North Carolina vs Virginia: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | North Carolina (NC) | Virginia (VA) |
|---|---|---|
| Medicare Spending/Capita | $13,698 | $11,977 |
| Medicare Enrollees | 2,179,006 | 1,572,772 |
| Medicaid Enrollees | 2,938,675 | 2,130,363 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $44/mo | $59/mo |
| Medigap Premium (Avg) | $285/mo | $304/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 5.6% | 3.1% |
Top Procedure Costs
| Procedure | North Carolina | Virginia | Difference |
|---|---|---|---|
| Liver Transplant | $211,982 | $155,917 | +$56,065 |
| Kidney Transplant | $109,900 | $117,194 | $-7,294 |
| Heart Valve Replacement | $78,554 | $73,305 | +$5,249 |
| Coronary Artery Bypass Graft (CABG) | $66,726 | $78,354 | $-11,628 |
| Defibrillator Implantation (ICD) | $46,434 | $50,632 | $-4,198 |
| Total Knee Replacement | $43,404 | $36,977 | +$6,427 |
| Spinal Fusion | $37,530 | $56,745 | $-19,215 |
| Pacemaker Implantation | $36,262 | $32,600 | +$3,662 |
| Total Hip Replacement | $35,584 | $39,909 | $-4,325 |
Frequently Asked Questions
Which state has higher Medicare spending, North Carolina or Virginia?
North Carolina has higher Medicare spending at $13,698 per capita vs $11,977 in Virginia.
Which state has a lower uninsured rate?
Virginia has a lower uninsured rate of 3.1% compared to 5.6% in North Carolina.
Have both North Carolina and Virginia expanded Medicaid?
North Carolina has expanded Medicaid. Virginia has expanded Medicaid.