US states by consumer spending on health care services, 2025

California had the highest consumer spending on health care services of 51 states in 2025, at $459.72 billion. Wyoming had the lowest, at $5.92 billion. The median was $45.77 billion and the figure for the United States was $3.57 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest459,724.4California

Lowest5,922.9Wyoming

Median45,770.651 states

United States3,569,080.7History

All states, 2025

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

Rank	States	2025 USD million	Change on 2024
1	California	459,724.4	+5.1%
2	Texas	263,006.1	+7.4%
3	New York	261,851.5	+7.4%
4	Florida	248,088.1	+11%
5	Pennsylvania	142,596.5	+6%
6	Illinois	135,858.4	+7.6%
7	Ohio	129,711.7	+6.7%
8	New Jersey	107,688.9	+8.1%
9	Georgia	105,872.5	+8.5%
10	North Carolina	104,257	+7.2%
11	Michigan	98,494	+7.3%
12	Massachusetts	91,221	+6.4%
13	Virginia	87,292	+7.1%
14	Washington	83,506.6	+7.6%
15	Indiana	82,404.4	+6.9%
16	Arizona	70,351.6	+7.8%
17	Tennessee	68,443.4	+7.6%
18	Missouri	67,360.5	+7.1%
19	Minnesota	66,465	+8.4%
20	Wisconsin	65,222.4	+8.2%
21	Maryland	63,334.2	+7.2%
22	Colorado	57,287.7	+8.6%
23	Louisiana	50,157.8	+7.2%
24	Kentucky	49,772.8	+8.4%
25	Oregon	45,975.1	+7.8%
26	South Carolina	45,770.6	+7.3%
27	Alabama	43,662.4	+5.5%
28	Connecticut	42,225.7	+7.7%
29	Oklahoma	40,149	+7.6%
30	Iowa	29,961	+6.7%
31	Kansas	28,753	+6.5%
32	Arkansas	28,100.5	+6%
33	Utah	26,790	+5.4%
34	Nevada	26,732.9	+8.3%
35	Mississippi	25,218.5	+5.8%
36	West Virginia	23,017.6	+6.8%
37	Nebraska	22,020.3	+7.4%
38	New Mexico	19,624.2	+8.3%
39	Idaho	17,456.6	+7.5%
40	Maine	16,455.9	+6.7%
41	New Hampshire	16,353.7	+8.4%
42	Hawaii	15,239	+6.9%
43	Delaware	13,785.2	+9.7%
44	South Dakota	12,365.6	+7%
45	Montana	12,065	+8.6%
46	Rhode Island	11,761	+6.9%
47	Alaska	11,372.6	+8.1%
48	District of Columbia	10,435.4	+6.8%
49	North Dakota	9,941.6	+6.5%
50	Vermont	7,957.1	+6.8%
51	Wyoming	5,922.9	+4.2%

Other periods

About this ranking

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.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

U.S. Bureau of Economic Analysis. SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states. https://apps.bea.gov/regional/zip/SAPCE.zip. Retrieved 2026-10-12.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

U.S. Bureau of Economic Analysis. (2026). SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states (US states by consumer spending on health care services, 2025) [Data set]. Retrieved October 12, 2026, from https://apps.bea.gov/regional/zip/SAPCE.zip

MLA 9

SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states, US states by consumer spending on health care services, 2025. U.S. Bureau of Economic Analysis, 30 Sept. 2026, https://apps.bea.gov/regional/zip/SAPCE.zip. Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states. Accessed 12 Oct. 2026.

Chicago (author-date)

U.S. Bureau of Economic Analysis. 2026. SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states. US states by consumer spending on health care services, 2025. Dataset. Accessed October 12, 2026. https://apps.bea.gov/regional/zip/SAPCE.zip. Also distributed by Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states.

Harvard

U.S. Bureau of Economic Analysis (2026) SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states, US states by consumer spending on health care services, 2025 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2025,
  author = {{U.S. Bureau of Economic Analysis}},
  title = {{SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states: US states by consumer spending on health care services, 2025}},
  year = {2026},
  howpublished = {Data set},
  url = {https://apps.bea.gov/regional/zip/SAPCE.zip},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states. Publisher attribution: U.S. Bureau of Economic Analysis. SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states. https://apps.bea.gov/regional/zip/SAPCE.zip. Retrieved 2026-10-12.},
}

RIS

TY  - DATA
AU  - U.S. Bureau of Economic Analysis
TI  - SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states: US states by consumer spending on health care services, 2025
PY  - 2026
DA  - 2026/09/30
PB  - U.S. Bureau of Economic Analysis
DB  - Invokely
UR  - https://apps.bea.gov/regional/zip/SAPCE.zip
L2  - https://invokely.ai/rankings/consumer-spending-health-care/us-states
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states.
N1  - Publisher attribution: U.S. Bureau of Economic Analysis. SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states. https://apps.bea.gov/regional/zip/SAPCE.zip. Retrieved 2026-10-12.
ER  -

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Questions

Which state has the highest consumer spending on health care services?

California, with $459.72 billion in 2025, according to the U.S. Bureau of Economic Analysis.

Which state has the lowest consumer spending on health care services?

Wyoming, with $5.92 billion in 2025.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: U.S. Bureau of Economic Analysis, 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.