Additional Medicare Tax Calculator

Calculate the 0.9% Additional Medicare Tax that applies to high-income earners above certain thresholds.

🧮 Calculate Additional Medicare Tax

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How It Works

The Additional Medicare Tax is a 0.9% surtax on wages exceeding certain thresholds:

Filing Status Threshold
Single $200,000
Married Filing Jointly $250,000
Married Filing Separately $125,000
Head of Household $200,000

Formula

Additional Medicare Tax = (Wages - Threshold) × 0.9%

Important: Employers must withhold Additional Medicare Tax on wages exceeding $200,000 regardless of filing status. This may cause over/under-withholding for married filers, which is reconciled when filing your tax return.

Examples

Example 1: Single, $250,000 Wages

Wages over threshold: $250,000 - $200,000 = $50,000
Tax: $50,000 × 0.9% = $450

Example 2: MFJ, $300,000 Wages

Wages over threshold: $300,000 - $250,000 = $50,000
Tax: $50,000 × 0.9% = $450

What this calculator does

This page turns the visible tax inputs into a planning estimate that can be checked against official forms and records. It is designed for quick comparison, not as a substitute for professional tax advice.

How to use this calculator

  1. Enter the filing status, income, deduction, credit, withholding, and other fields that apply to your situation.
  2. Run the calculator and review the tax estimate, rate, deduction, or planning result shown on the page.
  3. Compare the result with IRS forms, state rules, and your own records before making payment or filing decisions.

Frequently Asked Questions

When do I pay additional Medicare tax?
The main rule is that the 0.9% Additional Medicare Tax applies only after covered income exceeds $200,000 for most single filers, $250,000 for joint filers, or $125,000 for MFS. In the Additional Medicare Tax Calculator, enter filing status, Medicare wages, self-employment income, RRTA compensation. A joint return with $325,000 of combined Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675. Employers withhold after an employee passes $200,000 in wages, even if the employee's final filing status creates a different result.
Additional Medicare tax calculator married filing jointly?
Use the Additional Medicare Tax Calculator with filing status, Medicare wages, self-employment income, RRTA compensation. The working formula is Additional Medicare Tax = 0.9% x income above the filing-status threshold. A joint return with $325,000 of combined Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675. Check tax owed, withholding credit. Employers withhold after an employee passes $200,000 in wages, even if the employee's final filing status creates a different result.
Does additional Medicare tax apply to bonus pay?
Yes, bonus pay can count because it is usually Medicare wages. The extra 0.9% tax applies only after your covered wages, self-employment income, or RRTA compensation exceed the filing-status threshold. Use the calculator with filing status, regular wages, bonus pay, and any withholding already taken out. For example, a joint return with $325,000 of Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675.
How to calculate additional Medicare tax on wages?
Gather filing status, Medicare wages, self-employment income, RRTA compensation, then use the Additional Medicare Tax Calculator. Apply: Additional Medicare Tax = 0.9% x income above the filing-status threshold. A joint return with $325,000 of combined Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675. Check tax owed, withholding credit. Employers withhold after an employee passes $200,000 in wages, even if the employee's final filing status creates a different result.
Additional Medicare tax threshold for married couples?
The main rule is that the 0.9% Additional Medicare Tax applies only after covered income exceeds $200,000 for most single filers, $250,000 for joint filers, or $125,000 for MFS. In the Additional Medicare Tax Calculator, enter filing status, Medicare wages, self-employment income, RRTA compensation. A joint return with $325,000 of combined Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675. Employers withhold after an employee passes $200,000 in wages, even if the employee's final filing status creates a different result.
How to calculate additional Medicare tax for multiple jobs?
Build the estimate in order. First gather filing status, Medicare wages, self-employment income, RRTA compensation, and any Additional Medicare Tax already withheld. Then apply this working formula: Additional Medicare Tax = 0.9% x income above the filing-status threshold. Use the calculator output for tax owed, withholding credit, and possible overpayment. A joint return with $325,000 of combined Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675. Employers withhold after an employee passes $200,000 in wages, even if the employee's final filing status creates a different result.
Can I get a refund of additional Medicare tax withheld?
Yes. The main rule is that the 0.9% Additional Medicare Tax applies only after covered income exceeds $200,000 for most single filers, $250,000 for joint filers, or $125,000 for MFS. In the Additional Medicare Tax Calculator, enter filing status, Medicare wages, self-employment income, RRTA compensation. A joint return with $325,000 of combined Medicare wages is $75,000 over the $250,000 threshold, so the extra tax is about $675. Employers withhold after an employee passes $200,000 in wages, even if the employee's final filing status creates a different result.

Use Cases

  • Determine whether your wages exceed the Additional Medicare Tax threshold for your filing status.
  • Estimate how much extra tax you owe if you receive a large bonus or raise that pushes you above $200,000.
  • Plan for potential under-withholding if you are married filing jointly and each spouse earns under $200,000 but combined income exceeds $250,000.
  • Calculate the Additional Medicare Tax on combined wages and self-employment income for dual-income households.
  • Verify your employer's withholding against your actual liability before filing your annual tax return.

Assumptions & Limitations

  • This calculator applies only the 0.9% Additional Medicare Tax; regular Medicare tax (1.45%) is not included here.
  • Thresholds are based on filing status: $200,000 (Single/HoH), $250,000 (MFJ), $125,000 (MFS). These are not indexed for inflation.
  • Employer withholding starts at $200,000 regardless of filing status, which may cause over- or under-withholding for married filers.
  • Self-employment income and Railroad Retirement Tax Act (RRTA) compensation are not included in this calculator's input.
  • The Net Investment Income Tax (NIIT) of 3.8% is a separate surtax and is not calculated here.
  • This tool provides estimates for informational purposes only and is not a substitute for professional tax advice.

Sources & References