Pennsylvania vs West Virginia: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Pennsylvania (PA) | West Virginia (WV) |
|---|---|---|
| Medicare Spending/Capita | $12,687 | $11,172 |
| Medicare Enrollees | 3,282,320 | 2,255,467 |
| Medicaid Enrollees | 4,459,760 | 3,040,623 |
| Part B Premium | $478/mo | $353/mo |
| Part D Premium (Avg) | $82/mo | $56/mo |
| Medigap Premium (Avg) | $136/mo | $348/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 3.6% | 4.8% |
Top Procedure Costs
| Procedure | Pennsylvania | West Virginia | Difference |
|---|---|---|---|
| Kidney Transplant | $161,213 | $156,367 | +$4,846 |
| Liver Transplant | $139,782 | $132,829 | +$6,952 |
| Heart Valve Replacement | $93,136 | $80,408 | +$12,728 |
| Coronary Artery Bypass Graft (CABG) | $79,506 | $69,089 | +$10,417 |
| Spinal Fusion | $40,978 | $49,046 | $-8,068 |
| Total Hip Replacement | $39,319 | $36,203 | +$3,117 |
| Defibrillator Implantation (ICD) | $35,762 | $44,408 | $-8,646 |
| Total Knee Replacement | $30,155 | $39,592 | $-9,437 |
Frequently Asked Questions
Which state has higher Medicare spending, Pennsylvania or West Virginia?
Pennsylvania has higher Medicare spending at $12,687 per capita vs $11,172 in West Virginia.
Which state has a lower uninsured rate?
Pennsylvania has a lower uninsured rate of 3.6% compared to 4.8% in West Virginia.
Have both Pennsylvania and West Virginia expanded Medicaid?
Pennsylvania has expanded Medicaid. West Virginia has expanded Medicaid.