North Dakota vs West Virginia: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | North Dakota (ND) | West Virginia (WV) |
|---|---|---|
| Medicare Spending/Capita | $11,676 | $11,172 |
| Medicare Enrollees | 1,101,115 | 2,255,467 |
| Medicaid Enrollees | 1,501,487 | 3,040,623 |
| Part B Premium | $185/mo | $353/mo |
| Part D Premium (Avg) | $35/mo | $56/mo |
| Medigap Premium (Avg) | $140/mo | $348/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 6.7% | 4.8% |
Top Procedure Costs
| Procedure | North Dakota | West Virginia | Difference |
|---|---|---|---|
| Liver Transplant | $178,759 | $132,829 | +$45,929 |
| Kidney Transplant | $116,999 | $156,367 | $-39,367 |
| Coronary Artery Bypass Graft (CABG) | $90,308 | $69,089 | +$21,219 |
| Heart Valve Replacement | $70,958 | $80,408 | $-9,450 |
| Spinal Fusion | $38,484 | $49,046 | $-10,562 |
| Total Knee Replacement | $36,332 | $39,592 | $-3,260 |
| Total Hip Replacement | $35,528 | $36,203 | $-675 |
| Defibrillator Implantation (ICD) | $34,234 | $44,408 | $-10,173 |
Frequently Asked Questions
Which state has higher Medicare spending, North Dakota or West Virginia?
North Dakota has higher Medicare spending at $11,676 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 6.7% in North Dakota.
Have both North Dakota and West Virginia expanded Medicaid?
North Dakota has expanded Medicaid. West Virginia has expanded Medicaid.