Part B costs: What you pay in 2024:
Premium $174.70 each month (or higher depending on your income). The amount can change each year. You’ll pay the premium each month, even if you don’t get any Part B-covered services.

Who pays a higher Part B premium because of income?

You’ll pay the higher premium if your modified adjusted gross income, as reported on your IRS tax return from 2 years ago, is more than:

  • $103,000 in 2024, if you file an individual tax return or are married and file separately
  • $206,000 in 2024, if you are married and file a joint tax return

Social Security will tell you if you have to pay a higher premium because of your income. If you’ve had a life-changing event that reduced your household income, you can ask Social Security to lower the additional amount you’ll pay.

Find out if you’ll pay a higher Part B premium in 2024:
If your yearly income in 2022 (for what you pay in 2024) was You pay each month (in 2024)
File individual tax return File joint tax return File married & separate tax return
$103,000 or less $206,000 or less $103,000 or less $174.70
above $103,000 up to $129,000 above $206,000 up to $258,000 Not applicable $244.60
above $129,000 up to $161,000 above $258,000 up to $322,000 Not applicable $349.40
above $161,000 up to $193,000 above $322,000 up to $386,000 Not applicable $454.20
above $193,000 and less than $500,000 above $386,000 and less than $750,000 above $103,000 and less than $397,000 $559.00
$500,000 or above $750,000 or above $397,000 or above $594.00

You might pay a monthly penalty if you don’t sign up for Part B when you’re first eligible for Medicare (usually when you turn 65). You’ll pay the penalty for as long as you have Part B. The penalty goes up the longer you wait to sign up. Find out how the Part B penalty works and how to avoid it.

Deductible $240 before Original Medicare starts to pay. You pay this deductible once each year.
General costs for services (coinsurance) Usually 20% of the cost for each Medicare-covered service or item after you’ve paid your deductible (and as long as your doctor or health care provider accepts the Medicare-approved amount
as full payment – called “accepting assignment”). Find out how assignment affects what you pay.
Clinical laboratory services $0 for covered clinical laboratory services.
Home health care
  • $0 for covered home health care services.
  • 20% of the  Medicare-approved amount for durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment).
Inpatient hospital care 20% of the Medicare-approved amount for most doctor services while you’re a hospital inpatient.
Outpatient mental health care
  • $0 for your yearly depression screening.
  • 20% of the Medicare-approved amount for visits to your doctor or other health care provider to diagnose or treat your condition.
  • If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional amount to the hospital.
Partial hospitalization mental health care After you meet the Part B deductible:

  • 20% of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professional
  • Coinsurance for each day of partial hospitalization services you get in a hospital outpatient setting or community mental health center
Outpatient hospital care
  • Usually 20% of the Medicare-approved amount for doctor and other health care providers’ services.
  • You’ll also pay a copayment to the hospital for each service you get in a hospital outpatient setting (except for certain preventive services). In most cases, your copayment won’t be more than the Part A hospital stay deductible amount.
    This additional hospital copayment means you may pay more for an outpatient service you get in a hospital than you’d pay if you got the same service in a doctor’s office.

Compare outpatient procedure costs under Original Medicare.

Get help with Part A & Part B costs
If you have limited income and resources, you may be able to get help from your state to pay your premiums and other costs. Learn more about help with costs.
Originally posted on Medicare.gov