Virginia vs West Virginia: Medicare Costs (2026)
Side-by-side comparison of Medicare spending, premiums, and healthcare coverage.
| Metric | Virginia (VA) | West Virginia (WV) |
|---|---|---|
| Medicare Spending/Capita | $11,977 | $11,172 |
| Medicare Enrollees | 1,572,772 | 2,255,467 |
| Medicaid Enrollees | 2,130,363 | 3,040,623 |
| Part B Premium | $185/mo | $353/mo |
| Part D Premium (Avg) | $59/mo | $56/mo |
| Medigap Premium (Avg) | $304/mo | $348/mo |
| Medicaid Expansion | Yes | Yes |
| Uninsured Rate | 3.1% | 4.8% |
Top Procedure Costs
| Procedure | Virginia | West Virginia | Difference |
|---|---|---|---|
| Liver Transplant | $155,917 | $132,829 | +$23,088 |
| Kidney Transplant | $117,194 | $156,367 | $-39,173 |
| Coronary Artery Bypass Graft (CABG) | $78,354 | $69,089 | +$9,265 |
| Heart Valve Replacement | $73,305 | $80,408 | $-7,103 |
| Spinal Fusion | $56,745 | $49,046 | +$7,700 |
| Defibrillator Implantation (ICD) | $50,632 | $44,408 | +$6,224 |
| Total Hip Replacement | $39,909 | $36,203 | +$3,706 |
| Total Knee Replacement | $36,977 | $39,592 | $-2,615 |
Frequently Asked Questions
Which state has higher Medicare spending, Virginia or West Virginia?
Virginia has higher Medicare spending at $11,977 per capita vs $11,172 in West Virginia.
Which state has a lower uninsured rate?
Virginia has a lower uninsured rate of 3.1% compared to 4.8% in West Virginia.
Have both Virginia and West Virginia expanded Medicaid?
Virginia has expanded Medicaid. West Virginia has expanded Medicaid.