Medicare & Medicaid in Tennessee (TN)
2026 healthcare costs, coverage, and spending data for Tennessee.
$9,015
Spending/Capita
1,829,448
Medicare Enrollees
2,472,597
Medicaid Enrollees
3.2%
Uninsured Rate
Medicare Premiums in Tennessee
Part B Premium
$185/mo
Part D Premium (Avg)
$53/mo
Medigap Premium (Avg)
$238/mo
Medicaid Expansion: No - Tennessee has not expanded Medicaid
Procedure Costs in Tennessee
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $180,336 | $144,269 | $36,067 |
| Kidney Transplant | $100,118 | $80,094 | $20,024 |
| Heart Valve Replacement | $97,052 | $77,642 | $19,410 |
| Coronary Artery Bypass Graft (CABG) | $67,341 | $53,873 | $13,468 |
| Spinal Fusion | $62,210 | $49,768 | $12,442 |
| Defibrillator Implantation (ICD) | $48,824 | $39,059 | $9,765 |
| Total Hip Replacement | $36,962 | $29,570 | $7,392 |
| Pacemaker Implantation | $35,506 | $28,405 | $7,101 |
| Hip Fracture Repair | $30,792 | $24,634 | $6,158 |
| Cardiac Catheterization with Stent | $29,245 | $23,396 | $5,849 |
| Sepsis Treatment | $27,584 | $22,067 | $5,517 |
| Total Knee Replacement | $26,307 | $21,045 | $5,261 |
| Laminectomy | $24,858 | $19,886 | $4,972 |
| Carotid Endarterectomy | $23,129 | $18,503 | $4,626 |
| Lumbar Disc Surgery | $22,443 | $17,954 | $4,489 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Arthroscopic Knee Surgery | $7,524 | $6,019 | $1,505 |
| Dialysis Access Surgery | $6,752 | $5,402 | $1,350 |
| TURP (Prostate) | $6,553 | $5,242 | $1,311 |
| Endoscopic Sinus Surgery | $6,372 | $5,098 | $1,274 |
| Bunionectomy | $5,797 | $4,637 | $1,159 |
| Lithotripsy (Kidney Stones) | $5,651 | $4,521 | $1,130 |
| Hemorrhoid Surgery | $5,384 | $4,307 | $1,077 |
| Tonsillectomy | $5,262 | $4,210 | $1,052 |
| Nasal Polyp Removal | $4,440 | $3,552 | $888 |
| Septoplasty | $4,440 | $3,552 | $888 |
| Carpal Tunnel Release | $4,356 | $3,485 | $871 |
| Ganglion Cyst Removal | $3,921 | $3,137 | $784 |
| Pilonidal Cyst Surgery | $3,849 | $3,079 | $770 |
| Adenoidectomy | $3,590 | $2,872 | $718 |
| Trigger Finger Release | $3,472 | $2,778 | $694 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $4,335 | $3,468 | $867 |
| Nuclear Stress Test | $2,218 | $1,774 | $444 |
| MRI Spine (Cervical) | $1,604 | $1,283 | $321 |
| MRI Spine (Lumbar) | $1,446 | $1,157 | $289 |
| MRI Hip | $1,379 | $1,103 | $276 |
| CT Angiography | $1,303 | $1,043 | $261 |
| MRI Brain | $1,286 | $1,029 | $257 |
| MRI Shoulder | $1,116 | $893 | $223 |
| MRI Knee | $1,078 | $862 | $216 |
| CT Scan Chest | $961 | $769 | $192 |
| CT Scan Abdomen/Pelvis | $950 | $760 | $190 |
| Bone Scan | $945 | $756 | $189 |
| CT Colonography (Virtual) | $774 | $620 | $155 |
| Echocardiogram | $674 | $539 | $135 |
| CT Scan Head | $646 | $517 | $129 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $428 | $342 | $86 |
| Allergy Testing | $317 | $253 | $63 |
| Mammogram (Screening) | $312 | $312 | $0 |
| Psychiatry Visit | $267 | $213 | $53 |
| Annual Wellness Visit | $247 | $247 | $0 |
| Bone Density Test (DEXA Scan) | $218 | $174 | $44 |
| Mental Health Counseling | $212 | $169 | $42 |
| Office Visit (New Patient) | $183 | $147 | $37 |
| Occupational Therapy Session | $178 | $142 | $36 |
| Shingles Vaccination | $172 | $172 | $0 |
| Speech Therapy Session | $166 | $133 | $33 |
| Office Visit (Established Patient) | $166 | $133 | $33 |
| EKG (Electrocardiogram) | $165 | $132 | $33 |
| Wound Care Visit | $159 | $127 | $32 |
| Podiatry Visit | $143 | $114 | $29 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $61 | $49 | $12 |
| BNP (Heart Failure Marker) | $56 | $44 | $11 |
| Blood Culture | $53 | $43 | $11 |
| Glucose Tolerance Test | $49 | $39 | $10 |
| Blood Type and Crossmatch | $43 | $35 | $9 |
| Troponin Level | $43 | $34 | $9 |
| Lipid Panel | $40 | $32 | $8 |
| Iron Studies (Ferritin) | $40 | $32 | $8 |
| Comprehensive Metabolic Panel | $39 | $31 | $8 |
| PSA (Prostate-Specific Antigen) | $37 | $29 | $7 |
| Hemoglobin A1C | $36 | $29 | $7 |
| Thyroid Panel (TSH) | $31 | $25 | $6 |
| Urine Drug Screen | $31 | $25 | $6 |
| Kidney Function Panel (BUN/Creatinine) | $30 | $24 | $6 |
| Basic Metabolic Panel | $29 | $23 | $6 |
Compare Tennessee With Other States
Frequently Asked Questions
How much does Medicare spend per person in Tennessee?
In 2026, the average Medicare spending per beneficiary in Tennessee is $9,015.
How many people are enrolled in Medicare in Tennessee?
Tennessee has approximately 1,829,448 Medicare beneficiaries.
Did Tennessee expand Medicaid?
No, Tennessee has not expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Tennessee?
The uninsured rate in Tennessee is 3.2%.
What is the average Medigap premium in Tennessee?
The average Medigap (Medicare Supplement) premium in Tennessee is $238 per month.