Outpatient medical & surgical services & supplies

Medicare Part B (Medical Insurance)

 covers approved outpatient services and supplies, like X-rays, casts, stitches, or outpatient surgeries.

Your costs in Original Medicare

You pay 20% of the

Medicare-Approved Amount

 for your doctor’s or other health care provider’s services. You also usually pay a


 for each service you get in a hospital outpatient setting. There are exceptions for costly surgical procedures (called “comprehensive services”), like total knee replacements. For these services, you pay 20% for the entire episode of care, including any drugs, laboratory tests, and other services.

In most cases,  the copayment can’t be more than the Part A hospital stay

deductible [glossary]

 for each service you get . The Part B deductible applies, and you pay all costs for items or services that Medicare doesn’t cover.

Is my test, item, or service covered?

Find out who to call about Medicare options, claims and more.

Try the "What's covered" mobile app!