South Dakota vs West Virginia: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | South Dakota (SD) | West Virginia (WV) |
|---|---|---|
| Medicare Spending/Capita | $13,396 | $11,172 |
| Medicare Enrollees | 1,224,124 | 2,255,467 |
| Medicaid Enrollees | 1,665,498 | 3,040,623 |
| Part B Premium | $185/mo | $353/mo |
| Part D Premium (Avg) | $57/mo | $56/mo |
| Medigap Premium (Avg) | $278/mo | $348/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 4.1% | 4.8% |
Top Procedure Costs
| Procedure | South Dakota | West Virginia | Difference |
|---|---|---|---|
| Liver Transplant | $154,393 | $132,829 | +$21,564 |
| Kidney Transplant | $125,853 | $156,367 | $-30,514 |
| Heart Valve Replacement | $99,495 | $80,408 | +$19,087 |
| Coronary Artery Bypass Graft (CABG) | $69,622 | $69,089 | +$533 |
| Spinal Fusion | $57,744 | $49,046 | +$8,698 |
| Defibrillator Implantation (ICD) | $53,824 | $44,408 | +$9,416 |
| Total Hip Replacement | $39,857 | $36,203 | +$3,654 |
| Total Knee Replacement | $30,772 | $39,592 | $-8,820 |
Frequently Asked Questions
Which state has higher Medicare spending, South Dakota or West Virginia?
South Dakota has higher Medicare spending at $13,396 per capita vs $11,172 in West Virginia.
Which state has a lower uninsured rate?
South Dakota has a lower uninsured rate of 4.1% compared to 4.8% in West Virginia.
Have both South Dakota and West Virginia expanded Medicaid?
South Dakota has expanded Medicaid. West Virginia has expanded Medicaid.