Nebraska vs South Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Nebraska (NE) | South Dakota (SD) |
|---|---|---|
| Medicare Spending/Capita | $9,735 | $13,396 |
| Medicare Enrollees | 2,835,489 | 1,224,124 |
| Medicaid Enrollees | 3,813,986 | 1,665,498 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $39/mo | $57/mo |
| Medigap Premium (Avg) | $327/mo | $278/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 6.1% | 4.1% |
Top Procedure Costs
| Procedure | Nebraska | South Dakota | Difference |
|---|---|---|---|
| Liver Transplant | $192,034 | $154,393 | +$37,641 |
| Kidney Transplant | $122,733 | $125,853 | $-3,120 |
| Coronary Artery Bypass Graft (CABG) | $91,664 | $69,622 | +$22,043 |
| Heart Valve Replacement | $72,542 | $99,495 | $-26,953 |
| Spinal Fusion | $58,920 | $57,744 | +$1,177 |
| Defibrillator Implantation (ICD) | $45,903 | $53,824 | $-7,921 |
| Pacemaker Implantation | $36,274 | $29,869 | +$6,406 |
| Total Knee Replacement | $32,143 | $30,772 | +$1,371 |
| Laminectomy | $27,023 | $29,335 | $-2,311 |
Frequently Asked Questions
Which state has higher Medicare spending, Nebraska or South Dakota?
South Dakota has higher Medicare spending at $13,396 per capita vs $9,735 in Nebraska.
Which state has a lower uninsured rate?
South Dakota has a lower uninsured rate of 4.1% compared to 6.1% in Nebraska.
Have both Nebraska and South Dakota expanded Medicaid?
Nebraska has expanded Medicaid. South Dakota has expanded Medicaid.