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Health
6.8% higher in San Rafael, California
than in Pembina, North Dakota

Insurance cost

	Pembina, ND	San Rafael, CA	U.S. Avg	Difference
Insurance Premium	93.7	107.7	100	14.9%

Procedure & surgery cost

	Pembina, ND	San Rafael, CA	U.S. Avg	Difference
Heart Attack	105.1	91.8	100	12.7%
Heart Failure	100.6	101	100	0.4%
Hip Knee Replacement	92.3	98.3	100	6.5%
Pneumonia	88	96.9	100	10.1%

Cost of Major Procedures (includes doctors & hospital stay)

	Pembina, ND	San Rafael, CA	U.S. Avg	Difference
Heart Attack Hospital	$24,245	$21,192	$23,281	12.6%
Heart Failure Hospital	$16,169	$16,227	$16,237	0.4%
Hip Knee Replacement Hospital	$20,428	$21,754	$22,499	6.5%
Pneumonia Hospital	$14,800	$16,301	$17,007	10.1%

Premium Increases (State Level)

	Pembina, ND	San Rafael, CA	U.S. Avg	Difference
2014-2015	6.7%	4.0%	3.1%	40.3%
2015-2016	8.9%	0.0%	12.5%	100.0%
2016-2017	6.7%	9.3%	57.9%	38.8%
2017-2018	7.1%	26.1%	19.0%	267.6%
2018-2019	21.2%	1.2%	-2.2%	94.3%
Since 2014	60.9%	45.0%	113.3%	26.1%

Health Insurance Premiums

State average

Cost of Taxes

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Pembina, North Dakota vs. San Rafael, California

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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