California vs Texas: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | California (CA) | Texas (TX) |
|---|---|---|
| Medicare Spending/Capita | $10,208 | $13,718 |
| Medicare Enrollees | 7,080,750 | 7,030,295 |
| Medicaid Enrollees | 9,524,332 | 9,457,062 |
| Part B Premium | $185/mo | $286/mo |
| Part D Premium (Avg) | $78/mo | $77/mo |
| Medigap Premium (Avg) | $132/mo | $193/mo |
| Medicaid Expansion | Yes | No |
| Uninsured Rate | 7.9% | 11.4% |
Top Procedure Costs
| Procedure | California | Texas | Difference |
|---|---|---|---|
| Kidney Transplant | $143,424 | $148,676 | $-5,253 |
| Liver Transplant | $135,205 | $182,473 | $-47,268 |
| Heart Valve Replacement | $89,317 | $86,926 | +$2,391 |
| Coronary Artery Bypass Graft (CABG) | $81,579 | $67,370 | +$14,209 |
| Spinal Fusion | $56,527 | $47,062 | +$9,466 |
| Total Knee Replacement | $39,016 | $28,413 | +$10,602 |
| Defibrillator Implantation (ICD) | $37,120 | $40,274 | $-3,154 |
| Total Hip Replacement | $32,614 | $26,446 | +$6,167 |
Frequently Asked Questions
Which state has higher Medicare spending, California or Texas?
Texas has higher Medicare spending at $13,718 per capita vs $10,208 in California.
Which state has a lower uninsured rate?
California has a lower uninsured rate of 7.9% compared to 11.4% in Texas.
Have both California and Texas expanded Medicaid?
California has expanded Medicaid. Texas has not expanded Medicaid.