How much are Medicare rates and how much do they differ from commercial rates?

Medicare rates are significantly lower than commercial insurance rates, typically paying hospitals and physicians much less for the same services -1.

💰 The Payment Gap

On average, commercial insurance payments exceed Medicare rates by the following margins -1:

This means if Medicare pays 100foraspecifichospitaloutpatientprocedure,acommercialinsurerwouldpayroughly100 for a specific hospital outpatient procedure, a commercial insurer would pay roughly 100foraspecifichospitaloutpatientprocedure,acommercialinsurerwouldpayroughly264 on average.