Grid_ItemDataBound 13 Conversion from string "mraid.js" to type 'Double' is not valid. 2025 Cost of Living Calculator for Health: Middletown, Ohio vs Spirit Lake, Iowa

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MIDDLETOWN vs. SPIRIT LAKE
Cost of Living Comparison

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Middletown, Ohio vs. Spirit Lake, Iowa

Health Compare

Our Premium Cost of Living Calculator includes Health Indexes, Local Prices for Insurance Premiums, Common Surgery and Medical Procedures in Retirement and other must-know details. Click here to customize.

Health
45.0% higher in Spirit Lake, Iowa
than in Middletown, Ohio

Insurance cost

	Middletown, OH	Spirit Lake, IA	U.S. Avg	Difference
Insurance Premium	66.2	151.8	100	129.3%

Procedure & surgery cost

	Middletown, OH	Spirit Lake, IA	U.S. Avg	Difference
Heart Attack	98.5	98.7	100	0.2%
Heart Failure	106.9	86.3	100	19.3%
Hip Knee Replacement	103.2	96.1	100	6.9%
Pneumonia	108.3	86.6	100	20.0%

Cost of Major Procedures (includes doctors & hospital stay)

	Middletown, OH	Spirit Lake, IA	U.S. Avg	Difference
Heart Attack Hospital	$22,718	$22,772	$23,281	0.2%
Heart Failure Hospital	$17,183	$13,872	$16,237	19.3%
Hip Knee Replacement Hospital	$22,858	$21,281	$22,499	6.9%
Pneumonia Hospital	$18,217	$14,566	$17,007	20.0%

Premium Increases (State Level)

	Middletown, OH	Spirit Lake, IA	U.S. Avg	Difference
2014-2015	1.9%	4.7%	3.1%	147.4%
2015-2016	-0.4%	13.2%	12.5%	3,400.0%
2016-2017	2.2%	26.3%	57.9%	1,095.5%
2017-2018	35.4%	88.1%	19.0%	148.9%
2018-2019	2.4%	6.9%	-2.2%	187.5%
Since 2014	43.9%	201.2%	113.3%	358.3%

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