Montana vs South Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Montana (MT) | South Dakota (SD) |
|---|---|---|
| Medicare Spending/Capita | $8,676 | $13,396 |
| Medicare Enrollees | 1,157,559 | 1,224,124 |
| Medicaid Enrollees | 1,576,746 | 1,665,498 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $43/mo | $57/mo |
| Medigap Premium (Avg) | $291/mo | $278/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 2.9% | 4.1% |
Top Procedure Costs
| Procedure | Montana | South Dakota | Difference |
|---|---|---|---|
| Liver Transplant | $159,407 | $154,393 | +$5,014 |
| Kidney Transplant | $101,280 | $125,853 | $-24,572 |
| Coronary Artery Bypass Graft (CABG) | $87,170 | $69,622 | +$17,548 |
| Heart Valve Replacement | $74,302 | $99,495 | $-25,193 |
| Spinal Fusion | $48,076 | $57,744 | $-9,667 |
| Total Hip Replacement | $38,753 | $39,857 | $-1,104 |
| Defibrillator Implantation (ICD) | $37,630 | $53,824 | $-16,193 |
| Total Knee Replacement | $27,456 | $30,772 | $-3,316 |
| Laminectomy | $27,406 | $29,335 | $-1,929 |
Frequently Asked Questions
Which state has higher Medicare spending, Montana or South Dakota?
South Dakota has higher Medicare spending at $13,396 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 4.1% in South Dakota.
Have both Montana and South Dakota expanded Medicaid?
Montana has expanded Medicaid. South Dakota has expanded Medicaid.