Montana vs North Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Montana (MT) | North Dakota (ND) |
|---|---|---|
| Medicare Spending/Capita | $8,676 | $11,676 |
| Medicare Enrollees | 1,157,559 | 1,101,115 |
| Medicaid Enrollees | 1,576,746 | 1,501,487 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $43/mo | $35/mo |
| Medigap Premium (Avg) | $291/mo | $140/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 2.9% | 6.7% |
Top Procedure Costs
| Procedure | Montana | North Dakota | Difference |
|---|---|---|---|
| Liver Transplant | $159,407 | $178,759 | $-19,352 |
| Kidney Transplant | $101,280 | $116,999 | $-15,719 |
| Coronary Artery Bypass Graft (CABG) | $87,170 | $90,308 | $-3,138 |
| Heart Valve Replacement | $74,302 | $70,958 | +$3,344 |
| Spinal Fusion | $48,076 | $38,484 | +$9,592 |
| Total Hip Replacement | $38,753 | $35,528 | +$3,225 |
| Defibrillator Implantation (ICD) | $37,630 | $34,234 | +$3,396 |
| Total Knee Replacement | $27,456 | $36,332 | $-8,876 |
| Laminectomy | $27,406 | $29,330 | $-1,924 |
Frequently Asked Questions
Which state has higher Medicare spending, Montana or North Dakota?
North Dakota has higher Medicare spending at $11,676 per capita vs $8,676 in Montana.
Which state has a lower uninsured rate?
Montana has a lower uninsured rate of 2.9% compared to 6.7% in North Dakota.
Have both Montana and North Dakota expanded Medicaid?
Montana has expanded Medicaid. North Dakota has expanded Medicaid.