Iowa vs North Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Iowa (IA) | North Dakota (ND) |
|---|---|---|
| Medicare Spending/Capita | $13,800 | $11,676 |
| Medicare Enrollees | 1,156,223 | 1,101,115 |
| Medicaid Enrollees | 1,574,965 | 1,501,487 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $61/mo | $35/mo |
| Medigap Premium (Avg) | $318/mo | $140/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 3.4% | 6.7% |
Top Procedure Costs
| Procedure | Iowa | North Dakota | Difference |
|---|---|---|---|
| Liver Transplant | $191,947 | $178,759 | +$13,189 |
| Kidney Transplant | $133,788 | $116,999 | +$16,789 |
| Coronary Artery Bypass Graft (CABG) | $89,507 | $90,308 | $-801 |
| Heart Valve Replacement | $76,405 | $70,958 | +$5,447 |
| Spinal Fusion | $52,101 | $38,484 | +$13,617 |
| Defibrillator Implantation (ICD) | $43,539 | $34,234 | +$9,304 |
| Total Knee Replacement | $37,683 | $36,332 | +$1,350 |
| Cardiac Catheterization with Stent | $30,490 | $26,565 | +$3,925 |
| Laminectomy | $29,817 | $29,330 | +$487 |
Frequently Asked Questions
Which state has higher Medicare spending, Iowa or North Dakota?
Iowa has higher Medicare spending at $13,800 per capita vs $11,676 in North Dakota.
Which state has a lower uninsured rate?
Iowa has a lower uninsured rate of 3.4% compared to 6.7% in North Dakota.
Have both Iowa and North Dakota expanded Medicaid?
Iowa has expanded Medicaid. North Dakota has expanded Medicaid.