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
22.6% lower in Apple Valley, California
than in Spearfish, South Dakota

Insurance cost

	Spearfish, SD	Apple Valley, CA	U.S. Avg	Difference
Insurance Premium	128.2	72.2	100	43.7%

Procedure & surgery cost

	Spearfish, SD	Apple Valley, CA	U.S. Avg	Difference
Heart Attack	102.6	97.8	100	4.7%
Heart Failure	93.8	102.6	100	9.4%
Hip Knee Replacement	86.3	101.3	100	17.4%
Pneumonia	107.2	109.1	100	1.8%

Cost of Major Procedures (includes doctors & hospital stay)

	Spearfish, SD	Apple Valley, CA	U.S. Avg	Difference
Heart Attack Hospital	$23,670	$22,558	$23,281	4.7%
Heart Failure Hospital	$15,064	$16,480	$16,237	9.4%
Hip Knee Replacement Hospital	$19,113	$22,426	$22,499	17.3%
Pneumonia Hospital	$18,029	$18,348	$17,007	1.8%

Premium Increases (State Level)

	Spearfish, SD	Apple Valley, CA	U.S. Avg	Difference
2014-2015	-7.7%	4.0%	3.1%	151.9%
2015-2016	24.6%	0.0%	12.5%	100.0%
2016-2017	38.6%	9.3%	57.9%	75.9%
2017-2018	14.3%	26.1%	19.0%	82.5%
2018-2019	6.9%	1.2%	-2.2%	82.6%
Since 2014	94.8%	45.0%	113.3%	52.5%

Health Insurance Premiums

State average

Cost of Taxes

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Spearfish, South Dakota vs. Apple Valley, 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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