoroscopy | $738 | $590 | $148 |
| CT Scan Head | $731 | $585 | $146 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $399 | $319 | $80 |
| Allergy Testing | $315 | $252 | $63 |
| Mammogram (Screening) | $248 | $248 | $0 |
| Shingles Vaccination | $242 | $242 | $0 |
| Wound Care Visit | $241 | $193 | $48 |
| Office Visit (New Patient) | $231 | $185 | $46 |
| Psychiatry Visit | $228 | $182 | $46 |
| Mental Health Counseling | $228 | $182 | $46 |
| Annual Wellness Visit | $189 | $189 | $0 |
| Bone Density Test (DEXA Scan) | $185 | $148 | $37 |
| Skin Cancer Screening | $183 | $147 | $37 |
| Speech Therapy Session | $172 | $137 | $34 |
| EKG (Electrocardiogram) | $172 | $137 | $34 |
| Occupational Therapy Session | $167 | $134 | $33 |
| Physical Therapy Session | $161 | $128 | $32 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $62 | $50 | $12 |
| BNP (Heart Failure Marker) | $49 | $40 | $10 |
| Comprehensive Metabolic Panel | $46 | $36 | $9 |
| Blood Type and Crossmatch | $44 | $35 | $9 |
| PSA (Prostate-Specific Antigen) | $44 | $35 | $9 |
| Iron Studies (Ferritin) | $43 | $34 | $9 |
| Glucose Tolerance Test | $42 | $34 | $8 |
| Troponin Level | $40 | $32 | $8 |
| Blood Culture | $38 | $31 | $8 |
| Pap Smear Lab Processing | $37 | $30 | $7 |
| Thyroid Panel (TSH) | $35 | $28 | $7 |
| B12 Level | $34 | $27 | $7 |
| Lipid Panel | $33 | $27 | $7 |
| Hemoglobin A1C | $31 | $25 | $6 |
| Urine Drug Screen | $30 | $24 | $6 |
Compare Florida With Other States
Frequently Asked Questions
How much does Medicare spend per person in Florida?
In 2026, the average Medicare spending per beneficiary in Florida is $13,824.
How many people are enrolled in Medicare in Florida?
Florida has approximately 3,298,847 Medicare beneficiaries.
Did Florida expand Medicaid?
No, Florida has not expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Florida?
The uninsured rate in Florida is 9.2%.
What is the average Medigap premium in Florida?
The average Medigap (Medicare Supplement) premium in Florida is $218 per month.