US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2015, at $258.6 billion. Wyoming had the lowest, at $3.84 billion. The median was $26.59 billion and the figure for the United States was $2.06 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest258,600.4California

Lowest3,837.6Wyoming

Median26,586.551 states

United States2,059,764.7History

Map of states, 2015

Under 8,000
8,000 to 15K
15K to 27K
27K to 41K
41K to 61K
61K and over

USD million, 2015. 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, 2015

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	2015 USD million	Change on 2014
1	California	258,600.4	+8.6%
2	Texas	152,013.9	+7.2%
3	New York	142,989.1	+3.4%
4	Florida	126,311.2	+6.6%
5	Pennsylvania	92,397	+4.5%
6	Illinois	82,149.8	+3.3%
7	Ohio	81,392.8	+4.1%
8	Michigan	63,634.7	+5.4%
9	New Jersey	61,863.6	+5.7%
10	Massachusetts	58,701.4	+5.3%
11	North Carolina	56,932.4	+6.9%
12	Georgia	54,445.7	+7.7%
13	Virginia	48,679.3	+4.2%
14	Washington	48,346.7	+6.9%
15	Indiana	43,725.2	+4.3%
16	Wisconsin	41,996.5	+4.8%
17	Maryland	41,075.9	+5.5%
18	Minnesota	40,562.4	+4.3%
19	Missouri	39,666.8	+6.1%
20	Tennessee	39,342.6	+6.1%
21	Arizona	35,977.8	+5.8%
22	Colorado	32,700.2	+8.5%
23	Louisiana	28,235.6	+5.5%
24	Kentucky	26,990.3	+6.7%
25	Alabama	26,758.8	+5.4%
26	Connecticut	26,586.5	+2.6%
27	Oregon	26,429.1	+10.1%
28	South Carolina	26,094.4	+5.3%
29	Oklahoma	22,644.7	+4.7%
30	Iowa	19,295.2	+6.3%
31	Kansas	17,383.2	+3.8%
32	Mississippi	17,171.2	+4%
33	Arkansas	16,224.4	+6.4%
34	Nevada	15,110.9	+5.9%
35	Utah	14,169.6	+5.1%
36	West Virginia	13,477.6	+6.7%
37	Nebraska	12,554.6	+6.1%
38	New Mexico	12,041.2	+5.7%
39	New Hampshire	10,329.5	+3.9%
40	Maine	9,835.6	+6.6%
41	Idaho	8,958.5	+5.9%
42	Hawaii	8,662	+7.2%
43	Rhode Island	7,804.1	+4.9%
44	Delaware	7,546.6	+5.5%
45	Montana	6,889	+6.8%
46	District of Columbia	6,791.7	+6%
47	South Dakota	6,765.3	+6.2%
48	Alaska	6,657	+4.4%
49	North Dakota	6,026.2	+9.1%
50	Vermont	4,988.4	+4.6%
51	Wyoming	3,837.6	+5.1%

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, 2015) [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, 2015. 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=2015. 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, 2015. 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=2015.

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, 2015 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2015 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2015,
  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, 2015}},
  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=2015. 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, 2015
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=2015
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2015.
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 $258.6 billion in 2015, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $3.84 billion in 2015.

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.