Medicare & Medicaid in Georgia (GA)
2026 healthcare costs, coverage, and spending data for Georgia.
$10,076
Spending/Capita
1,167,532
Medicare Enrollees
1,590,043
Medicaid Enrollees
13.0%
Uninsured Rate
Medicare Premiums in Georgia
Part B Premium
$241/mo
Part D Premium (Avg)
$64/mo
Medigap Premium (Avg)
$164/mo
Medicaid Expansion: No - Georgia has not expanded Medicaid
Procedure Costs in Georgia
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $150,125 | $120,100 | $30,025 |
| Kidney Transplant | $145,826 | $116,661 | $29,165 |
| Heart Valve Replacement | $88,592 | $70,874 | $17,718 |
| Coronary Artery Bypass Graft (CABG) | $73,954 | $59,163 | $14,791 |
| Defibrillator Implantation (ICD) | $46,741 | $37,393 | $9,348 |
| Spinal Fusion | $40,394 | $32,315 | $8,079 |
| Total Hip Replacement | $38,390 | $30,712 | $7,678 |
| Laminectomy | $31,255 | $25,004 | $6,251 |
| Sepsis Treatment | $31,158 | $24,927 | $6,232 |
| Total Knee Replacement | $31,002 | $24,802 | $6,200 |
| Colectomy | $30,751 | $24,601 | $6,150 |
| Cardiac Catheterization with Stent | $28,692 | $22,954 | $5,738 |
| Pacemaker Implantation | $26,951 | $21,561 | $5,390 |
| Carotid Endarterectomy | $23,968 | $19,174 | $4,794 |
| Hip Fracture Repair | $23,184 | $18,547 | $4,637 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Arthroscopic Knee Surgery | $9,080 | $7,264 | $1,816 |
| TURP (Prostate) | $7,311 | $5,849 | $1,462 |
| Lithotripsy (Kidney Stones) | $6,841 | $5,473 | $1,368 |
| Dialysis Access Surgery | $6,374 | $5,099 | $1,275 |
| Endoscopic Sinus Surgery | $6,276 | $5,021 | $1,255 |
| Bunionectomy | $5,972 | $4,778 | $1,194 |
| Tonsillectomy | $5,881 | $4,705 | $1,176 |
| Septoplasty | $5,026 | $4,021 | $1,005 |
| Hemorrhoid Surgery | $5,018 | $4,014 | $1,004 |
| Adenoidectomy | $4,127 | $3,302 | $826 |
| Pilonidal Cyst Surgery | $3,888 | $3,110 | $778 |
| Carpal Tunnel Release | $3,880 | $3,104 | $776 |
| Cataract Surgery (Outpatient) | $3,666 | $2,933 | $733 |
| Nasal Polyp Removal | $3,473 | $2,779 | $695 |
| Trigger Finger Release | $3,049 | $2,439 | $610 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $2,965 | $2,372 | $593 |
| Nuclear Stress Test | $1,978 | $1,583 | $396 |
| CT Angiography | $1,869 | $1,495 | $374 |
| MRI Spine (Lumbar) | $1,584 | $1,267 | $317 |
| MRI Hip | $1,516 | $1,213 | $303 |
| CT Scan Abdomen/Pelvis | $1,474 | $1,179 | $295 |
| MRI Brain | $1,335 | $1,068 | $267 |
| MRI Spine (Cervical) | $1,140 | $912 | $228 |
| CT Scan Chest | $1,092 | $874 | $218 |
| MRI Knee | $1,087 | $870 | $217 |
| MRI Shoulder | $1,046 | $837 | $209 |
| CT Scan Head | $895 | $716 | $179 |
| CT Colonography (Virtual) | $823 | $658 | $165 |
| Bone Scan | $792 | $634 | $159 |
| Fluoroscopy | $748 | $598 | $150 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $427 | $341 | $85 |
| Allergy Testing | $285 | $228 | $57 |
| Wound Care Visit | $248 | $198 | $50 |
| Mental Health Counseling | $242 | $193 | $48 |
| Annual Wellness Visit | $230 | $230 | $0 |
| Psychiatry Visit | $227 | $182 | $45 |
| Office Visit (New Patient) | $203 | $162 | $41 |
| Mammogram (Screening) | $188 | $188 | $0 |
| Bone Density Test (DEXA Scan) | $183 | $146 | $37 |
| Speech Therapy Session | $180 | $144 | $36 |
| Physical Therapy Session | $175 | $140 | $35 |
| Vision Exam (Diabetic) | $173 | $139 | $35 |
| Shingles Vaccination | $161 | $161 | $0 |
| Skin Cancer Screening | $154 | $123 | $31 |
| Office Visit (Established Patient) | $131 | $104 | $26 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| BNP (Heart Failure Marker) | $57 | $45 | $11 |
| PSA (Prostate-Specific Antigen) | $49 | $39 | $10 |
| Troponin Level | $43 | $35 | $9 |
| Vitamin D Level | $42 | $34 | $8 |
| Lipid Panel | $41 | $33 | $8 |
| Blood Type and Crossmatch | $41 | $33 | $8 |
| Thyroid Panel (TSH) | $41 | $33 | $8 |
| Comprehensive Metabolic Panel | $40 | $32 | $8 |
| Liver Function Panel | $38 | $31 | $8 |
| Blood Culture | $38 | $30 | $8 |
| Glucose Tolerance Test | $37 | $29 | $7 |
| B12 Level | $34 | $28 | $7 |
| Urine Drug Screen | $31 | $25 | $6 |
| Kidney Function Panel (BUN/Creatinine) | $29 | $24 | $6 |
| Pap Smear Lab Processing | $29 | $23 | $6 |
Compare Georgia With Other States
Frequently Asked Questions
How much does Medicare spend per person in Georgia?
In 2026, the average Medicare spending per beneficiary in Georgia is $10,076.
How many people are enrolled in Medicare in Georgia?
Georgia has approximately 1,167,532 Medicare beneficiaries.
Did Georgia expand Medicaid?
No, Georgia has not expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Georgia?
The uninsured rate in Georgia is 13.0%.
What is the average Medigap premium in Georgia?
The average Medigap (Medicare Supplement) premium in Georgia is $164 per month.