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Health
1.3% higher in Bismarck, North Dakota
than in Spokane, Washington

Insurance cost

	Spokane, WA	Bismarck, ND	U.S. Avg	Difference
Insurance Premium	67.9	75.8	100	11.6%

Procedure & surgery cost

	Spokane, WA	Bismarck, ND	U.S. Avg	Difference
Heart Attack	93.1	94	100	1.0%
Heart Failure	98.3	96	100	2.3%
Hip Knee Replacement	101.5	85.6	100	15.7%
Pneumonia	102	100.5	100	1.5%

Cost of Major Procedures (includes doctors & hospital stay)

	Spokane, WA	Bismarck, ND	U.S. Avg	Difference
Heart Attack Hospital	$21,476	$21,699	$23,281	1.0%
Heart Failure Hospital	$15,798	$15,422	$16,237	2.4%
Hip Knee Replacement Hospital	$22,468	$18,950	$22,499	15.7%
Pneumonia Hospital	$17,157	$16,908	$17,007	1.5%

Premium Increases (State Level)

	Spokane, WA	Bismarck, ND	U.S. Avg	Difference
2014-2015	-17.9%	6.7%	3.1%	137.4%
2015-2016	5.6%	8.9%	12.5%	58.9%
2016-2017	-1.6%	6.7%	57.9%	518.8%
2017-2018	38.3%	7.1%	19.0%	81.5%
2018-2019	13.4%	21.2%	-2.2%	58.2%
Since 2014	33.7%	60.9%	113.3%	80.7%

Health Insurance Premiums

State average

Cost of Taxes

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Spokane, Washington vs. Bismarck, North Dakota

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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