Medicare Cost Calculator

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Original Medicare is two doors. Part A, hospital insurance, is free for most people - you earned it with 40 quarters of Medicare-covered work - while Part B, medical insurance, costs a monthly premium that everyone pays. On top of the premiums sit deductibles and coinsurance that only appear when you actually use care, and that is the part people tend not to see coming.

Part A is free for people who worked at least 40 quarters of Medicare-covered work. If not, you buy it at the tier your work history dictates.

Each stay starts a new benefit period and a new $1,736 Part A deductible.

Days 1-60 are covered by the deductible; days 61-90 cost $434 each, and days 91-150 draw lifetime reserve days at $868 each.

A skilled nursing stay pays its own coinsurance from day 21 on: $217 a day through day 100.

$

The Medicare-approved amount you expect from Part B care this year, before cost sharing.

Results update as you type. Nothing leaves your device.

Currency symbol

Symbol only - nothing is converted and no exchange rate is used. Figures quoted in the explanation text stay as the sources publish them.

Your Medicare costs this year

$4,797.20

$2,435 of premiums plus $2,362 out of pocket across the parts below.

Part B premium a month
$203
Part A hospital deductible
$1,736
Premiums this year
$2,435

Where the year goes

CostThis year
Part A monthly premium$0.00
Part B monthly premium$202.90
Part A hospital deductibles$1,736.00
Part A coinsurance, days 61-150$0.00
Skilled nursing coinsurance$0.00
Part B deductible (once a year)$283.00
Part B coinsurance - 20%$343.40
Your share of costs$2,362.40

The Part B coinsurance is 20% of your Medicare-approved services beyond the $283 deductible. Part D stays off this page: its premium varies by plan, and the only pinned Part D number on the CMS page is the $2,100 out-of-pocket cap for 2026.

You pay no Part A premium. The buy-in tiers are not charged to you: Part A is free for people with at least 40 quarters of Medicare-covered work.
Not modelled: income-related Part B premiums (IRMAA), the Part D premium and cap, Medigap or Medicare Advantage, and splitting the part-day coinsurance across separate stays. This is arithmetic on the 2026 CMS figures (sources/medicare-costs-2026.html), not a benefits claim.

This page prices the year on the 2026 figures the CMS publishes: the Part B premium, the Part A hospital deductible and the coinsurance that starts after day 60, skilled nursing coinsurance, and the Part A buy-in tiers if your work history does not earn you free Part A. It is a line-by-line total, not a benefits claim.

About this medicare cost calculator

If the premium is the only part of Original Medicare you have ever priced, the deductible and the day-60 coinsurance are where the year’s cost actually hides. The calculator adds up one year of Original Medicare - premiums plus the cost sharing you carry - from the five answers you enter.

Real years vary around this arithmetic: doctors who do not accept assignment charge more, IRMAA raises the Part B premium for high incomes, and a plan such as Medigap or Medicare Advantage changes what you owe day to day. This is the price of the parts themselves.

How this medicare cost calculator works

Part A: free, or bought in tiers

Part A is the hospital half and, for most people, it is free: forty quarters of Medicare-covered work - roughly ten years - earns premium-free Part A, and the page charges nothing for it. Below that threshold the buy-in has two tiers, $311 a month with 30 to 39 quarters and $565 a month with fewer, and whichever applies is multiplied by twelve and added to the year.

The hospital deductible is the same on all three paths: $1,736 for every benefit period a stay starts, so two separate stays mean two deductibles. The stay count is rounded down to whole stays and capped at twelve, since the field only offers a year of admissions. When you do pay a buy-in premium the result panel prints a warning line naming the tier, because that cost is the easiest one to miss when you compare plans.

The coinsurance days

The deductible covers the first 60 days of a stay. From day 61 to day 90 you pay $434 a day, and days 91 to 150 draw on the 60 lifetime reserve days at $868 each; the day field stops at 150 because that is where the benefit ends. One number drives both segments - the total inpatient days you enter - so a single 80-day stay adds 20 days at $434, or $8,680.

That is also the main simplification on this page: it prices the day bands once for the year rather than once per stay, because a single field cannot describe how the days were split. Two long stays entered as one total will understate the coinsurance, and the result panel says so rather than leaving you to discover it. Admission counts and day counts are therefore independent inputs, and neither is inferred from the other.

Part B: a premium, a deductible, 20%

Part B is the medical half and everyone pays for it: $202.90 a month in 2026, or $2,434.80 across the year, on top of any Part A buy-in. The $283 deductible is charged once a year and printed in full whenever the page produces a total, even when the services you enter come to less than that. Above it your share is 20% of the Medicare-approved amount, so $5,000 of care adds $943.40.

Skilled nursing is separate again. Enter the days beyond the first 20, and each one costs $217 up to day 100, which is why a 12-day entry is $2,604. The hero figure adds the two premiums to those five cost-sharing lines, so a year with one short stay usually lands within a few hundred dollars of the premiums alone - the shape most people are surprised by the first time they price it.

What the page leaves out

Several real costs sit outside the model. IRMAA, the income-related addition to the Part B premium, is not an input, and neither is any federal poverty level figure: income only reaches this program through IRMAA, so the page leaves it out rather than approximating it. There is no Part D premium or drug spending either; the only Part D number pinned here is the $2,100 out-of-pocket cap for 2026. Medigap and Medicare Advantage plans are not modelled, and the day-band coinsurance is not split across separate stays.

