California vs North Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | California (CA) | North Dakota (ND) |
|---|---|---|
| Medicare Spending/Capita | $10,208 | $11,676 |
| Medicare Enrollees | 7,080,750 | 1,101,115 |
| Medicaid Enrollees | 9,524,332 | 1,501,487 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $78/mo | $35/mo |
| Medigap Premium (Avg) | $132/mo | $140/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 7.9% | 6.7% |
Top Procedure Costs
| Procedure | California | North Dakota | Difference |
|---|---|---|---|
| Kidney Transplant | $143,424 | $116,999 | +$26,424 |
| Liver Transplant | $135,205 | $178,759 | $-43,553 |
| Heart Valve Replacement | $89,317 | $70,958 | +$18,359 |
| Coronary Artery Bypass Graft (CABG) | $81,579 | $90,308 | $-8,730 |
| Spinal Fusion | $56,527 | $38,484 | +$18,043 |
| Total Knee Replacement | $39,016 | $36,332 | +$2,683 |
| Defibrillator Implantation (ICD) | $37,120 | $34,234 | +$2,886 |
| Total Hip Replacement | $32,614 | $35,528 | $-2,914 |
| Laminectomy | $28,474 | $29,330 | $-857 |
Frequently Asked Questions
Which state has higher Medicare spending, California or North Dakota?
North Dakota has higher Medicare spending at $11,676 per capita vs $10,208 in California.
Which state has a lower uninsured rate?
North Dakota has a lower uninsured rate of 6.7% compared to 7.9% in California.
Have both California and North Dakota expanded Medicaid?
California has expanded Medicaid. North Dakota has expanded Medicaid.