Medicare & Medicaid in Louisiana (LA)
2026 healthcare costs, coverage, and spending data for Louisiana.
$10,379
Spending/Capita
1,929,396
Medicare Enrollees
2,605,861
Medicaid Enrollees
4.2%
Uninsured Rate
Medicare Premiums in Louisiana
Part B Premium
$185/mo
Part D Premium (Avg)
$71/mo
Medigap Premium (Avg)
$306/mo
Medicaid Expansion: Yes - Louisiana expanded Medicaid under the ACA
Procedure Costs in Louisiana
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $206,192 | $164,954 | $41,238 |
| Kidney Transplant | $117,089 | $93,671 | $23,418 |
| Heart Valve Replacement | $97,697 | $78,157 | $19,539 |
| Coronary Artery Bypass Graft (CABG) | $87,552 | $70,041 | $17,510 |
| Spinal Fusion | $46,737 | $37,389 | $9,347 |
| Defibrillator Implantation (ICD) | $43,544 | $34,835 | $8,709 |
| Hip Fracture Repair | $28,604 | $22,883 | $5,721 |
| Total Knee Replacement | $27,972 | $22,377 | $5,594 |
| Total Hip Replacement | $26,199 | $20,959 | $5,240 |
| Pacemaker Implantation | $25,576 | $20,461 | $5,115 |
| Laminectomy | $24,024 | $19,219 | $4,805 |
| Sepsis Treatment | $23,107 | $18,485 | $4,621 |
| Colectomy | $21,955 | $17,564 | $4,391 |
| Heart Failure Treatment (Inpatient) | $21,077 | $16,861 | $4,215 |
| Cardiac Catheterization with Stent | $20,570 | $16,456 | $4,114 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| TURP (Prostate) | $9,261 | $7,409 | $1,852 |
| Arthroscopic Knee Surgery | $8,973 | $7,178 | $1,795 |
| Lithotripsy (Kidney Stones) | $7,595 | $6,076 | $1,519 |
| Bunionectomy | $7,094 | $5,675 | $1,419 |
| Endoscopic Sinus Surgery | $6,562 | $5,250 | $1,312 |
| Dialysis Access Surgery | $6,458 | $5,166 | $1,292 |
| Septoplasty | $5,938 | $4,750 | $1,188 |
| Nasal Polyp Removal | $5,515 | $4,412 | $1,103 |
| Hemorrhoid Surgery | $5,072 | $4,058 | $1,014 |
| Carpal Tunnel Release | $4,824 | $3,859 | $965 |
| Pilonidal Cyst Surgery | $4,517 | $3,614 | $903 |
| Tonsillectomy | $4,337 | $3,469 | $867 |
| Cataract Surgery (Outpatient) | $4,237 | $3,389 | $847 |
| Bronchoscopy | $4,162 | $3,330 | $832 |
| Ganglion Cyst Removal | $3,925 | $3,140 | $785 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,506 | $2,805 | $701 |
| Nuclear Stress Test | $2,284 | $1,827 | $457 |
| MRI Spine (Cervical) | $1,654 | $1,323 | $331 |
| CT Angiography | $1,418 | $1,134 | $284 |
| MRI Spine (Lumbar) | $1,223 | $978 | $245 |
| MRI Hip | $1,212 | $969 | $242 |
| MRI Brain | $1,162 | $929 | $232 |
| MRI Shoulder | $1,141 | $913 | $228 |
| MRI Knee | $998 | $799 | $200 |
| Bone Scan | $984 | $787 | $197 |
| CT Scan Abdomen/Pelvis | $922 | $738 | $184 |
| CT Scan Chest | $730 | $584 | $146 |
| CT Colonography (Virtual) | $709 | $567 | $142 |
| CT Scan Head | $688 | $551 | $138 |
| Echocardiogram | $580 | $464 | $116 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $385 | $308 | $77 |
| Allergy Testing | $319 | $255 | $64 |
| Annual Wellness Visit | $275 | $275 | $0 |
| Mammogram (Screening) | $270 | $270 | $0 |
| Bone Density Test (DEXA Scan) | $240 | $192 | $48 |
| Shingles Vaccination | $234 | $234 | $0 |
| Psychiatry Visit | $229 | $183 | $46 |
| Wound Care Visit | $215 | $172 | $43 |
| Office Visit (New Patient) | $199 | $159 | $40 |
| Mental Health Counseling | $187 | $150 | $37 |
| Speech Therapy Session | $185 | $148 | $37 |
| Vision Exam (Diabetic) | $181 | $145 | $36 |
| Physical Therapy Session | $172 | $137 | $34 |
| Occupational Therapy Session | $169 | $135 | $34 |
| EKG (Electrocardiogram) | $161 | $129 | $32 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Blood Type and Crossmatch | $60 | $48 | $12 |
| Blood Culture | $56 | $45 | $11 |
| BNP (Heart Failure Marker) | $49 | $39 | $10 |
| Glucose Tolerance Test | $47 | $38 | $9 |
| Troponin Level | $45 | $36 | $9 |
| Vitamin D Level | $44 | $35 | $9 |
| Lipid Panel | $39 | $32 | $8 |
| Iron Studies (Ferritin) | $39 | $31 | $8 |
| Liver Function Panel | $38 | $30 | $8 |
| Comprehensive Metabolic Panel | $36 | $29 | $7 |
| PSA (Prostate-Specific Antigen) | $34 | $27 | $7 |
| Pap Smear Lab Processing | $33 | $27 | $7 |
| Thyroid Panel (TSH) | $33 | $26 | $7 |
| Urine Drug Screen | $31 | $25 | $6 |
| B12 Level | $30 | $24 | $6 |
Compare Louisiana With Other States
Frequently Asked Questions
How much does Medicare spend per person in Louisiana?
In 2026, the average Medicare spending per beneficiary in Louisiana is $10,379.
How many people are enrolled in Medicare in Louisiana?
Louisiana has approximately 1,929,396 Medicare beneficiaries.
Did Louisiana expand Medicaid?
Yes, Louisiana expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Louisiana?
The uninsured rate in Louisiana is 4.2%.
What is the average Medigap premium in Louisiana?
The average Medigap (Medicare Supplement) premium in Louisiana is $306 per month.