Hawaii vs North Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Hawaii (HI) | North Dakota (ND) |
|---|---|---|
| Medicare Spending/Capita | $8,561 | $11,676 |
| Medicare Enrollees | 1,694,767 | 1,101,115 |
| Medicaid Enrollees | 2,293,023 | 1,501,487 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $62/mo | $35/mo |
| Medigap Premium (Avg) | $256/mo | $140/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 5.3% | 6.7% |
Top Procedure Costs
| Procedure | Hawaii | North Dakota | Difference |
|---|---|---|---|
| Liver Transplant | $172,516 | $178,759 | $-6,243 |
| Kidney Transplant | $141,854 | $116,999 | +$24,855 |
| Coronary Artery Bypass Graft (CABG) | $77,447 | $90,308 | $-12,861 |
| Heart Valve Replacement | $75,927 | $70,958 | +$4,969 |
| Spinal Fusion | $57,089 | $38,484 | +$18,605 |
| Defibrillator Implantation (ICD) | $54,453 | $34,234 | +$20,219 |
| Total Hip Replacement | $38,671 | $35,528 | +$3,144 |
| Total Knee Replacement | $31,876 | $36,332 | $-4,456 |
| Cardiac Catheterization with Stent | $29,754 | $26,565 | +$3,189 |
Frequently Asked Questions
Which state has higher Medicare spending, Hawaii or North Dakota?
North Dakota has higher Medicare spending at $11,676 per capita vs $8,561 in Hawaii.
Which state has a lower uninsured rate?
Hawaii has a lower uninsured rate of 5.3% compared to 6.7% in North Dakota.
Have both Hawaii and North Dakota expanded Medicaid?
Hawaii has expanded Medicaid. North Dakota has expanded Medicaid.