Medicare & Medicaid in Nebraska (NE)
2026 healthcare costs, coverage, and spending data for Nebraska.
$9,735
Spending/Capita
2,835,489
Medicare Enrollees
3,813,986
Medicaid Enrollees
6.1%
Uninsured Rate
Medicare Premiums in Nebraska
Part B Premium
$185/mo
Part D Premium (Avg)
$39/mo
Medigap Premium (Avg)
$327/mo
Medicaid Expansion: Yes - Nebraska expanded Medicaid under the ACA
Procedure Costs in Nebraska
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $192,034 | $153,627 | $38,407 |
| Kidney Transplant | $122,733 | $98,186 | $24,547 |
| Coronary Artery Bypass Graft (CABG) | $91,664 | $73,331 | $18,333 |
| Heart Valve Replacement | $72,542 | $58,034 | $14,508 |
| Spinal Fusion | $58,920 | $47,136 | $11,784 |
| Defibrillator Implantation (ICD) | $45,903 | $36,722 | $9,181 |
| Pacemaker Implantation | $36,274 | $29,019 | $7,255 |
| Total Knee Replacement | $32,143 | $25,714 | $6,429 |
| Hip Fracture Repair | $28,208 | $22,566 | $5,642 |
| Laminectomy | $27,023 | $21,619 | $5,405 |
| Colectomy | $26,956 | $21,565 | $5,391 |
| Total Hip Replacement | $26,281 | $21,025 | $5,256 |
| Cardiac Catheterization with Stent | $26,115 | $20,892 | $5,223 |
| Sepsis Treatment | $25,899 | $20,719 | $5,180 |
| Heart Failure Treatment (Inpatient) | $19,029 | $15,223 | $3,806 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| TURP (Prostate) | $9,020 | $7,216 | $1,804 |
| Lithotripsy (Kidney Stones) | $8,667 | $6,933 | $1,733 |
| Arthroscopic Knee Surgery | $8,503 | $6,803 | $1,701 |
| Endoscopic Sinus Surgery | $7,787 | $6,229 | $1,557 |
| Dialysis Access Surgery | $7,271 | $5,817 | $1,454 |
| Hemorrhoid Surgery | $6,224 | $4,979 | $1,245 |
| Tonsillectomy | $6,050 | $4,840 | $1,210 |
| Septoplasty | $5,284 | $4,227 | $1,057 |
| Bunionectomy | $4,679 | $3,744 | $936 |
| Nasal Polyp Removal | $3,985 | $3,188 | $797 |
| Carpal Tunnel Release | $3,846 | $3,077 | $769 |
| Ganglion Cyst Removal | $3,558 | $2,847 | $712 |
| Bronchoscopy | $3,433 | $2,746 | $687 |
| Adenoidectomy | $3,388 | $2,710 | $678 |
| Pilonidal Cyst Surgery | $3,242 | $2,593 | $648 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $2,921 | $2,337 | $584 |
| Nuclear Stress Test | $2,462 | $1,969 | $492 |
| MRI Spine (Cervical) | $1,748 | $1,399 | $350 |
| CT Angiography | $1,709 | $1,367 | $342 |
| MRI Shoulder | $1,358 | $1,086 | $272 |
| MRI Brain | $1,343 | $1,074 | $269 |
| CT Scan Abdomen/Pelvis | $1,163 | $930 | $233 |
| MRI Spine (Lumbar) | $1,128 | $902 | $226 |
| MRI Hip | $1,009 | $807 | $202 |
| MRI Knee | $964 | $771 | $193 |
| CT Scan Chest | $876 | $701 | $175 |
| Bone Scan | $752 | $602 | $150 |
| CT Colonography (Virtual) | $707 | $566 | $141 |
| Echocardiogram | $679 | $543 | $136 |
| CT Scan Head | $601 | $480 | $120 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $380 | $304 | $76 |
| Annual Wellness Visit | $288 | $288 | $0 |
| Shingles Vaccination | $249 | $249 | $0 |
| Mental Health Counseling | $237 | $189 | $47 |
| Allergy Testing | $225 | $180 | $45 |
| Office Visit (New Patient) | $222 | $177 | $44 |
| Psychiatry Visit | $219 | $176 | $44 |
| Wound Care Visit | $202 | $162 | $40 |
| Mammogram (Screening) | $199 | $199 | $0 |
| Bone Density Test (DEXA Scan) | $182 | $146 | $36 |
| Occupational Therapy Session | $168 | $135 | $34 |
| EKG (Electrocardiogram) | $166 | $133 | $33 |
| Skin Cancer Screening | $151 | $121 | $30 |
| Podiatry Visit | $143 | $114 | $29 |
| Office Visit (Established Patient) | $139 | $112 | $28 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Blood Type and Crossmatch | $57 | $46 | $11 |
| Troponin Level | $49 | $39 | $10 |
| PSA (Prostate-Specific Antigen) | $48 | $38 | $10 |
| Vitamin D Level | $47 | $37 | $9 |
| Blood Culture | $46 | $37 | $9 |
| Glucose Tolerance Test | $46 | $37 | $9 |
| Thyroid Panel (TSH) | $44 | $35 | $9 |
| BNP (Heart Failure Marker) | $42 | $33 | $8 |
| Pap Smear Lab Processing | $37 | $30 | $7 |
| Liver Function Panel | $35 | $28 | $7 |
| B12 Level | $32 | $26 | $6 |
| Lipid Panel | $31 | $25 | $6 |
| Comprehensive Metabolic Panel | $31 | $25 | $6 |
| Urine Drug Screen | $30 | $24 | $6 |
| Iron Studies (Ferritin) | $29 | $23 | $6 |
Compare Nebraska With Other States
Frequently Asked Questions
How much does Medicare spend per person in Nebraska?
In 2026, the average Medicare spending per beneficiary in Nebraska is $9,735.
How many people are enrolled in Medicare in Nebraska?
Nebraska has approximately 2,835,489 Medicare beneficiaries.
Did Nebraska expand Medicaid?
Yes, Nebraska expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Nebraska?
The uninsured rate in Nebraska is 6.1%.
What is the average Medigap premium in Nebraska?
The average Medigap (Medicare Supplement) premium in Nebraska is $327 per month.