Iowa vs South Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Iowa (IA) | South Dakota (SD) |
|---|---|---|
| Medicare Spending/Capita | $13,800 | $13,396 |
| Medicare Enrollees | 1,156,223 | 1,224,124 |
| Medicaid Enrollees | 1,574,965 | 1,665,498 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $61/mo | $57/mo |
| Medigap Premium (Avg) | $318/mo | $278/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 3.4% | 4.1% |
Top Procedure Costs
| Procedure | Iowa | South Dakota | Difference |
|---|---|---|---|
| Liver Transplant | $191,947 | $154,393 | +$37,554 |
| Kidney Transplant | $133,788 | $125,853 | +$7,936 |
| Coronary Artery Bypass Graft (CABG) | $89,507 | $69,622 | +$19,886 |
| Heart Valve Replacement | $76,405 | $99,495 | $-23,090 |
| Spinal Fusion | $52,101 | $57,744 | $-5,643 |
| Defibrillator Implantation (ICD) | $43,539 | $53,824 | $-10,285 |
| Total Knee Replacement | $37,683 | $30,772 | +$6,911 |
| Pacemaker Implantation | $36,332 | $29,869 | +$6,464 |
| Laminectomy | $29,817 | $29,335 | +$482 |
Frequently Asked Questions
Which state has higher Medicare spending, Iowa or South Dakota?
Iowa has higher Medicare spending at $13,800 per capita vs $13,396 in South Dakota.
Which state has a lower uninsured rate?
Iowa has a lower uninsured rate of 3.4% compared to 4.1% in South Dakota.
Have both Iowa and South Dakota expanded Medicaid?
Iowa has expanded Medicaid. South Dakota has expanded Medicaid.