Medicare Tax

Tax Planning
Updated Apr 2026

A federal payroll tax that funds the Medicare health insurance program for people aged 65 and older.

Tax laws change annually and vary by country. The information on this page is for educational purposes only. Always verify figures with current official sources (IRS, HMRC, CRA, ATO) and consult a qualified tax professional before making any tax-related decision.

What is Medicare Tax?

Medicare tax is a federal payroll tax collected to fund the Medicare program. For employees, the rate is 1.45% of all wages with no income cap, matched by an equal 1.45% employer contribution for a combined 2.9%. Self-employed individuals pay the full 2.9% but may deduct half as a business expense. High earners face an Additional Medicare Tax of 0.9% on wages, self-employment income, and, via the net investment income tax, on certain investment income above $200,000 (single) or $250,000 (married filing jointly).

Example

Example

An employee earning $250,000 in 2024 owes 1.45% × $250,000 = $3,625 in standard Medicare tax, plus 0.9% × $50,000 = $450 in Additional Medicare Tax on the $50,000 above the $200,000 single-filer threshold. Total employee Medicare tax: $4,075. Their employer also pays $3,625, for a combined $7,700.

Source: IRS — Topic No. 751: Social Security and Medicare Withholding Rates