Medicare & Medicaid in Oregon (OR)
2026 healthcare costs, coverage, and spending data for Oregon.
$10,251
Spending/Capita
3,185,896
Medicare Enrollees
4,281,195
Medicaid Enrollees
3.3%
Uninsured Rate
Medicare Premiums in Oregon
Part B Premium
$185/mo
Part D Premium (Avg)
$76/mo
Medigap Premium (Avg)
$151/mo
Medicaid Expansion: Yes - Oregon expanded Medicaid under the ACA
Procedure Costs in Oregon
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $191,340 | $153,072 | $38,268 |
| Kidney Transplant | $162,135 | $129,708 | $32,427 |
| Coronary Artery Bypass Graft (CABG) | $90,486 | $72,389 | $18,097 |
| Heart Valve Replacement | $68,956 | $55,165 | $13,791 |
| Spinal Fusion | $55,866 | $44,693 | $11,173 |
| Defibrillator Implantation (ICD) | $49,150 | $39,320 | $9,830 |
| Total Hip Replacement | $30,949 | $24,759 | $6,190 |
| Total Knee Replacement | $30,752 | $24,602 | $6,150 |
| Cardiac Catheterization with Stent | $30,425 | $24,340 | $6,085 |
| Sepsis Treatment | $30,031 | $24,025 | $6,006 |
| Hip Fracture Repair | $27,328 | $21,862 | $5,466 |
| Pacemaker Implantation | $26,885 | $21,508 | $5,377 |
| Colectomy | $26,124 | $20,899 | $5,225 |
| Carotid Endarterectomy | $24,627 | $19,701 | $4,925 |
| Laminectomy | $21,526 | $17,220 | $4,305 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Arthroscopic Knee Surgery | $9,139 | $7,311 | $1,828 |
| TURP (Prostate) | $8,114 | $6,491 | $1,623 |
| Dialysis Access Surgery | $7,492 | $5,993 | $1,498 |
| Lithotripsy (Kidney Stones) | $7,428 | $5,942 | $1,486 |
| Bunionectomy | $7,148 | $5,718 | $1,430 |
| Endoscopic Sinus Surgery | $6,791 | $5,433 | $1,358 |
| Tonsillectomy | $5,859 | $4,687 | $1,172 |
| Nasal Polyp Removal | $5,027 | $4,022 | $1,005 |
| Septoplasty | $4,937 | $3,950 | $987 |
| Bronchoscopy | $4,057 | $3,246 | $811 |
| Hemorrhoid Surgery | $4,025 | $3,220 | $805 |
| Cataract Surgery (Outpatient) | $3,976 | $3,181 | $795 |
| Trigger Finger Release | $3,596 | $2,877 | $719 |
| Adenoidectomy | $3,592 | $2,873 | $718 |
| Carpal Tunnel Release | $3,474 | $2,779 | $695 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $2,668 | $2,135 | $534 |
| MRI Brain | $1,690 | $1,352 | $338 |
| MRI Spine (Cervical) | $1,683 | $1,347 | $337 |
| Nuclear Stress Test | $1,654 | $1,323 | $331 |
| MRI Spine (Lumbar) | $1,615 | $1,292 | $323 |
| MRI Knee | $1,466 | $1,172 | $293 |
| MRI Hip | $1,226 | $981 | $245 |
| CT Angiography | $1,205 | $964 | $241 |
| CT Scan Abdomen/Pelvis | $1,198 | $958 | $240 |
| MRI Shoulder | $946 | $757 | $189 |
| Bone Scan | $931 | $745 | $186 |
| CT Scan Chest | $861 | $688 | $172 |
| CT Colonography (Virtual) | $766 | $613 | $153 |
| CT Scan Head | $633 | $506 | $127 |
| Echocardiogram | $629 | $504 | $126 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $427 | $342 | $85 |
| Psychiatry Visit | $257 | $206 | $51 |
| Allergy Testing | $235 | $188 | $47 |
| Bone Density Test (DEXA Scan) | $225 | $180 | $45 |
| Mammogram (Screening) | $223 | $223 | $0 |
| Annual Wellness Visit | $212 | $212 | $0 |
| Wound Care Visit | $198 | $159 | $40 |
| Shingles Vaccination | $187 | $187 | $0 |
| Mental Health Counseling | $173 | $138 | $35 |
| EKG (Electrocardiogram) | $171 | $137 | $34 |
| Office Visit (New Patient) | $168 | $134 | $34 |
| Skin Cancer Screening | $162 | $130 | $32 |
| Occupational Therapy Session | $140 | $112 | $28 |
| Vision Exam (Diabetic) | $135 | $108 | $27 |
| Office Visit (Established Patient) | $125 | $100 | $25 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Blood Type and Crossmatch | $60 | $48 | $12 |
| BNP (Heart Failure Marker) | $52 | $42 | $10 |
| Troponin Level | $42 | $33 | $8 |
| Vitamin D Level | $41 | $33 | $8 |
| Thyroid Panel (TSH) | $40 | $32 | $8 |
| Blood Culture | $39 | $32 | $8 |
| Lipid Panel | $38 | $31 | $8 |
| Iron Studies (Ferritin) | $38 | $30 | $8 |
| Glucose Tolerance Test | $35 | $28 | $7 |
| B12 Level | $34 | $27 | $7 |
| Comprehensive Metabolic Panel | $34 | $27 | $7 |
| PSA (Prostate-Specific Antigen) | $32 | $26 | $6 |
| Hemoglobin A1C | $30 | $24 | $6 |
| Stool Occult Blood Test | $29 | $29 | $0 |
| Complete Blood Count (CBC) | $28 | $23 | $6 |
Compare Oregon With Other States
Frequently Asked Questions
How much does Medicare spend per person in Oregon?
In 2026, the average Medicare spending per beneficiary in Oregon is $10,251.
How many people are enrolled in Medicare in Oregon?
Oregon has approximately 3,185,896 Medicare beneficiaries.
Did Oregon expand Medicaid?
Yes, Oregon expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Oregon?
The uninsured rate in Oregon is 3.3%.
What is the average Medigap premium in Oregon?
The average Medigap (Medicare Supplement) premium in Oregon is $151 per month.