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Health
20.7% higher in Spencer, Iowa
than in Columbia, Missouri

Insurance cost

	Columbia, MO	Spencer, IA	U.S. Avg	Difference
Insurance Premium	99.6	151.8	100	52.4%

Procedure & surgery cost

	Columbia, MO	Spencer, IA	U.S. Avg	Difference
Heart Attack	106.9	98.7	100	7.7%
Heart Failure	102.2	87.3	100	14.6%
Hip Knee Replacement	95	87	100	8.4%
Pneumonia	103.7	87.3	100	15.8%

Cost of Major Procedures (includes doctors & hospital stay)

	Columbia, MO	Spencer, IA	U.S. Avg	Difference
Heart Attack Hospital	$24,673	$22,772	$23,281	7.7%
Heart Failure Hospital	$16,421	$14,022	$16,237	14.6%
Hip Knee Replacement Hospital	$21,027	$19,261	$22,499	8.4%
Pneumonia Hospital	$17,444	$14,682	$17,007	15.8%

Premium Increases (State Level)

	Columbia, MO	Spencer, IA	U.S. Avg	Difference
2014-2015	-1.0%	4.7%	3.1%	570.0%
2015-2016	10.6%	13.2%	12.5%	24.5%
2016-2017	18.5%	26.3%	57.9%	42.2%
2017-2018	42.2%	88.1%	19.0%	108.8%
2018-2019	-5.7%	6.9%	-2.2%	221.1%
Since 2014	73.9%	201.2%	113.3%	172.3%

Health Insurance Premiums

State average

Cost of Taxes

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Columbia, Missouri vs. Spencer, Iowa

Health Compare

Insurance cost

Procedure & surgery cost

Cost of Major Procedures (includes doctors & hospital stay)

Premium Increases (State Level)

Health Insurance Premiums

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