Consumer spending on health care services

Personal consumption expenditures on outpatient services (physicians, dentists and other providers), hospitals and nursing homes, whether paid by households, private insurers or Medicare and Medicaid, by the households and nonprofit institutions serving households resident in the place, in millions of current US dollars. Bureau of Economic Analysis, PCE by state by type of product (table SAPCE3, line 60, Health care); the national figure equals the national accounts (NIPA table 2.4.5).

Drugs and medical products (consumer_spending_usd_pharmaceutical_products) and the net cost of health insurance (part of consumer_spending_usd_insurance) are separate lines. This is not total health expenditure: government public health spending and investment are outside consumer spending. Millions of current US dollars: not adjusted for inflation or for price differences between states (see regional_price_parity). Spending is assigned to the state where the buyer lives, wherever the purchase is made. It includes purchases paid on behalf of households by employers, insurers and government programs, and the spending of nonprofit institutions serving households. Not the same as retail sales, which count store sales where the store is, and not the PCE price index. BEA revises the latest years every September.

Key facts

Figures last updated on 2026-10-12.

Rankings

US states by consumer spending on health care services, 2025

Top 15. Source: U.S. Bureau of Economic Analysis.

California: 459,724.4 USD millionCalifornia459,724.4Texas: 263,006.1 USD millionTexas263,006.1New York: 261,851.5 USD millionNew York261,851.5Florida: 248,088.1 USD millionFlorida248,088.1Pennsylvania: 142,596.5 USD millionPennsylvania142,596.5Illinois: 135,858.4 USD millionIllinois135,858.4Ohio: 129,711.7 USD millionOhio129,711.7New Jersey: 107,688.9 USD millionNew Jersey107,688.9Georgia: 105,872.5 USD millionGeorgia105,872.5North Carolina: 104,257 USD millionNorth Carolina104,257Michigan: 98,494 USD millionMichigan98,494Massachusetts: 91,221 USD millionMassachusetts91,221Virginia: 87,292 USD millionVirginia87,292Washington: 83,506.6 USD millionWashington83,506.6Indiana: 82,404.4 USD millionIndiana82,404.4California: 459,724.4 USD millionCalifornia459,724.4Texas: 263,006.1 USD millionTexas263,006.1New York: 261,851.5 USD millionNew York261,851.5Florida: 248,088.1 USD millionFlorida248,088.1Pennsylvania: 142,596.5 USD millionPennsylvania142,596.5Illinois: 135,858.4 USD millionIllinois135,858.4Ohio: 129,711.7 USD millionOhio129,711.7New Jersey: 107,688.9 USD millionNew Jersey107,688.9Georgia: 105,872.5 USD millionGeorgia105,872.5North Carolina: 104,257 USD millionNorth Carolina104,257Michigan: 98,494 USD millionMichigan98,494Massachusetts: 91,221 USD millionMassachusetts91,221Virginia: 87,292 USD millionVirginia87,292Washington: 83,506.6 USD millionWashington83,506.6Indiana: 82,404.4 USD millionIndiana82,404.4
USD million. Source: BEA, SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states. Retrieved 2026-10-12.

Full ranking of states

Places with data

Published for countries, regions and states.

Countries

Regions and states

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