North Carolina vs West Virginia: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | North Carolina (NC) | West Virginia (WV) |
|---|---|---|
| Medicare Spending/Capita | $13,698 | $11,172 |
| Medicare Enrollees | 2,179,006 | 2,255,467 |
| Medicaid Enrollees | 2,938,675 | 3,040,623 |
| Part B Premium | $185/mo | $353/mo |
| Part D Premium (Avg) | $44/mo | $56/mo |
| Medigap Premium (Avg) | $285/mo | $348/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 5.6% | 4.8% |
Top Procedure Costs
| Procedure | North Carolina | West Virginia | Difference |
|---|---|---|---|
| Liver Transplant | $211,982 | $132,829 | +$79,153 |
| Kidney Transplant | $109,900 | $156,367 | $-46,467 |
| Heart Valve Replacement | $78,554 | $80,408 | $-1,854 |
| Coronary Artery Bypass Graft (CABG) | $66,726 | $69,089 | $-2,363 |
| Defibrillator Implantation (ICD) | $46,434 | $44,408 | +$2,026 |
| Total Knee Replacement | $43,404 | $39,592 | +$3,812 |
| Spinal Fusion | $37,530 | $49,046 | $-11,515 |
| Total Hip Replacement | $35,584 | $36,203 | $-619 |
| Sepsis Treatment | $27,224 | $29,909 | $-2,684 |
Frequently Asked Questions
Which state has higher Medicare spending, North Carolina or West Virginia?
North Carolina has higher Medicare spending at $13,698 per capita vs $11,172 in West Virginia.
Which state has a lower uninsured rate?
West Virginia has a lower uninsured rate of 4.8% compared to 5.6% in North Carolina.
Have both North Carolina and West Virginia expanded Medicaid?
North Carolina has expanded Medicaid. West Virginia has expanded Medicaid.