US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2014, at $238.11 billion. Wyoming had the lowest, at $3.65 billion. The median was $25.31 billion and the figure for the United States was $1.95 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest238,112.9California

Lowest3,651.6Wyoming

Median25,307.351 states

United States1,945,460.2History

Map of states, 2014

Under 8,000
8,000 to 14K
14K to 25K
25K to 39K
39K to 58K
58K and over

USD million, 2014. Source: BEA, SAPCE3: personal consumption expenditures by state by type of product, health care (line 60), millions of current dollars, United States and states. Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2014

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	2014 USD million	Change on 2013
1	California	238,112.9	+5.4%
2	Texas	141,863	+5.3%
3	New York	138,243.5	+4.4%
4	Florida	118,450.1	+5.3%
5	Pennsylvania	88,434.1	+3.2%
6	Illinois	79,542	+4%
7	Ohio	78,172.4	+3.9%
8	Michigan	60,349.3	+2.9%
9	New Jersey	58,502.6	+4.8%
10	Massachusetts	55,755.6	+3.5%
11	North Carolina	53,234.7	+3.6%
12	Georgia	50,537.5	+4.5%
13	Virginia	46,723.6	+4.1%
14	Washington	45,236.9	+3.8%
15	Indiana	41,906.7	+3.8%
16	Wisconsin	40,057.2	+3.9%
17	Maryland	38,940.9	+4.3%
18	Minnesota	38,888.4	+4.4%
19	Missouri	37,374.8	+2.3%
20	Tennessee	37,097.1	+3.1%
21	Arizona	33,992.1	+3.4%
22	Colorado	30,129.9	+6.6%
23	Louisiana	26,769.3	+6.2%
24	Connecticut	25,919.8	+2.9%
25	Alabama	25,388.9	+2.7%
26	Kentucky	25,307.3	+4.3%
27	South Carolina	24,791.3	+4.4%
28	Oregon	24,011.8	+7.5%
29	Oklahoma	21,619	+5.2%
30	Iowa	18,154.3	+4.9%
31	Kansas	16,740.8	+1.5%
32	Mississippi	16,503.3	+2.8%
33	Arkansas	15,254.8	+4.5%
34	Nevada	14,266.5	+7.3%
35	Utah	13,480.3	+5.7%
36	West Virginia	12,636.6	+4.4%
37	Nebraska	11,831.9	+3.9%
38	New Mexico	11,389.5	+4.6%
39	New Hampshire	9,938.4	+2.1%
40	Maine	9,228.2	+3.2%
41	Idaho	8,459.6	+5.4%
42	Hawaii	8,081.9	+4.6%
43	Rhode Island	7,436.3	+4.5%
44	Delaware	7,155.7	+5.6%
45	Montana	6,450.9	+3.8%
46	District of Columbia	6,408.9	+3%
47	Alaska	6,376.4	+4.2%
48	South Dakota	6,368.3	+5.3%
49	North Dakota	5,523.5	+7%
50	Vermont	4,769.9	+2.2%
51	Wyoming	3,651.6	+5.9%

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, 2014) [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, 2014. 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?period=2014. 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, 2014. 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?period=2014.

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, 2014 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2014 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2014,
  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, 2014}},
  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?period=2014. 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, 2014
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?period=2014
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2014.
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 $238.11 billion in 2014, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $3.65 billion in 2014.

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.