MedCheckWize

South Dakota vs Texas: Medicare Costs (2026)

Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.

MetricSouth Dakota (SD)Texas (TX)
Medicare Spending/Capita$13,396$13,718
Medicare Enrollees1,224,1247,030,295
Medicaid Enrollees1,665,4989,457,062
Part B Premium$185/mo$286/mo
Part D Premium (Avg)$57/mo$77/mo
Medigap Premium (Avg)$278/mo$193/mo
Medicaid ExpansionYesNo
Uninsured Rate4.1%11.4%

Top Procedure Costs

ProcedureSouth DakotaTexasDifference
Liver Transplant$154,393$182,473$-28,080
Kidney Transplant$125,853$148,676$-22,824
Heart Valve Replacement$99,495$86,926+$12,569
Coronary Artery Bypass Graft (CABG)$69,622$67,370+$2,252
Spinal Fusion$57,744$47,062+$10,682
Defibrillator Implantation (ICD)$53,824$40,274+$13,550
Total Hip Replacement$39,857$26,446+$13,410
Total Knee Replacement$30,772$28,413+$2,359
View South DakotaView Texas

Frequently Asked Questions

Which state has higher Medicare spending, South Dakota or Texas?

Texas has higher Medicare spending at $13,718 per capita vs $13,396 in South Dakota.

Which state has a lower uninsured rate?

South Dakota has a lower uninsured rate of 4.1% compared to 11.4% in Texas.

Have both South Dakota and Texas expanded Medicaid?

South Dakota has expanded Medicaid. Texas has not expanded Medicaid.