MedCheckWize

Idaho vs South Dakota: Medicare Costs (2026)

Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.

MetricIdaho (ID)South Dakota (SD)
Medicare Spending/Capita$8,090$13,396
Medicare Enrollees2,309,9631,224,124
Medicaid Enrollees3,113,2841,665,498
Part B Premium$185/mo$185/mo
Part D Premium (Avg)$69/mo$57/mo
Medigap Premium (Avg)$231/mo$278/mo
Medicaid ExpansionNoYes
Uninsured Rate3.3%4.1%

Top Procedure Costs

ProcedureIdahoSouth DakotaDifference
Liver Transplant$178,545$154,393+$24,152
Kidney Transplant$120,938$125,853$-4,915
Coronary Artery Bypass Graft (CABG)$91,566$69,622+$21,944
Heart Valve Replacement$72,930$99,495$-26,565
Spinal Fusion$50,557$57,744$-7,187
Defibrillator Implantation (ICD)$42,073$53,824$-11,750
Total Hip Replacement$38,593$39,857$-1,263
Laminectomy$34,197$29,335+$4,862
Pacemaker Implantation$31,514$29,869+$1,646
Total Knee Replacement$30,617$30,772$-155
View IdahoView South Dakota

Frequently Asked Questions

Which state has higher Medicare spending, Idaho or South Dakota?

South Dakota has higher Medicare spending at $13,396 per capita vs $8,090 in Idaho.

Which state has a lower uninsured rate?

Idaho has a lower uninsured rate of 3.3% compared to 4.1% in South Dakota.

Have both Idaho and South Dakota expanded Medicaid?

Idaho has not expanded Medicaid. South Dakota has expanded Medicaid.