Medicare.gov

Outpatient medical & surgical services & supplies

Medicare Part B (Medical Insurance) covers approved outpatient services and supplies

  • Covered by Part B
  • After the Part B deductible , you pay 20% of the Medicare-approved amount (other costs may apply) 

Description

Outpatient services and supplies can include things like: X-rays, casts, stitches, or outpatient surgeries.

Costs

After you meet the Part B deductible , you pay 20% of the Medicare-approved amount for doctor or other health care provider services. You also generally pay a copayment 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 for each service you get.

You pay all costs for items or services that Medicare doesn’t cover.