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Additional Medicare on $300,000 single: $900, not the $250,000 joint line

IRC 3101(b)(2) single / other threshold is $200,000. $300,000 single owes $900 (0.9% of $100,000). The same wages joint owe $450. Married filing separately owes $1,575. Employer stubs still use $200,000.

Calcufast Team
8 min

Additional Medicare Tax is 0.9% of Medicare wages above a filing-status threshold. It is not the 1.45% Medicare line on every stub.

The leftover most people miss at $300,000 is how far past $200,000 the single / other line already is. Joint is $250,000. Married filing separately is $125,000.

On $300,000 of Medicare wages:

  • Single / other: excess $100,000 → tax $900
  • Joint: excess $50,000 → tax $450
  • Married filing separately: excess $175,000 → tax $1,575
  • Single at exactly $200,000 → tax $0

The $200,000 single leftover is Additional Medicare at $200,000. Two jobs under the withholding trigger: $190,000 + $45,000 → $315 if single. Joint leftover: $260,000 → $90.

Run Additional Medicare →

Hub: United States calculators.

Tax vs employer withholding

Employers withhold the extra 0.9% once that W-2 crosses $200,000. They do not look at your joint return. A single filer at $300,000 on one job should see the extra line. Two $150,000 jobs can withhold $0 extra and you still owe $900 when you file single. Estimate, not tax advice.

Direct answer: $300,000 single → $900

  1. Single / other threshold = $200,000
  2. Excess = $300,000 − $200,000 = $100,000
  3. Tax = 0.9% × $100,000 = $900
  4. Same wages, joint = 0.9% × $50,000 = $450
  5. Same wages, MFS = 0.9% × $175,000 = $1,575
Additional Medicare Tax (IRC § 3101(b)(2))

threshold = $250,000 joint · $125,000 MFS · $200,000 any other case

tax = 0.9% × max(0, Medicare wages − threshold)

Same $300,000, three statuses

StatusThresholdExcessTax
Single / other$200,000$100,000$900
Married filing jointly$250,000$50,000$450
Married filing separately$125,000$175,000$1,575

Nearby single wages

Single Medicare wagesExcessTax
$200,000$0$0
$250,000$50,000$450
$300,000$100,000$900

Base Medicare 1.45% is still on the whole wage. That is the FICA calculator, not this 0.9% add-on.

If one W-2 is $300,000, the extra 0.9% should start after that job crosses $200,000. Two jobs that each stay under $200,000 can withhold $0 extra and you still owe $900 on a single return.

No. NIIT is a different statute on net investment income. This page is wages only.

No. The 2026 Social Security wage base is $184,500 per person. SS room after $150,000 YTD.

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