Medicare & Medicaid in Michigan (MI)
2026 healthcare costs, coverage, and spending data for Michigan.
$8,983
Spending/Capita
2,122,554
Medicare Enrollees
2,863,406
Medicaid Enrollees
5.9%
Uninsured Rate
Medicare Premiums in Michigan
Part B Premium
$185/mo
Part D Premium (Avg)
$25/mo
Medigap Premium (Avg)
$298/mo
Medicaid Expansion: Yes - Michigan expanded Medicaid under the ACA
Procedure Costs in Michigan
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Kidney Transplant | $162,041 | $129,633 | $32,408 |
| Liver Transplant | $134,299 | $107,439 | $26,860 |
| Coronary Artery Bypass Graft (CABG) | $82,516 | $66,013 | $16,503 |
| Heart Valve Replacement | $65,938 | $52,750 | $13,188 |
| Spinal Fusion | $42,324 | $33,860 | $8,465 |
| Total Knee Replacement | $37,716 | $30,173 | $7,543 |
| Pacemaker Implantation | $36,694 | $29,355 | $7,339 |
| Total Hip Replacement | $36,324 | $29,059 | $7,265 |
| Defibrillator Implantation (ICD) | $35,793 | $28,634 | $7,159 |
| Hip Fracture Repair | $29,408 | $23,526 | $5,882 |
| Cardiac Catheterization with Stent | $26,545 | $21,236 | $5,309 |
| Carotid Endarterectomy | $26,475 | $21,180 | $5,295 |
| Laminectomy | $24,181 | $19,345 | $4,836 |
| Colectomy | $23,265 | $18,612 | $4,653 |
| Stroke Treatment (Acute) | $22,384 | $17,907 | $4,477 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Arthroscopic Knee Surgery | $8,976 | $7,181 | $1,795 |
| Lithotripsy (Kidney Stones) | $8,506 | $6,804 | $1,701 |
| TURP (Prostate) | $8,039 | $6,431 | $1,608 |
| Endoscopic Sinus Surgery | $7,475 | $5,980 | $1,495 |
| Tonsillectomy | $6,867 | $5,494 | $1,373 |
| Septoplasty | $6,478 | $5,182 | $1,296 |
| Nasal Polyp Removal | $5,366 | $4,293 | $1,073 |
| Bunionectomy | $5,293 | $4,234 | $1,059 |
| Dialysis Access Surgery | $5,222 | $4,178 | $1,044 |
| Adenoidectomy | $4,829 | $3,864 | $966 |
| Pilonidal Cyst Surgery | $4,581 | $3,665 | $916 |
| Hemorrhoid Surgery | $4,580 | $3,664 | $916 |
| Carpal Tunnel Release | $4,184 | $3,348 | $837 |
| Bronchoscopy | $4,073 | $3,258 | $815 |
| Ganglion Cyst Removal | $3,943 | $3,154 | $789 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $2,754 | $2,204 | $551 |
| Nuclear Stress Test | $2,460 | $1,968 | $492 |
| MRI Spine (Lumbar) | $1,619 | $1,295 | $324 |
| MRI Spine (Cervical) | $1,251 | $1,001 | $250 |
| MRI Knee | $1,239 | $991 | $248 |
| MRI Hip | $1,201 | $960 | $240 |
| CT Angiography | $1,164 | $931 | $233 |
| MRI Brain | $1,158 | $926 | $232 |
| CT Scan Abdomen/Pelvis | $1,154 | $923 | $231 |
| MRI Shoulder | $926 | $741 | $185 |
| CT Scan Head | $914 | $731 | $183 |
| Bone Scan | $843 | $675 | $169 |
| CT Scan Chest | $771 | $616 | $154 |
| Echocardiogram | $746 | $596 | $149 |
| CT Colonography (Virtual) | $720 | $576 | $144 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $359 | $287 | $72 |
| Psychiatry Visit | $299 | $240 | $60 |
| Annual Wellness Visit | $269 | $269 | $0 |
| Allergy Testing | $265 | $212 | $53 |
| Mammogram (Screening) | $242 | $242 | $0 |
| Bone Density Test (DEXA Scan) | $231 | $185 | $46 |
| Shingles Vaccination | $214 | $214 | $0 |
| Office Visit (Established Patient) | $187 | $150 | $37 |
| Physical Therapy Session | $171 | $137 | $34 |
| Mental Health Counseling | $170 | $136 | $34 |
| Office Visit (New Patient) | $163 | $130 | $33 |
| Wound Care Visit | $156 | $125 | $31 |
| Speech Therapy Session | $156 | $125 | $31 |
| Skin Cancer Screening | $153 | $122 | $31 |
| EKG (Electrocardiogram) | $146 | $117 | $29 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $61 | $48 | $12 |
| Blood Culture | $51 | $41 | $10 |
| Blood Type and Crossmatch | $51 | $41 | $10 |
| BNP (Heart Failure Marker) | $50 | $40 | $10 |
| Glucose Tolerance Test | $49 | $40 | $10 |
| Troponin Level | $46 | $37 | $9 |
| Thyroid Panel (TSH) | $46 | $37 | $9 |
| Lipid Panel | $43 | $35 | $9 |
| Liver Function Panel | $42 | $34 | $8 |
| PSA (Prostate-Specific Antigen) | $34 | $28 | $7 |
| Complete Blood Count (CBC) | $32 | $26 | $6 |
| Comprehensive Metabolic Panel | $31 | $25 | $6 |
| B12 Level | $30 | $24 | $6 |
| Kidney Function Panel (BUN/Creatinine) | $30 | $24 | $6 |
| Stool Occult Blood Test | $28 | $28 | $0 |
Compare Michigan With Other States
Frequently Asked Questions
How much does Medicare spend per person in Michigan?
In 2026, the average Medicare spending per beneficiary in Michigan is $8,983.
How many people are enrolled in Medicare in Michigan?
Michigan has approximately 2,122,554 Medicare beneficiaries.
Did Michigan expand Medicaid?
Yes, Michigan expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Michigan?
The uninsured rate in Michigan is 5.9%.
What is the average Medigap premium in Michigan?
The average Medigap (Medicare Supplement) premium in Michigan is $298 per month.