Medicare & Medicaid in North Dakota (ND)
2026 healthcare costs, coverage, and spending data for North Dakota.
$11,676
Spending/Capita
1,101,115
Medicare Enrollees
1,501,487
Medicaid Enrollees
6.7%
Uninsured Rate
Medicare Premiums in North Dakota
Part B Premium
$185/mo
Part D Premium (Avg)
$35/mo
Medigap Premium (Avg)
$140/mo
Medicaid Expansion: Yes - North Dakota expanded Medicaid under the ACA
Procedure Costs in North Dakota
Hospital
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Liver Transplant | $178,759 | $143,007 | $35,752 |
| Kidney Transplant | $116,999 | $93,600 | $23,400 |
| Coronary Artery Bypass Graft (CABG) | $90,308 | $72,247 | $18,062 |
| Heart Valve Replacement | $70,958 | $56,766 | $14,192 |
| Spinal Fusion | $38,484 | $30,787 | $7,697 |
| Total Knee Replacement | $36,332 | $29,066 | $7,266 |
| Total Hip Replacement | $35,528 | $28,422 | $7,106 |
| Defibrillator Implantation (ICD) | $34,234 | $27,388 | $6,847 |
| Laminectomy | $29,330 | $23,464 | $5,866 |
| Cardiac Catheterization with Stent | $26,565 | $21,252 | $5,313 |
| Lumbar Disc Surgery | $24,489 | $19,591 | $4,898 |
| Sepsis Treatment | $24,444 | $19,555 | $4,889 |
| Colectomy | $24,340 | $19,472 | $4,868 |
| Stroke Treatment (Acute) | $23,813 | $19,050 | $4,763 |
| Pacemaker Implantation | $23,634 | $18,907 | $4,727 |
Outpatient
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Lithotripsy (Kidney Stones) | $8,662 | $6,929 | $1,732 |
| Arthroscopic Knee Surgery | $7,224 | $5,779 | $1,445 |
| TURP (Prostate) | $7,036 | $5,629 | $1,407 |
| Septoplasty | $6,503 | $5,202 | $1,301 |
| Endoscopic Sinus Surgery | $6,249 | $4,999 | $1,250 |
| Hemorrhoid Surgery | $6,234 | $4,987 | $1,247 |
| Bunionectomy | $5,865 | $4,692 | $1,173 |
| Dialysis Access Surgery | $5,079 | $4,063 | $1,016 |
| Tonsillectomy | $5,056 | $4,045 | $1,011 |
| Carpal Tunnel Release | $4,725 | $3,780 | $945 |
| Nasal Polyp Removal | $4,313 | $3,451 | $863 |
| Bronchoscopy | $3,912 | $3,129 | $782 |
| Trigger Finger Release | $3,668 | $2,934 | $734 |
| Cataract Surgery (Outpatient) | $3,323 | $2,658 | $665 |
| Adenoidectomy | $3,323 | $2,658 | $665 |
Imaging
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| PET Scan | $4,145 | $3,316 | $829 |
| Nuclear Stress Test | $1,610 | $1,288 | $322 |
| MRI Brain | $1,543 | $1,235 | $309 |
| MRI Spine (Cervical) | $1,510 | $1,208 | $302 |
| MRI Knee | $1,448 | $1,158 | $290 |
| MRI Spine (Lumbar) | $1,395 | $1,116 | $279 |
| MRI Hip | $1,274 | $1,019 | $255 |
| CT Scan Abdomen/Pelvis | $1,237 | $989 | $247 |
| CT Angiography | $1,183 | $947 | $237 |
| Bone Scan | $1,154 | $923 | $231 |
| CT Scan Chest | $1,025 | $820 | $205 |
| MRI Shoulder | $970 | $776 | $194 |
| CT Colonography (Virtual) | $768 | $614 | $154 |
| CT Scan Head | $763 | $611 | $153 |
| Fluoroscopy | $643 | $514 | $129 |
Physician/Office
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Sleep Study Consultation | $407 | $325 | $81 |
| Allergy Testing | $301 | $241 | $60 |
| Annual Wellness Visit | $296 | $296 | $0 |
| Psychiatry Visit | $260 | $208 | $52 |
| Shingles Vaccination | $238 | $238 | $0 |
| Wound Care Visit | $219 | $175 | $44 |
| Mammogram (Screening) | $217 | $217 | $0 |
| Bone Density Test (DEXA Scan) | $179 | $143 | $36 |
| Speech Therapy Session | $178 | $142 | $36 |
| Occupational Therapy Session | $174 | $139 | $35 |
| Mental Health Counseling | $164 | $131 | $33 |
| Office Visit (New Patient) | $153 | $122 | $31 |
| Physical Therapy Session | $150 | $120 | $30 |
| Office Visit (Established Patient) | $148 | $118 | $30 |
| Skin Cancer Screening | $145 | $116 | $29 |
Laboratory
| Procedure | Avg Cost | Medicare Pays | You Pay |
|---|---|---|---|
| Vitamin D Level | $60 | $48 | $12 |
| BNP (Heart Failure Marker) | $58 | $46 | $12 |
| PSA (Prostate-Specific Antigen) | $49 | $39 | $10 |
| Blood Culture | $48 | $39 | $10 |
| Comprehensive Metabolic Panel | $46 | $37 | $9 |
| Thyroid Panel (TSH) | $45 | $36 | $9 |
| Glucose Tolerance Test | $44 | $35 | $9 |
| Blood Type and Crossmatch | $41 | $33 | $8 |
| Troponin Level | $40 | $32 | $8 |
| Lipid Panel | $39 | $31 | $8 |
| Hemoglobin A1C | $37 | $29 | $7 |
| Liver Function Panel | $37 | $29 | $7 |
| Pap Smear Lab Processing | $34 | $28 | $7 |
| B12 Level | $33 | $27 | $7 |
| Iron Studies (Ferritin) | $33 | $26 | $7 |
Compare North Dakota With Other States
Frequently Asked Questions
How much does Medicare spend per person in North Dakota?
In 2026, the average Medicare spending per beneficiary in North Dakota is $11,676.
How many people are enrolled in Medicare in North Dakota?
North Dakota has approximately 1,101,115 Medicare beneficiaries.
Did North Dakota expand Medicaid?
Yes, North Dakota expanded Medicaid under the Affordable Care Act.
What is the uninsured rate in North Dakota?
The uninsured rate in North Dakota is 6.7%.
What is the average Medigap premium in North Dakota?
The average Medigap (Medicare Supplement) premium in North Dakota is $140 per month.