Medicare & Medicaid in Idaho (ID)
2026 healthcare costs, coverage, and spending data for Idaho.
$8,090
Spending/Capita
2,309,963
Medicare Enrollees
3,113,284
Medicaid Enrollees
3.3%
Uninsured Rate
Medicare Premiums in Idaho
Part B Premium
$185/mo
Part D Premium (Avg)
$69/mo
Medigap Premium (Avg)
$231/mo
Medicaid Expansion: No - Idaho has not expanded Medicaid
Procedure Costs in Idaho
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $178,545 | $142,836 | $35,709 |
| Kidney Transplant | $120,938 | $96,750 | $24,188 |
| Coronary Artery Bypass Graft (CABG) | $91,566 | $73,252 | $18,313 |
| Heart Valve Replacement | $72,930 | $58,344 | $14,586 |
| Spinal Fusion | $50,557 | $40,446 | $10,111 |
| Defibrillator Implantation (ICD) | $42,073 | $33,659 | $8,415 |
| Total Hip Replacement | $38,593 | $30,875 | $7,719 |
| Laminectomy | $34,197 | $27,358 | $6,839 |
| Pacemaker Implantation | $31,514 | $25,211 | $6,303 |
| Total Knee Replacement | $30,617 | $24,494 | $6,123 |
| Colectomy | $27,910 | $22,328 | $5,582 |
| Cardiac Catheterization with Stent | $27,815 | $22,252 | $5,563 |
| Sepsis Treatment | $27,253 | $21,802 | $5,451 |
| Lumbar Disc Surgery | $24,383 | $19,506 | $4,877 |
| Carotid Endarterectomy | $23,425 | $18,740 | $4,685 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| TURP (Prostate) | $9,555 | $7,644 | $1,911 |
| Arthroscopic Knee Surgery | $7,865 | $6,292 | $1,573 |
| Endoscopic Sinus Surgery | $7,475 | $5,980 | $1,495 |
| Dialysis Access Surgery | $7,377 | $5,902 | $1,475 |
| Septoplasty | $6,767 | $5,414 | $1,353 |
| Lithotripsy (Kidney Stones) | $6,378 | $5,102 | $1,276 |
| Bunionectomy | $6,147 | $4,918 | $1,229 |
| Nasal Polyp Removal | $5,477 | $4,381 | $1,095 |
| Tonsillectomy | $5,318 | $4,254 | $1,064 |
| Adenoidectomy | $4,663 | $3,730 | $933 |
| Hemorrhoid Surgery | $4,592 | $3,674 | $918 |
| Carpal Tunnel Release | $4,078 | $3,263 | $816 |
| Bronchoscopy | $4,013 | $3,210 | $803 |
| Cataract Surgery (Outpatient) | $3,979 | $3,183 | $796 |
| Ganglion Cyst Removal | $3,929 | $3,143 | $786 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,192 | $2,554 | $638 |
| Nuclear Stress Test | $2,162 | $1,729 | $432 |
| CT Angiography | $1,587 | $1,269 | $317 |
| MRI Spine (Lumbar) | $1,509 | $1,207 | $302 |
| MRI Shoulder | $1,439 | $1,151 | $288 |
| MRI Brain | $1,333 | $1,066 | $267 |
| MRI Spine (Cervical) | $1,309 | $1,047 | $262 |
| MRI Knee | $1,290 | $1,032 | $258 |
| MRI Hip | $1,138 | $910 | $228 |
| CT Scan Chest | $1,092 | $873 | $218 |
| CT Scan Head | $929 | $743 | $186 |
| CT Scan Abdomen/Pelvis | $920 | $736 | $184 |
| Bone Scan | $889 | $711 | $178 |
| Echocardiogram | $662 | $530 | $132 |
| CT Colonography (Virtual) | $655 | $524 | $131 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Allergy Testing | $333 | $267 | $67 |
| Sleep Study Consultation | $314 | $251 | $63 |
| Annual Wellness Visit | $311 | $311 | $0 |
| Shingles Vaccination | $206 | $206 | $0 |
| Mammogram (Screening) | $204 | $204 | $0 |
| Wound Care Visit | $203 | $162 | $41 |
| Psychiatry Visit | $202 | $162 | $40 |
| Office Visit (New Patient) | $186 | $149 | $37 |
| Office Visit (Established Patient) | $183 | $146 | $37 |
| Mental Health Counseling | $176 | $141 | $35 |
| Bone Density Test (DEXA Scan) | $165 | $132 | $33 |
| Vision Exam (Diabetic) | $161 | $129 | $32 |
| Speech Therapy Session | $158 | $126 | $32 |
| Occupational Therapy Session | $153 | $122 | $31 |
| Podiatry Visit | $130 | $104 | $26 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| BNP (Heart Failure Marker) | $62 | $49 | $12 |
| Blood Type and Crossmatch | $60 | $48 | $12 |
| Blood Culture | $54 | $43 | $11 |
| Vitamin D Level | $51 | $41 | $10 |
| Iron Studies (Ferritin) | $43 | $35 | $9 |
| PSA (Prostate-Specific Antigen) | $39 | $32 | $8 |
| Comprehensive Metabolic Panel | $38 | $30 | $8 |
| Lipid Panel | $37 | $30 | $7 |
| Liver Function Panel | $37 | $30 | $7 |
| B12 Level | $35 | $28 | $7 |
| Urine Drug Screen | $33 | $27 | $7 |
| Thyroid Panel (TSH) | $32 | $26 | $6 |
| Hemoglobin A1C | $32 | $25 | $6 |
| Stool Occult Blood Test | $31 | $31 | $0 |
| Troponin Level | $31 | $25 | $6 |
Compare Idaho With Other States
Frequently Asked Questions
How much does Medicare spend per person in Idaho?
In 2026, the average Medicare spending per beneficiary in Idaho is $8,090.
How many people are enrolled in Medicare in Idaho?
Idaho has approximately 2,309,963 Medicare beneficiaries.
Did Idaho expand Medicaid?
No, Idaho has not expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Idaho?
The uninsured rate in Idaho is 3.3%.
What is the average Medigap premium in Idaho?
The average Medigap (Medicare Supplement) premium in Idaho is $231 per month.