Medicare & Medicaid in Minnesota (MN)
2026 healthcare costs, coverage, and spending data for Minnesota.
$13,866
Spending/Capita
1,960,168
Medicare Enrollees
2,646,891
Medicaid Enrollees
5.0%
Uninsured Rate
Medicare Premiums in Minnesota
Part B Premium
$185/mo
Part D Premium (Avg)
$41/mo
Medigap Premium (Avg)
$326/mo
Medicaid Expansion: Yes - Minnesota expanded Medicaid under the ACA
Procedure Costs in Minnesota
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $201,492 | $161,193 | $40,298 |
| Kidney Transplant | $158,101 | $126,481 | $31,620 |
| Coronary Artery Bypass Graft (CABG) | $90,898 | $72,718 | $18,180 |
| Heart Valve Replacement | $82,197 | $65,758 | $16,439 |
| Defibrillator Implantation (ICD) | $50,698 | $40,558 | $10,140 |
| Spinal Fusion | $48,232 | $38,586 | $9,646 |
| Total Knee Replacement | $39,792 | $31,833 | $7,958 |
| Total Hip Replacement | $34,035 | $27,228 | $6,807 |
| Pacemaker Implantation | $31,141 | $24,913 | $6,228 |
| Colectomy | $29,934 | $23,947 | $5,987 |
| Cardiac Catheterization with Stent | $27,826 | $22,261 | $5,565 |
| Sepsis Treatment | $23,660 | $18,928 | $4,732 |
| Laminectomy | $21,543 | $17,235 | $4,309 |
| Carotid Endarterectomy | $21,519 | $17,215 | $4,304 |
| Lumbar Disc Surgery | $19,868 | $15,894 | $3,974 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Lithotripsy (Kidney Stones) | $7,249 | $5,799 | $1,450 |
| Arthroscopic Knee Surgery | $7,231 | $5,785 | $1,446 |
| TURP (Prostate) | $6,965 | $5,572 | $1,393 |
| Tonsillectomy | $6,114 | $4,891 | $1,223 |
| Endoscopic Sinus Surgery | $6,011 | $4,809 | $1,202 |
| Bunionectomy | $5,621 | $4,497 | $1,124 |
| Septoplasty | $5,331 | $4,264 | $1,066 |
| Dialysis Access Surgery | $4,737 | $3,790 | $947 |
| Pilonidal Cyst Surgery | $4,616 | $3,693 | $923 |
| Bronchoscopy | $4,073 | $3,258 | $815 |
| Hemorrhoid Surgery | $3,852 | $3,082 | $770 |
| Ganglion Cyst Removal | $3,808 | $3,046 | $762 |
| Nasal Polyp Removal | $3,734 | $2,987 | $747 |
| Carpal Tunnel Release | $3,350 | $2,680 | $670 |
| Adenoidectomy | $3,143 | $2,514 | $629 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,856 | $3,085 | $771 |
| Nuclear Stress Test | $1,877 | $1,502 | $376 |
| MRI Brain | $1,620 | $1,296 | $324 |
| MRI Spine (Lumbar) | $1,370 | $1,096 | $274 |
| CT Angiography | $1,359 | $1,087 | $272 |
| MRI Shoulder | $1,314 | $1,051 | $263 |
| Bone Scan | $1,241 | $993 | $248 |
| CT Scan Abdomen/Pelvis | $1,225 | $980 | $245 |
| MRI Hip | $1,177 | $942 | $235 |
| MRI Spine (Cervical) | $1,163 | $930 | $233 |
| CT Scan Chest | $1,093 | $874 | $219 |
| CT Colonography (Virtual) | $993 | $795 | $199 |
| MRI Knee | $920 | $736 | $184 |
| Echocardiogram | $663 | $531 | $133 |
| CT Scan Head | $662 | $530 | $132 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $393 | $314 | $79 |
| Annual Wellness Visit | $289 | $289 | $0 |
| Mammogram (Screening) | $266 | $266 | $0 |
| Allergy Testing | $255 | $204 | $51 |
| Psychiatry Visit | $237 | $189 | $47 |
| Office Visit (New Patient) | $216 | $173 | $43 |
| Shingles Vaccination | $215 | $215 | $0 |
| Mental Health Counseling | $210 | $168 | $42 |
| Bone Density Test (DEXA Scan) | $188 | $150 | $38 |
| Physical Therapy Session | $184 | $147 | $37 |
| Occupational Therapy Session | $183 | $146 | $37 |
| Speech Therapy Session | $158 | $126 | $32 |
| Wound Care Visit | $151 | $121 | $30 |
| EKG (Electrocardiogram) | $141 | $113 | $28 |
| Office Visit (Established Patient) | $134 | $107 | $27 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Blood Type and Crossmatch | $48 | $38 | $10 |
| Troponin Level | $48 | $38 | $10 |
| Blood Culture | $45 | $36 | $9 |
| Glucose Tolerance Test | $42 | $34 | $8 |
| PSA (Prostate-Specific Antigen) | $40 | $32 | $8 |
| Vitamin D Level | $39 | $31 | $8 |
| BNP (Heart Failure Marker) | $39 | $31 | $8 |
| Urine Drug Screen | $36 | $29 | $7 |
| Thyroid Panel (TSH) | $35 | $28 | $7 |
| Complete Blood Count (CBC) | $35 | $28 | $7 |
| Iron Studies (Ferritin) | $35 | $28 | $7 |
| Pap Smear Lab Processing | $33 | $26 | $7 |
| Hemoglobin A1C | $32 | $26 | $6 |
| Comprehensive Metabolic Panel | $31 | $24 | $6 |
| Basic Metabolic Panel | $29 | $23 | $6 |
Compare Minnesota With Other States
Frequently Asked Questions
How much does Medicare spend per person in Minnesota?
In 2026, the average Medicare spending per beneficiary in Minnesota is $13,866.
How many people are enrolled in Medicare in Minnesota?
Minnesota has approximately 1,960,168 Medicare beneficiaries.
Did Minnesota expand Medicaid?
Yes, Minnesota expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Minnesota?
The uninsured rate in Minnesota is 5.0%.
What is the average Medigap premium in Minnesota?
The average Medigap (Medicare Supplement) premium in Minnesota is $326 per month.