Medicare Patient Cost-Share (Part A / B / SNF)
Medicare patient cost-share: Part B deductible then coinsurance (or Part A deductible/coinsurance days) on the allowed amount, before any Medigap/secondary.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Medicare benefit
- Part B (outpatient / physician)
- Medicare-allowed amount
- 500 $
- Remaining deductible
- 283 $
Result: Part B patient share $326.40: $283.00 deductible + 20% of $217.00 ($43.40); Medicare pays $173.60.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Medicare benefit: A (inpatient hospital), B (outpatient), or SNF
- Medicare-allowed amount
- Remaining deductible (defaults to the current Part B deductible)
How this is calculated
SSA Title XVIII and the CMS CY2026 Medicare cost-sharing amounts: Part A inpatient deductible $1,736, days 61-90 $434/day, lifetime-reserve $868/day; SNF days 21-100 $217/day; Part B deductible $283 then 20% of the approved amount. The patient share before secondary coverage. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.
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