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Health
2.6% lower in Shenandoah, Iowa
than in Columbus, Nebraska

Insurance cost

	Columbus, NE	Shenandoah, IA	U.S. Avg	Difference
Insurance Premium	169.7	162	100	4.5%

Procedure & surgery cost

	Columbus, NE	Shenandoah, IA	U.S. Avg	Difference
Heart Attack	98	104.9	100	7.0%
Heart Failure	99.7	93.5	100	6.2%
Hip Knee Replacement	101.8	99.9	100	1.9%
Pneumonia	92.2	92	100	0.2%

Cost of Major Procedures (includes doctors & hospital stay)

	Columbus, NE	Shenandoah, IA	U.S. Avg	Difference
Heart Attack Hospital	$22,607	$24,210	$23,281	7.1%
Heart Failure Hospital	$16,019	$15,028	$16,237	6.2%
Hip Knee Replacement Hospital	$22,528	$22,112	$22,499	1.8%
Pneumonia Hospital	$15,500	$15,471	$17,007	0.2%

Premium Increases (State Level)

	Columbus, NE	Shenandoah, IA	U.S. Avg	Difference
2014-2015	18.9%	4.7%	3.1%	75.1%
2015-2016	12.2%	13.2%	12.5%	8.2%
2016-2017	52.7%	26.3%	57.9%	50.1%
2017-2018	51.3%	88.1%	19.0%	71.7%
2018-2019	9.3%	6.9%	-2.2%	25.8%
Since 2014	236.5%	201.2%	113.3%	14.9%

Health Insurance Premiums

State average

Cost of Taxes

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Columbus, Nebraska vs. Shenandoah, 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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