MedCheckWize

Iowa vs North Carolina: Medicare Costs (2026)

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

MetricIowa (IA)North Carolina (NC)
Medicare Spending/Capita$13,800$13,698
Medicare Enrollees1,156,2232,179,006
Medicaid Enrollees1,574,9652,938,675
Part B Premium$185/mo$185/mo
Part D Premium (Avg)$61/mo$44/mo
Medigap Premium (Avg)$318/mo$285/mo
Medicaid ExpansionYesYes
Uninsured Rate3.4%5.6%

Top Procedure Costs

ProcedureIowaNorth CarolinaDifference
Liver Transplant$191,947$211,982$-20,035
Kidney Transplant$133,788$109,900+$23,889
Coronary Artery Bypass Graft (CABG)$89,507$66,726+$22,781
Heart Valve Replacement$76,405$78,554$-2,149
Spinal Fusion$52,101$37,530+$14,571
Defibrillator Implantation (ICD)$43,539$46,434$-2,895
Total Knee Replacement$37,683$43,404$-5,721
Pacemaker Implantation$36,332$36,262+$70
View IowaView North Carolina

Frequently Asked Questions

Which state has higher Medicare spending, Iowa or North Carolina?

Iowa has higher Medicare spending at $13,800 per capita vs $13,698 in North Carolina.

Which state has a lower uninsured rate?

Iowa has a lower uninsured rate of 3.4% compared to 5.6% in North Carolina.

Have both Iowa and North Carolina expanded Medicaid?

Iowa has expanded Medicaid. North Carolina has expanded Medicaid.