Medicare & Medicaid in Utah (UT)
2026 healthcare costs, coverage, and spending data for Utah.
$8,350
Spending/Capita
2,686,040
Medicare Enrollees
3,614,721
Medicaid Enrollees
3.4%
Uninsured Rate
Medicare Premiums in Utah
Part B Premium
$185/mo
Part D Premium (Avg)
$33/mo
Medigap Premium (Avg)
$239/mo
Medicaid Expansion: Yes - Utah expanded Medicaid under the ACA
Procedure Costs in Utah
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $206,117 | $164,893 | $41,223 |
| Kidney Transplant | $129,096 | $103,277 | $25,819 |
| Heart Valve Replacement | $69,443 | $55,554 | $13,889 |
| Coronary Artery Bypass Graft (CABG) | $66,909 | $53,527 | $13,382 |
| Spinal Fusion | $61,054 | $48,843 | $12,211 |
| Defibrillator Implantation (ICD) | $43,482 | $34,786 | $8,696 |
| Total Knee Replacement | $31,056 | $24,845 | $6,211 |
| Pacemaker Implantation | $30,268 | $24,215 | $6,054 |
| Laminectomy | $30,238 | $24,191 | $6,048 |
| Total Hip Replacement | $30,149 | $24,119 | $6,030 |
| Colectomy | $26,869 | $21,495 | $5,374 |
| Hip Fracture Repair | $26,058 | $20,846 | $5,212 |
| Lumbar Disc Surgery | $23,292 | $18,633 | $4,658 |
| Stroke Treatment (Acute) | $23,141 | $18,512 | $4,628 |
| Mastectomy | $22,661 | $18,129 | $4,532 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Endoscopic Sinus Surgery | $8,727 | $6,982 | $1,745 |
| Arthroscopic Knee Surgery | $8,724 | $6,979 | $1,745 |
| TURP (Prostate) | $7,587 | $6,069 | $1,517 |
| Lithotripsy (Kidney Stones) | $7,273 | $5,819 | $1,455 |
| Dialysis Access Surgery | $7,237 | $5,789 | $1,447 |
| Bunionectomy | $7,035 | $5,628 | $1,407 |
| Tonsillectomy | $6,571 | $5,257 | $1,314 |
| Septoplasty | $6,136 | $4,909 | $1,227 |
| Adenoidectomy | $4,936 | $3,949 | $987 |
| Pilonidal Cyst Surgery | $4,733 | $3,787 | $947 |
| Nasal Polyp Removal | $4,362 | $3,490 | $872 |
| Carpal Tunnel Release | $4,002 | $3,202 | $800 |
| Hemorrhoid Surgery | $3,857 | $3,086 | $771 |
| Breast Biopsy | $3,362 | $2,690 | $672 |
| Bronchoscopy | $3,341 | $2,673 | $668 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $3,409 | $2,727 | $682 |
| Nuclear Stress Test | $2,044 | $1,635 | $409 |
| CT Angiography | $1,682 | $1,346 | $336 |
| MRI Hip | $1,407 | $1,126 | $281 |
| MRI Brain | $1,400 | $1,120 | $280 |
| MRI Spine (Cervical) | $1,316 | $1,053 | $263 |
| MRI Spine (Lumbar) | $1,070 | $856 | $214 |
| MRI Shoulder | $1,050 | $840 | $210 |
| MRI Knee | $987 | $790 | $197 |
| CT Scan Abdomen/Pelvis | $981 | $785 | $196 |
| Bone Scan | $968 | $775 | $194 |
| CT Scan Head | $940 | $752 | $188 |
| CT Colonography (Virtual) | $933 | $747 | $187 |
| CT Scan Chest | $787 | $630 | $157 |
| Fluoroscopy | $721 | $577 | $144 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $340 | $272 | $68 |
| Allergy Testing | $294 | $235 | $59 |
| Wound Care Visit | $244 | $195 | $49 |
| Annual Wellness Visit | $235 | $235 | $0 |
| Bone Density Test (DEXA Scan) | $210 | $168 | $42 |
| Office Visit (New Patient) | $208 | $167 | $42 |
| Mammogram (Screening) | $208 | $208 | $0 |
| Psychiatry Visit | $205 | $164 | $41 |
| Shingles Vaccination | $205 | $205 | $0 |
| Mental Health Counseling | $199 | $159 | $40 |
| Physical Therapy Session | $180 | $144 | $36 |
| Speech Therapy Session | $174 | $139 | $35 |
| EKG (Electrocardiogram) | $160 | $128 | $32 |
| Skin Cancer Screening | $140 | $112 | $28 |
| Occupational Therapy Session | $133 | $107 | $27 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $57 | $46 | $11 |
| BNP (Heart Failure Marker) | $46 | $36 | $9 |
| Blood Type and Crossmatch | $45 | $36 | $9 |
| Troponin Level | $45 | $36 | $9 |
| Blood Culture | $39 | $32 | $8 |
| Glucose Tolerance Test | $34 | $27 | $7 |
| Lipid Panel | $33 | $27 | $7 |
| Iron Studies (Ferritin) | $33 | $27 | $7 |
| Liver Function Panel | $32 | $26 | $6 |
| Hemoglobin A1C | $32 | $26 | $6 |
| Comprehensive Metabolic Panel | $32 | $26 | $6 |
| Thyroid Panel (TSH) | $32 | $26 | $6 |
| PSA (Prostate-Specific Antigen) | $32 | $25 | $6 |
| Complete Blood Count (CBC) | $32 | $25 | $6 |
| Urine Drug Screen | $29 | $23 | $6 |
Compare Utah With Other States
Frequently Asked Questions
How much does Medicare spend per person in Utah?
In 2026, the average Medicare spending per beneficiary in Utah is $8,350.
How many people are enrolled in Medicare in Utah?
Utah has approximately 2,686,040 Medicare beneficiaries.
Did Utah expand Medicaid?
Yes, Utah expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in Utah?
The uninsured rate in Utah is 3.4%.
What is the average Medigap premium in Utah?
The average Medigap (Medicare Supplement) premium in Utah is $239 per month.