Medicare coverage

Does Medicare Cover Outpatient Surgery?

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

Yes: Part B

Source: Medicare.gov, Outpatient medical & surgical services & supplies, checked October 23, 2026.

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Rivvi writes it from the Medicare.gov page and the NCD, with the source linked. It does not recommend plans.

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Coverage at a glance

Covered?: Yes
Which part: Part B
What you pay: After the Part B deductible, you pay 20% of the Medicare-approved amount (other costs may apply).
Part B deductible 2026: $283 a year (CMS). Part B premium $202.90 a month.
Medicare.gov page: Outpatient medical & surgical services & supplies

Description

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

From Medicare.gov, checked October 23, 2026.

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.

From Medicare.gov, checked October 23, 2026.

Questions

Does Medicare Cover Outpatient Surgery?

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

Which part of Medicare covers Outpatient Surgery?

Medicare.gov lists Outpatient medical & surgical services & supplies under Part B.

How much do you pay for Outpatient Surgery with Medicare?

Per Medicare.gov: After the Part B deductible, you pay 20% of the Medicare-approved amount (other costs may apply).

Does a Medicare Advantage plan cover Outpatient Surgery?

Medicare Advantage plans must cover what Original Medicare covers and some offer extra benefits. Check the plan's Evidence of Coverage. Rivvi does not recommend plans.