Hawaii vs Texas: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Hawaii (HI) | Texas (TX) |
|---|---|---|
| Medicare Spending/Capita | $8,561 | $13,718 |
| Medicare Enrollees | 1,694,767 | 7,030,295 |
| Medicaid Enrollees | 2,293,023 | 9,457,062 |
| Part B Premium | $185/mo | $286/mo |
| Part D Premium (Avg) | $62/mo | $77/mo |
| Medigap Premium (Avg) | $256/mo | $193/mo |
| Medicaid Expansion | Yes | No |
| Uninsured Rate | 5.3% | 11.4% |
Top Procedure Costs
| Procedure | Hawaii | Texas | Difference |
|---|---|---|---|
| Liver Transplant | $172,516 | $182,473 | $-9,958 |
| Kidney Transplant | $141,854 | $148,676 | $-6,822 |
| Coronary Artery Bypass Graft (CABG) | $77,447 | $67,370 | +$10,078 |
| Heart Valve Replacement | $75,927 | $86,926 | $-11,000 |
| Spinal Fusion | $57,089 | $47,062 | +$10,027 |
| Defibrillator Implantation (ICD) | $54,453 | $40,274 | +$14,179 |
| Total Hip Replacement | $38,671 | $26,446 | +$12,225 |
| Total Knee Replacement | $31,876 | $28,413 | +$3,463 |
| Hip Fracture Repair | $28,995 | $29,373 | $-378 |
Frequently Asked Questions
Which state has higher Medicare spending, Hawaii or Texas?
Texas has higher Medicare spending at $13,718 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 11.4% in Texas.
Have both Hawaii and Texas expanded Medicaid?
Hawaii has expanded Medicaid. Texas has not expanded Medicaid.