Michigan vs South Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Michigan (MI) | South Dakota (SD) |
|---|---|---|
| Medicare Spending/Capita | $8,983 | $13,396 |
| Medicare Enrollees | 2,122,554 | 1,224,124 |
| Medicaid Enrollees | 2,863,406 | 1,665,498 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $25/mo | $57/mo |
| Medigap Premium (Avg) | $298/mo | $278/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 5.9% | 4.1% |
Top Procedure Costs
| Procedure | Michigan | South Dakota | Difference |
|---|---|---|---|
| Kidney Transplant | $162,041 | $125,853 | +$36,188 |
| Liver Transplant | $134,299 | $154,393 | $-20,094 |
| Coronary Artery Bypass Graft (CABG) | $82,516 | $69,622 | +$12,895 |
| Heart Valve Replacement | $65,938 | $99,495 | $-33,557 |
| Spinal Fusion | $42,324 | $57,744 | $-15,419 |
| Total Knee Replacement | $37,716 | $30,772 | +$6,944 |
| Pacemaker Implantation | $36,694 | $29,869 | +$6,825 |
| Total Hip Replacement | $36,324 | $39,857 | $-3,533 |
| Defibrillator Implantation (ICD) | $35,793 | $53,824 | $-18,031 |
Frequently Asked Questions
Which state has higher Medicare spending, Michigan or South Dakota?
South Dakota has higher Medicare spending at $13,396 per capita vs $8,983 in Michigan.
Which state has a lower uninsured rate?
South Dakota has a lower uninsured rate of 4.1% compared to 5.9% in Michigan.
Have both Michigan and South Dakota expanded Medicaid?
Michigan has expanded Medicaid. South Dakota has expanded Medicaid.