Medicare & Medicaid in Iowa (IA)
2026 healthcare costs, coverage, and spending data for Iowa.
$13,800
Spending/Capita
1,156,223
Medicare Enrollees
1,574,965
Medicaid Enrollees
3.4%
Uninsured Rate
Medicare Premiums in Iowa
Part B Premium
$185/mo
Part D Premium (Avg)
$61/mo
Medigap Premium (Avg)
$318/mo
Medicaid Expansion: Yes - Iowa expanded Medicaid under the ACA
Procedure Costs in Iowa
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $191,947 | $153,558 | $38,389 |
| Kidney Transplant | $133,788 | $107,031 | $26,758 |
| Coronary Artery Bypass Graft (CABG) | $89,507 | $71,606 | $17,901 |
| Heart Valve Replacement | $76,405 | $61,124 | $15,281 |
| Spinal Fusion | $52,101 | $41,681 | $10,420 |
| Defibrillator Implantation (ICD) | $43,539 | $34,831 | $8,708 |
| Total Knee Replacement | $37,683 | $30,146 | $7,537 |
| Pacemaker Implantation | $36,332 | $29,066 | $7,266 |
| Cardiac Catheterization with Stent | $30,490 | $24,392 | $6,098 |
| Laminectomy | $29,817 | $23,854 | $5,963 |
| Colectomy | $29,554 | $23,643 | $5,911 |
| Total Hip Replacement | $26,732 | $21,386 | $5,346 |
| Carotid Endarterectomy | $23,893 | $19,115 | $4,779 |
| Sepsis Treatment | $23,745 | $18,996 | $4,749 |
| Mastectomy | $22,762 | $18,210 | $4,552 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Endoscopic Sinus Surgery | $7,611 | $6,089 | $1,522 |
| TURP (Prostate) | $7,281 | $5,825 | $1,456 |
| Arthroscopic Knee Surgery | $6,223 | $4,978 | $1,245 |
| Lithotripsy (Kidney Stones) | $5,699 | $4,559 | $1,140 |
| Septoplasty | $5,261 | $4,209 | $1,052 |
| Dialysis Access Surgery | $4,881 | $3,904 | $976 |
| Bunionectomy | $4,583 | $3,666 | $917 |
| Tonsillectomy | $4,562 | $3,650 | $912 |
| Adenoidectomy | $4,194 | $3,355 | $839 |
| Pilonidal Cyst Surgery | $4,103 | $3,282 | $821 |
| Hemorrhoid Surgery | $3,954 | $3,164 | $791 |
| Nasal Polyp Removal | $3,930 | $3,144 | $786 |
| Bronchoscopy | $3,615 | $2,892 | $723 |
| Varicose Vein Treatment | $3,515 | $2,812 | $703 |
| Ganglion Cyst Removal | $3,483 | $2,786 | $697 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,913 | $3,130 | $783 |
| Nuclear Stress Test | $2,033 | $1,626 | $407 |
| MRI Spine (Cervical) | $1,728 | $1,382 | $346 |
| MRI Brain | $1,538 | $1,230 | $308 |
| MRI Spine (Lumbar) | $1,473 | $1,179 | $295 |
| MRI Shoulder | $1,389 | $1,111 | $278 |
| MRI Hip | $1,267 | $1,013 | $253 |
| CT Angiography | $1,129 | $903 | $226 |
| CT Scan Abdomen/Pelvis | $1,034 | $827 | $207 |
| MRI Knee | $1,017 | $814 | $203 |
| Bone Scan | $970 | $776 | $194 |
| CT Scan Head | $813 | $650 | $163 |
| CT Colonography (Virtual) | $801 | $640 | $160 |
| CT Scan Chest | $762 | $609 | $152 |
| Arterial Doppler | $621 | $497 | $124 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $283 | $227 | $57 |
| Mammogram (Screening) | $283 | $283 | $0 |
| Psychiatry Visit | $282 | $225 | $56 |
| Shingles Vaccination | $236 | $236 | $0 |
| Annual Wellness Visit | $233 | $233 | $0 |
| Allergy Testing | $231 | $185 | $46 |
| Wound Care Visit | $227 | $182 | $45 |
| Mental Health Counseling | $221 | $177 | $44 |
| Office Visit (Established Patient) | $165 | $132 | $33 |
| Occupational Therapy Session | $162 | $130 | $32 |
| Bone Density Test (DEXA Scan) | $161 | $129 | $32 |
| Office Visit (New Patient) | $154 | $123 | $31 |
| EKG (Electrocardiogram) | $152 | $121 | $30 |
| Physical Therapy Session | $151 | $121 | $30 |
| Skin Cancer Screening | $146 | $117 | $29 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Blood Type and Crossmatch | $51 | $41 | $10 |
| Vitamin D Level | $48 | $38 | $10 |
| Blood Culture | $47 | $38 | $9 |
| BNP (Heart Failure Marker) | $47 | $37 | $9 |
| Troponin Level | $46 | $37 | $9 |
| Thyroid Panel (TSH) | $45 | $36 | $9 |
| Glucose Tolerance Test | $45 | $36 | $9 |
| Comprehensive Metabolic Panel | $44 | $36 | $9 |
| Lipid Panel | $42 | $34 | $8 |
| Iron Studies (Ferritin) | $42 | $34 | $8 |
| B12 Level | $37 | $30 | $7 |
| Liver Function Panel | $37 | $30 | $7 |
| Urine Drug Screen | $36 | $29 | $7 |
| PSA (Prostate-Specific Antigen) | $34 | $27 | $7 |
| Pap Smear Lab Processing | $32 | $26 | $6 |
Compare Iowa With Other States
Frequently Asked Questions
How much does Medicare spend per person in Iowa?
In 2026, the average Medicare spending per beneficiary in Iowa is $13,800.
How many people are enrolled in Medicare in Iowa?
Iowa has approximately 1,156,223 Medicare beneficiaries.
Did Iowa expand Medicaid?
Yes, Iowa expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Iowa?
The uninsured rate in Iowa is 3.4%.
What is the average Medigap premium in Iowa?
The average Medigap (Medicare Supplement) premium in Iowa is $318 per month.