Medicare & Medicaid in Oklahoma (OK)
2026 healthcare costs, coverage, and spending data for Oklahoma.
$8,711
Spending/Capita
1,221,274
Medicare Enrollees
1,661,698
Medicaid Enrollees
6.9%
Uninsured Rate
Medicare Premiums in Oklahoma
Part B Premium
$185/mo
Part D Premium (Avg)
$57/mo
Medigap Premium (Avg)
$198/mo
Medicaid Expansion: Yes - Oklahoma expanded Medicaid under the ACA
Procedure Costs in Oklahoma
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $212,737 | $170,190 | $42,547 |
| Kidney Transplant | $110,415 | $88,332 | $22,083 |
| Coronary Artery Bypass Graft (CABG) | $93,613 | $74,890 | $18,723 |
| Heart Valve Replacement | $70,455 | $56,364 | $14,091 |
| Spinal Fusion | $54,044 | $43,235 | $10,809 |
| Defibrillator Implantation (ICD) | $42,777 | $34,221 | $8,555 |
| Total Knee Replacement | $37,747 | $30,198 | $7,549 |
| Colectomy | $28,920 | $23,136 | $5,784 |
| Pacemaker Implantation | $27,472 | $21,978 | $5,494 |
| Total Hip Replacement | $27,334 | $21,867 | $5,467 |
| Laminectomy | $27,142 | $21,714 | $5,428 |
| Cardiac Catheterization with Stent | $27,051 | $21,640 | $5,410 |
| Sepsis Treatment | $23,690 | $18,952 | $4,738 |
| Stroke Treatment (Acute) | $22,645 | $18,116 | $4,529 |
| Lumbar Disc Surgery | $22,606 | $18,084 | $4,521 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| TURP (Prostate) | $9,357 | $7,485 | $1,871 |
| Arthroscopic Knee Surgery | $9,266 | $7,413 | $1,853 |
| Dialysis Access Surgery | $6,961 | $5,569 | $1,392 |
| Lithotripsy (Kidney Stones) | $6,533 | $5,227 | $1,307 |
| Endoscopic Sinus Surgery | $6,115 | $4,892 | $1,223 |
| Bunionectomy | $6,060 | $4,848 | $1,212 |
| Septoplasty | $5,817 | $4,653 | $1,163 |
| Tonsillectomy | $5,482 | $4,386 | $1,096 |
| Nasal Polyp Removal | $5,351 | $4,281 | $1,070 |
| Hemorrhoid Surgery | $5,034 | $4,027 | $1,007 |
| Carpal Tunnel Release | $4,748 | $3,798 | $950 |
| Cataract Surgery (Outpatient) | $4,027 | $3,222 | $805 |
| Adenoidectomy | $3,646 | $2,917 | $729 |
| Pilonidal Cyst Surgery | $3,436 | $2,749 | $687 |
| Breast Biopsy | $3,284 | $2,627 | $657 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,750 | $3,000 | $750 |
| MRI Brain | $1,813 | $1,450 | $363 |
| CT Angiography | $1,768 | $1,414 | $354 |
| MRI Spine (Lumbar) | $1,705 | $1,364 | $341 |
| Nuclear Stress Test | $1,539 | $1,231 | $308 |
| MRI Spine (Cervical) | $1,451 | $1,161 | $290 |
| MRI Shoulder | $1,417 | $1,134 | $283 |
| CT Scan Abdomen/Pelvis | $1,351 | $1,081 | $270 |
| MRI Hip | $1,175 | $940 | $235 |
| Bone Scan | $1,092 | $874 | $218 |
| MRI Knee | $992 | $794 | $198 |
| CT Colonography (Virtual) | $863 | $691 | $173 |
| CT Scan Head | $781 | $625 | $156 |
| CT Scan Chest | $769 | $615 | $154 |
| Fluoroscopy | $682 | $546 | $136 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Allergy Testing | $352 | $282 | $70 |
| Sleep Study Consultation | $318 | $254 | $64 |
| Psychiatry Visit | $310 | $248 | $62 |
| Mammogram (Screening) | $299 | $299 | $0 |
| Bone Density Test (DEXA Scan) | $228 | $183 | $46 |
| Office Visit (New Patient) | $220 | $176 | $44 |
| Annual Wellness Visit | $213 | $213 | $0 |
| Mental Health Counseling | $202 | $162 | $40 |
| Shingles Vaccination | $191 | $191 | $0 |
| Wound Care Visit | $191 | $153 | $38 |
| Vision Exam (Diabetic) | $176 | $141 | $35 |
| Skin Cancer Screening | $176 | $141 | $35 |
| Physical Therapy Session | $176 | $141 | $35 |
| Office Visit (Established Patient) | $154 | $123 | $31 |
| EKG (Electrocardiogram) | $146 | $117 | $29 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $59 | $47 | $12 |
| BNP (Heart Failure Marker) | $48 | $38 | $10 |
| Troponin Level | $47 | $38 | $9 |
| Blood Type and Crossmatch | $45 | $36 | $9 |
| PSA (Prostate-Specific Antigen) | $45 | $36 | $9 |
| Glucose Tolerance Test | $43 | $34 | $9 |
| Blood Culture | $42 | $33 | $8 |
| Iron Studies (Ferritin) | $40 | $32 | $8 |
| Comprehensive Metabolic Panel | $40 | $32 | $8 |
| Thyroid Panel (TSH) | $36 | $29 | $7 |
| Lipid Panel | $32 | $26 | $6 |
| Liver Function Panel | $31 | $24 | $6 |
| Pap Smear Lab Processing | $30 | $24 | $6 |
| Complete Blood Count (CBC) | $29 | $24 | $6 |
| Hemoglobin A1C | $29 | $23 | $6 |
Compare Oklahoma With Other States
Frequently Asked Questions
How much does Medicare spend per person in Oklahoma?
In 2026, the average Medicare spending per beneficiary in Oklahoma is $8,711.
How many people are enrolled in Medicare in Oklahoma?
Oklahoma has approximately 1,221,274 Medicare beneficiaries.
Did Oklahoma expand Medicaid?
Yes, Oklahoma expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Oklahoma?
The uninsured rate in Oklahoma is 6.9%.
What is the average Medigap premium in Oklahoma?
The average Medigap (Medicare Supplement) premium in Oklahoma is $198 per month.