MedCheckWize

North Carolina vs North Dakota: Medicare Costs (2026)

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

MetricNorth Carolina (NC)North Dakota (ND)
Medicare Spending/Capita$13,698$11,676
Medicare Enrollees2,179,0061,101,115
Medicaid Enrollees2,938,6751,501,487
Part B Premium$185/mo$185/mo
Part D Premium (Avg)$44/mo$35/mo
Medigap Premium (Avg)$285/mo$140/mo
Medicaid ExpansionYesYes
Uninsured Rate5.6%6.7%

Top Procedure Costs

ProcedureNorth CarolinaNorth DakotaDifference
Liver Transplant$211,982$178,759+$33,224
Kidney Transplant$109,900$116,999$-7,100
Heart Valve Replacement$78,554$70,958+$7,596
Coronary Artery Bypass Graft (CABG)$66,726$90,308$-23,582
Defibrillator Implantation (ICD)$46,434$34,234+$12,199
Total Knee Replacement$43,404$36,332+$7,071
Spinal Fusion$37,530$38,484$-954
Total Hip Replacement$35,584$35,528+$56
View North CarolinaView North Dakota

Frequently Asked Questions

Which state has higher Medicare spending, North Carolina or North Dakota?

North Carolina has higher Medicare spending at $13,698 per capita vs $11,676 in North Dakota.

Which state has a lower uninsured rate?

North Carolina has a lower uninsured rate of 5.6% compared to 6.7% in North Dakota.

Have both North Carolina and North Dakota expanded Medicaid?

North Carolina has expanded Medicaid. North Dakota has expanded Medicaid.