Medicare & Medicaid in Nevada (NV)
2026 healthcare costs, coverage, and spending data for Nevada.
$11,696
Spending/Capita
2,143,893
Medicare Enrollees
2,891,857
Medicaid Enrollees
5.8%
Uninsured Rate
Medicare Premiums in Nevada
Part B Premium
$185/mo
Part D Premium (Avg)
$61/mo
Medigap Premium (Avg)
$278/mo
Medicaid Expansion: Yes - Nevada expanded Medicaid under the ACA
Procedure Costs in Nevada
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $174,141 | $139,313 | $34,828 |
| Kidney Transplant | $118,284 | $94,627 | $23,657 |
| Heart Valve Replacement | $90,203 | $72,163 | $18,041 |
| Coronary Artery Bypass Graft (CABG) | $84,245 | $67,396 | $16,849 |
| Spinal Fusion | $54,252 | $43,402 | $10,850 |
| Defibrillator Implantation (ICD) | $50,699 | $40,559 | $10,140 |
| Total Knee Replacement | $39,909 | $31,927 | $7,982 |
| Total Hip Replacement | $29,702 | $23,762 | $5,940 |
| Cardiac Catheterization with Stent | $29,084 | $23,267 | $5,817 |
| Laminectomy | $27,927 | $22,341 | $5,585 |
| Pacemaker Implantation | $27,906 | $22,325 | $5,581 |
| Colectomy | $27,338 | $21,871 | $5,468 |
| Carotid Endarterectomy | $26,781 | $21,425 | $5,356 |
| Lumbar Disc Surgery | $24,861 | $19,889 | $4,972 |
| Sepsis Treatment | $24,384 | $19,507 | $4,877 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| TURP (Prostate) | $7,797 | $6,238 | $1,559 |
| Arthroscopic Knee Surgery | $7,347 | $5,878 | $1,469 |
| Endoscopic Sinus Surgery | $7,152 | $5,721 | $1,430 |
| Lithotripsy (Kidney Stones) | $7,036 | $5,629 | $1,407 |
| Bunionectomy | $6,252 | $5,002 | $1,250 |
| Hemorrhoid Surgery | $5,284 | $4,227 | $1,057 |
| Septoplasty | $5,175 | $4,140 | $1,035 |
| Dialysis Access Surgery | $4,606 | $3,684 | $921 |
| Carpal Tunnel Release | $4,433 | $3,546 | $887 |
| Adenoidectomy | $4,429 | $3,543 | $886 |
| Tonsillectomy | $4,238 | $3,390 | $848 |
| Pilonidal Cyst Surgery | $3,685 | $2,948 | $737 |
| Bronchoscopy | $3,643 | $2,915 | $729 |
| Cataract Surgery (Outpatient) | $3,589 | $2,872 | $718 |
| Ganglion Cyst Removal | $3,557 | $2,845 | $711 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $4,247 | $3,398 | $849 |
| Nuclear Stress Test | $1,901 | $1,521 | $380 |
| MRI Brain | $1,531 | $1,225 | $306 |
| MRI Hip | $1,518 | $1,214 | $304 |
| MRI Spine (Cervical) | $1,479 | $1,183 | $296 |
| MRI Spine (Lumbar) | $1,378 | $1,102 | $276 |
| MRI Knee | $1,326 | $1,060 | $265 |
| CT Scan Abdomen/Pelvis | $1,280 | $1,024 | $256 |
| CT Angiography | $1,263 | $1,011 | $253 |
| Bone Scan | $1,159 | $927 | $232 |
| MRI Shoulder | $1,126 | $901 | $225 |
| CT Scan Chest | $1,000 | $800 | $200 |
| CT Colonography (Virtual) | $871 | $697 | $174 |
| CT Scan Head | $782 | $625 | $156 |
| Fluoroscopy | $724 | $579 | $145 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $415 | $332 | $83 |
| Allergy Testing | $337 | $270 | $67 |
| Mammogram (Screening) | $300 | $300 | $0 |
| Bone Density Test (DEXA Scan) | $235 | $188 | $47 |
| Office Visit (New Patient) | $222 | $177 | $44 |
| Shingles Vaccination | $200 | $200 | $0 |
| Annual Wellness Visit | $194 | $194 | $0 |
| Wound Care Visit | $191 | $153 | $38 |
| Psychiatry Visit | $189 | $151 | $38 |
| Mental Health Counseling | $177 | $142 | $35 |
| Physical Therapy Session | $175 | $140 | $35 |
| Skin Cancer Screening | $171 | $137 | $34 |
| Speech Therapy Session | $161 | $128 | $32 |
| Occupational Therapy Session | $145 | $116 | $29 |
| EKG (Electrocardiogram) | $140 | $112 | $28 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| BNP (Heart Failure Marker) | $62 | $49 | $12 |
| Vitamin D Level | $48 | $39 | $10 |
| Blood Type and Crossmatch | $46 | $37 | $9 |
| Blood Culture | $45 | $36 | $9 |
| Comprehensive Metabolic Panel | $45 | $36 | $9 |
| Lipid Panel | $43 | $34 | $9 |
| Glucose Tolerance Test | $39 | $32 | $8 |
| Thyroid Panel (TSH) | $39 | $31 | $8 |
| PSA (Prostate-Specific Antigen) | $35 | $28 | $7 |
| Complete Blood Count (CBC) | $34 | $28 | $7 |
| Troponin Level | $34 | $27 | $7 |
| Urine Drug Screen | $33 | $26 | $7 |
| B12 Level | $32 | $26 | $6 |
| Basic Metabolic Panel | $30 | $24 | $6 |
| Iron Studies (Ferritin) | $30 | $24 | $6 |
Compare Nevada With Other States
Frequently Asked Questions
How much does Medicare spend per person in Nevada?
In 2026, the average Medicare spending per beneficiary in Nevada is $11,696.
How many people are enrolled in Medicare in Nevada?
Nevada has approximately 2,143,893 Medicare beneficiaries.
Did Nevada expand Medicaid?
Yes, Nevada expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Nevada?
The uninsured rate in Nevada is 5.8%.
What is the average Medigap premium in Nevada?
The average Medigap (Medicare Supplement) premium in Nevada is $278 per month.