Ohio vs Pennsylvania: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Ohio (OH) | Pennsylvania (PA) |
|---|---|---|
| Medicare Spending/Capita | $14,083 | $12,687 |
| Medicare Enrollees | 2,045,620 | 3,282,320 |
| Medicaid Enrollees | 2,760,827 | 4,459,760 |
| Part B Premium | $185/mo | $478/mo |
| Part D Premium (Avg) | $84/mo | $82/mo |
| Medigap Premium (Avg) | $127/mo | $136/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 6.1% | 3.6% |
Top Procedure Costs
| Procedure | Ohio | Pennsylvania | Difference |
|---|---|---|---|
| Liver Transplant | $188,726 | $139,782 | +$48,944 |
| Kidney Transplant | $145,326 | $161,213 | $-15,886 |
| Heart Valve Replacement | $64,285 | $93,136 | $-28,851 |
| Spinal Fusion | $61,567 | $40,978 | +$20,589 |
| Coronary Artery Bypass Graft (CABG) | $58,141 | $79,506 | $-21,366 |
| Defibrillator Implantation (ICD) | $51,155 | $35,762 | +$15,393 |
| Total Hip Replacement | $32,009 | $39,319 | $-7,310 |
| Total Knee Replacement | $28,450 | $30,155 | $-1,705 |
Frequently Asked Questions
Which state has higher Medicare spending, Ohio or Pennsylvania?
Ohio has higher Medicare spending at $14,083 per capita vs $12,687 in Pennsylvania.
Which state has a lower uninsured rate?
Pennsylvania has a lower uninsured rate of 3.6% compared to 6.1% in Ohio.
Have both Ohio and Pennsylvania expanded Medicaid?
Ohio has expanded Medicaid. Pennsylvania has expanded Medicaid.