Additional Medicare tax calculator
By Jude Wallis
The additional Medicare tax is 0.9 percent of wages above a threshold, not of all wages. $250,000 of wages against a $200,000 threshold leaves $50,000 of excess, and 0.9 percent of that is $450.
Additional Medicare tax
$450.00
0.9 percent of wages above the threshold you typed.
- Excess wages
- $50,000.00
- Additional Medicare tax
- $450.00
Teaching single threshold is 200,000. Joint is 250,000.
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On this page
The formula
is wages or self employment income and the amount above the threshold. Only is taxed at the extra 0.9 percent rate.
It applies to the excess only
The tax is 0.9 percent of $50,000, not of $250,000. That is $450, which is a very different number from 0.9 percent of the whole wage. The threshold works like a bracket boundary: everything under it is untouched.
The rate also stacks rather than replaces. Regular Medicare tax still applies to all wages, and this sits on top of it for the part above the line. How FICA works covers the base layer.
There is no employer half
Regular Medicare tax is split between employee and employer. This one is not: the whole 0.9 percent falls on the employee. That makes it unusual among payroll taxes and it is why the figure appears on a payslip without a matching employer line.
For self employed people the same logic applies to net earnings above the threshold, on top of the ordinary self employment tax the self employment tax calculator computes.
Withholding and the real threshold can differ
An employer withholds this tax once wages from that job pass a single set level, because the employer only sees one job. The threshold that actually applies depends on filing status and total household wages, so two earners each below the level can still owe it jointly, and one job over the level can withhold more than is finally due.
That is why this calculator takes the threshold as an input. The second example runs $300,000 of wages against a $250,000 threshold, which is the joint filer shape, and produces the same $50,000 of excess and $450 of tax.
What this covers
One wage figure, one threshold, one rate. It sizes the additional Medicare line and nothing else: income tax, Social Security and the ordinary Medicare rate are separate calculations on the same paycheque. The paycheck calculator puts the deductions together, and net pay is what survives them. This is educational material, not financial advice.
Worked examples
\$250,000 of wages against a \$200,000 threshold
Wages are $250,000 and the threshold is $200,000. How much additional Medicare tax is due?
- Excess: .
- Tax: .
The excess is $50,000 and the additional Medicare tax is $450.
\$300,000 of wages against a \$250,000 threshold
A joint filing situation puts the threshold at $250,000 on $300,000 of wages. What is the tax?
- Excess: .
- Tax: , the same as the first case.
The excess is again $50,000 and the tax is again $450. Only the gap above the threshold matters, not the size of the wage.
Applying 0.9 percent to all wages
Nine tenths of a percent of $250,000 is 2250, five times the $450 actually due. The rate only touches the $50,000 above the threshold, which is the same shape every threshold tax uses.
Common questions
Does the employer pay half of this one?
No. Unlike regular Medicare tax, the additional 0.9 percent falls entirely on the employee.
Why might withholding be wrong?
An employer only sees its own wages. The applicable threshold depends on filing status and total household income, so the return trues it up.
Is this financial advice?
No. It is educational material for the threshold tax identity.
Keep reading
This page is educational material, not financial advice. The figures come from the formula shown and assume the inputs you enter hold for the whole term. Your own rate, fees, taxes and timing will differ, so treat the output as arithmetic to check a decision against, not as a recommendation.