South Carolina vs South Dakota: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | South Carolina (SC) | South Dakota (SD) |
|---|---|---|
| Medicare Spending/Capita | $8,280 | $13,396 |
| Medicare Enrollees | 1,204,024 | 1,224,124 |
| Medicaid Enrollees | 1,638,699 | 1,665,498 |
| Part B Premium | $185/mo | $185/mo |
| Part D Premium (Avg) | $72/mo | $57/mo |
| Medigap Premium (Avg) | $293/mo | $278/mo |
| Medicaid Expansion | No | Yes |
| Uninsured Rate | 7.5% | 4.1% |
Top Procedure Costs
| Procedure | South Carolina | South Dakota | Difference |
|---|---|---|---|
| Kidney Transplant | $139,006 | $125,853 | +$13,153 |
| Liver Transplant | $131,604 | $154,393 | $-22,789 |
| Coronary Artery Bypass Graft (CABG) | $91,404 | $69,622 | +$21,783 |
| Heart Valve Replacement | $86,710 | $99,495 | $-12,785 |
| Spinal Fusion | $56,319 | $57,744 | $-1,424 |
| Total Knee Replacement | $38,898 | $30,772 | +$8,126 |
| Defibrillator Implantation (ICD) | $35,018 | $53,824 | $-18,806 |
| Total Hip Replacement | $29,852 | $39,857 | $-10,004 |
Frequently Asked Questions
Which state has higher Medicare spending, South Carolina or South Dakota?
South Dakota has higher Medicare spending at $13,396 per capita vs $8,280 in South Carolina.
Which state has a lower uninsured rate?
South Dakota has a lower uninsured rate of 4.1% compared to 7.5% in South Carolina.
Have both South Carolina and South Dakota expanded Medicaid?
South Carolina has not expanded Medicaid. South Dakota has expanded Medicaid.