The page also declines to print a total when stays, Part B services and skilled nursing days are all zero. With nothing to price beyond the Part B premium itself, it returns a warning asking for one of the three instead. Figures are the 2026 CMS amounts, verified against the official text and kept on record, and an automated check before release blocks any drift. An estimate, not a return, and not tax advice.

Worked examples

Each example below was run through the calculator on this page when the site was built, so the numbers match what you see when you enter the same inputs.

A healthy year at 65

Your Part A situation: Free - 40 or more quarters of work · Hospital stays this year: 0 · Inpatient days in them: 0 · Skilled nursing days beyond 20: 0 · Part B services this year: $500.00

Your Medicare costs this year

$2,761.20

$2,435 of premiums plus $326 out of pocket across the parts below.

Part B premium a month: $203 · Part A hospital deductible: $1,736 · Premiums this year: $2,435

No stays and modest Part B care: both premiums, the $283 Part B deductible, and 20% of the $217 of services beyond it.

A week in the hospital

Your Part A situation: Free - 40 or more quarters of work · Hospital stays this year: 1 · Inpatient days in them: 6 · Skilled nursing days beyond 20: 0 · Part B services this year: $3,000.00

Your Medicare costs this year

$4,997.20

$2,435 of premiums plus $2,562 out of pocket across the parts below.

Part B premium a month: $203 · Part A hospital deductible: $1,736 · Premiums this year: $2,435

One stay: the $1,736 Part A deductible, then 20% of Part B services beyond the $283 deductible, on top of both premiums.

A long stay that uses coinsurance days

Your Part A situation: Free - 40 or more quarters of work · Hospital stays this year: 2 · Inpatient days in them: 80 · Skilled nursing days beyond 20: 0 · Part B services this year: $5,000.00

Your Medicare costs this year

$15,813.20

$2,435 of premiums plus $13,378 out of pocket across the parts below.

Part B premium a month: $203 · Part A hospital deductible: $1,736 · Premiums this year: $2,435

Days 61-80 cost $434 a day: 20 coinsurance days on top of two hospital deductibles.

Skilled nursing after a stay

Your Part A situation: Free - 40 or more quarters of work · Hospital stays this year: 1 · Inpatient days in them: 10 · Skilled nursing days beyond 20: 12 · Part B services this year: $1,000.00

Your Medicare costs this year

$7,201.20

$2,435 of premiums plus $4,766 out of pocket across the parts below.

Part B premium a month: $203 · Part A hospital deductible: $1,736 · Premiums this year: $2,435

Day 21 through 32 of a skilled nursing stay cost $217 a day, and the Part B year picks up from there.

Buying Part A at 30-39 quarters

Your Part A situation: Buy it - 30 to 39 quarters ($311 a month) · Hospital stays this year: 0 · Inpatient days in them: 0 · Skilled nursing days beyond 20: 0 · Part B services this year: $800.00

Your Medicare costs this year

$6,553.20

$6,167 of premiums plus $386 out of pocket across the parts below.

Part B premium a month: $203 · Part A hospital deductible: $1,736 · Premiums this year: $6,167

Part A is not free: $311 a month rounds into the year on top of the rest.

Frequently asked questions

Is Medicare Part A free?

For most people, yes. If you or a spouse worked at least 40 quarters and paid Medicare taxes, Part A has no premium. Otherwise you buy it at $311 a month (30-39 quarters) or $565 a month (fewer), and the premium appears on this page.

What is the 2026 Part B premium?

The standard Part B premium is $202.90 a month in 2026. High-income households pay more through IRMAA; this page leaves that to the notice Social Security sends you.

What exactly is a benefit period?

A benefit period starts the day you enter a hospital and ends after 60 consecutive days without inpatient care. Each one carries a fresh $1,736 Part A deductible - which is why two stays are two deductibles.

What does 20% coinsurance mean in dollars?

After the $283 Part B deductible, you pay 20% of the Medicare-approved amount for covered services. On $5,000 of approved care your share beyond the deductible is $943.60 - the page computes it exactly.

Does this count a Part D premium?

No. Part D premiums vary by plan, and the CMS page pins only the $2,100 out-of-pocket cap. Add your own plan premium if you want the complete year.

Do you keep the numbers I type?

No. The calculation runs in your browser, nothing is sent to a server, and an automated release check blocks any calculator page that ever attempts a network call.

Assumptions and sources

  • CMS, "Medicare costs at a glance" and its 2026 figures - verified against the official source and kept on record. It sets out the Part A and Part B premiums, the buy-in tiers, the Part A and Part B deductibles, the 61-90 and 91-150 coinsurance rates, the skilled nursing coinsurance, and the Part D out-of-pocket cap.
  • CMS, "Medicare benefit periods" - each new benefit period (a stay opened after 60 consecutive days without inpatient care) carries a fresh $1,736 Part A deductible, and a skilled nursing stay prices its own $217 coinsurance from day 21.
  • Your own situation sets the numbers; this page prints no average premium and no average bill, and is arithmetic on the five inputs rather than a benefits claim.

Last reviewed 2026-10-06. Not investment or insurance advice; quotes come from a licensed provider. Read the full disclaimer.

Where a figure on this page comes from an official agency — HUD, IRS, FICO or a state body — the site keeps a dated snapshot of the source page in its sources library, and a scheduled job re-checks that snapshot, so the number can be traced back to the document it came from.