South Dakota vs Wyoming: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | South Dakota (SD) | Wyoming (WY) |
|---|---|---|
| Medicare Spending/Capita | $13,396 | $13,745 |
| Medicare Enrollees | 1,224,124 | 1,898,996 |
| Medicaid Enrollees | 1,665,498 | 2,565,328 |
| Part B Premium | $185/mo | $330/mo |
| Part D Premium (Avg) | $57/mo | $40/mo |
| Medigap Premium (Avg) | $278/mo | $166/mo |
| Medicaid Expansion | Yes | No |
| Uninsured Rate | 4.1% | 5.7% |
Top Procedure Costs
| Procedure | South Dakota | Wyoming | Difference |
|---|---|---|---|
| Liver Transplant | $154,393 | $186,993 | $-32,600 |
| Kidney Transplant | $125,853 | $148,460 | $-22,608 |
| Heart Valve Replacement | $99,495 | $88,317 | +$11,178 |
| Coronary Artery Bypass Graft (CABG) | $69,622 | $91,080 | $-21,459 |
| Spinal Fusion | $57,744 | $48,597 | +$9,146 |
| Defibrillator Implantation (ICD) | $53,824 | $50,730 | +$3,094 |
| Total Hip Replacement | $39,857 | $27,948 | +$11,908 |
| Total Knee Replacement | $30,772 | $29,428 | +$1,344 |
| Pacemaker Implantation | $29,869 | $37,023 | $-7,154 |
Frequently Asked Questions
Which state has higher Medicare spending, South Dakota or Wyoming?
Wyoming has higher Medicare spending at $13,745 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 5.7% in Wyoming.
Have both South Dakota and Wyoming expanded Medicaid?
South Dakota has expanded Medicaid. Wyoming has not expanded Medicaid.