California vs Massachusetts: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | California (CA) | Massachusetts (MA) |
|---|---|---|
| Medicare Spending/Capita | $10,208 | $12,166 |
| Medicare Enrollees | 7,080,750 | 1,992,808 |
| Medicaid Enrollees | 9,524,332 | 2,690,411 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $78/mo | $35/mo |
| Medigap Premium (Avg) | $132/mo | $141/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 7.9% | 6.3% |
Top Procedure Costs
| Procedure | California | Massachusetts | Difference |
|---|---|---|---|
| Kidney Transplant | $143,424 | $131,993 | +$11,431 |
| Liver Transplant | $135,205 | $131,736 | +$3,469 |
| Heart Valve Replacement | $89,317 | $63,843 | +$25,474 |
| Coronary Artery Bypass Graft (CABG) | $81,579 | $59,313 | +$22,266 |
| Spinal Fusion | $56,527 | $60,647 | $-4,120 |
| Total Knee Replacement | $39,016 | $35,011 | +$4,004 |
| Defibrillator Implantation (ICD) | $37,120 | $53,532 | $-16,411 |
| Total Hip Replacement | $32,614 | $35,088 | $-2,474 |
| Laminectomy | $28,474 | $33,568 | $-5,094 |
Frequently Asked Questions
Which state has higher Medicare spending, California or Massachusetts?
Massachusetts has higher Medicare spending at $12,166 per capita vs $10,208 in California.
Which state has a lower uninsured rate?
Massachusetts has a lower uninsured rate of 6.3% compared to 7.9% in California.
Have both California and Massachusetts expanded Medicaid?
California has expanded Medicaid. Massachusetts has expanded Medicaid.