North Carolina vs Pennsylvania: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | North Carolina (NC) | Pennsylvania (PA) |
|---|---|---|
| Medicare Spending/Capita | $13,698 | $12,687 |
| Medicare Enrollees | 2,179,006 | 3,282,320 |
| Medicaid Enrollees | 2,938,675 | 4,459,760 |
| Part B Premium | $185/mo | $478/mo |
| Part D Premium (Avg) | $44/mo | $82/mo |
| Medigap Premium (Avg) | $285/mo | $136/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 5.6% | 3.6% |
Top Procedure Costs
| Procedure | North Carolina | Pennsylvania | Difference |
|---|---|---|---|
| Liver Transplant | $211,982 | $139,782 | +$72,200 |
| Kidney Transplant | $109,900 | $161,213 | $-51,313 |
| Heart Valve Replacement | $78,554 | $93,136 | $-14,582 |
| Coronary Artery Bypass Graft (CABG) | $66,726 | $79,506 | $-12,780 |
| Defibrillator Implantation (ICD) | $46,434 | $35,762 | +$10,672 |
| Total Knee Replacement | $43,404 | $30,155 | +$13,248 |
| Spinal Fusion | $37,530 | $40,978 | $-3,447 |
| Pacemaker Implantation | $36,262 | $24,931 | +$11,331 |
| Total Hip Replacement | $35,584 | $39,319 | $-3,736 |
Frequently Asked Questions
Which state has higher Medicare spending, North Carolina or Pennsylvania?
North Carolina has higher Medicare spending at $13,698 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 5.6% in North Carolina.
Have both North Carolina and Pennsylvania expanded Medicaid?
North Carolina has expanded Medicaid. Pennsylvania has expanded Medicaid.