Evolving Mega Medicham costs 100 Mega Energy the first time, and 20 Mega Energy every other time.
Standard game images
There is a very low chance that you can get a shiny Mega Medicham, which has the following appearance:
Circa
"Si dice che, grazie alla meditazione, Medicham incrementi la propria energia fisica e affini il sesto senso. Si nasconde efficacemente mimetizzandosi nei campi e in montagna."