How is Medicare calculated in payroll?

Asked by: Hermann Welch  |  Last update: May 12, 2025
Score: 4.2/5 (54 votes)

Key Takeaways. Medicare is funded by a payroll tax of 1.45% on the first $200,000 of an employee's wages. Employees whose wages exceed $200,000 are also subject to a 0.9% Additional Medicare Tax on top of the 1.45%.

How is Medicare calculated on a paycheck?

The current tax rate for Social Security is 6.2% for the employer and 6.2% for the employee, or 12.4% total. The current rate for Medicare is 1.45% for the employer and 1.45% for the employee, or 2.9% total.

What is the formula to compute Medicare?

To calculate the amount you have to pay in Medicare tax, your employer will multiply your gross wages by the 1.45% Medicare tax. Gross wages are the wages you earn before any deductions, such as taxes, are taken out.

How do I avoid Medicare 3.8% Surtax?

Look for ways to minimize your AGI. The lower your AGI (the number at the bottom of the TAX-FORM 1040) the lower the amount of your income will be subject to the 3.8% surtax. Need another reason to contribute to your retirement plan? Making contributions to your 401k, 403b or pension will lower your AGI.

How is Medicare payment calculated?

We use the most recent federal tax return the IRS provides to us. If you must pay higher premiums, we use a sliding scale to calculate the adjustments. This is based on your "modified adjusted gross income" (MAGI). Your MAGI is your total adjusted gross income and tax-exempt interest income.

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How do I find out how much I paid for Medicare?

Each year, Social Security sends a letter to people collecting Social Security benefits (and those who pay higher premiums because of their income) stating each person's exact Part B premium. You can get details at Medicare.gov or by calling 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048).

What is the formula for calculating Medicare tax?

The formula for calculating Medicare tax is simple: multiply the employee's gross wages by the Medicare tax rate of 1.45%. There is no wage base limit for the Medicare tax. For example, if an employee earns $5,000 in taxable compensation, their Medicare tax would be $5,000 × 1.45% = $72.50.

At what income level does the 3.8 surtax kick in?

The threshold is $250,000 for joint filers, $125,000 for married filing separately, and $200,000 for all other filers. Net investment income includes the following items of income reduced by applicable expenses: interest, dividends, capital gains, annuities, royalties, and passive rental and business income.

How to calculate modified adjusted gross income?

Your MAGI (modified adjusted gross income) is your AGI plus certain deductions you must “add back.” These deductions include IRA contributions, student loan interest, one-half of self-employment tax, qualified tuition expenses, and more.

How to calculate Medicare wages from paystub?

OASDI and Medicare taxes are calculated as follows:
  1. Find OASDI - Taxable Wages on the payslip, and multiply by 6.2 percent. The OASDI Taxable Wages have a wage limit of $176,100 for the current tax year.
  2. Find Medicare - Taxable Wages on the payslip. Multiply by 1.45 percent on wages up to $200,000.

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

How do I figure out my Medicare?

To find your Medicare number, sign in to your Social Security account and view your benefit verification letter.

What percentage of Medicare is paid for by payroll taxes?

The employee tax rate for Medicare is 1.45% — and the employer tax rate is also 1.45%. So, the total Medicare tax rate percentage is 2.9%. Only the employee portion of Medicare taxes is withheld from your paycheck. There's no wage-based limit for Medicare tax.

Is Medicare based on your salary?

The amount you pay depends on your modified adjusted gross income from your most recent federal tax return. To determine your 2025 income-related premium, Social Security will use information from your tax return filed in 2023 for tax year 2022.

Can you opt out of paying Medicare tax?

Can you Opt Out of Medicare Tax? While regular taxpayers may not opt out, there are certain religious groups which may qualify and be exempt from paying Social Security taxes. The qualifications for this are: Waive rights to all Social Security benefits including hospital care.

How to calculate additional Medicare tax on wages?

It is paid in addition to the standard Medicare tax. An employee will pay 1.45% standard Medicare tax, plus the 0.9% additional Medicare tax, for a total of 2.35% of their income. A person who is self-employed will pay 2.9% standard Medicare tax and an additional Medicare tax of 0.9%, for a total of 3.8%.

How do I avoid paying 3.8% Medicare surtax?

Is there any way to reduce the tax? You can sell some securities at a loss to offset investment gains if you think you might be subject to the surtax this tax year. And when planning for the future, you can also choose investments that are naturally more tax-efficient.

What triggers Medicare Surtax?

A 0.9% Additional Medicare tax applies to Medicare wages, self-employment income, and railroad retirement (RRTA) compensation that exceed the following threshold amounts based on filing status: $250,000 for married filing jointly; $125,000 for married filing separately; and. $200,000 for all other taxpayers.

How to avoid niit?

Invest in Roth retirement accounts: Qualified distributions from Roth accounts are excluded from your MAGI in retirement, helping you avoid the NIIT later in life. Invest in municipal bonds: Investing more funds in municipal bonds can be helpful because the earnings won't increase your MAGI.

Is Medicare tax calculated on gross income?

The Medicare tax is a percentage of gross wages that all employees, employers and self-employed workers must pay to fund Medicare.

What is Medicare calculation?

Medicare is funded by a payroll tax of 1.45% on the first $200,000 of an employee's wages. Employees whose wages exceed $200,000 are also subject to a 0.9% Additional Medicare Tax on top of the 1.45%. Employers also pay a 1.45% tax on their employee's wages. They do not pay the additional tax.

How do you calculate Medicare wages and tips?

An employer is also required to match 1.45% of an employee's withholding for Medicare wages and tips. For example, if an employee makes $2,000 during their pay period, that employee would have $29 withheld from their paycheck, and their employer would match that contribution with an additional $29 paid toward Medicare.