US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2016, at $272.2 billion. Wyoming had the lowest, at $3.99 billion. The median was $28.02 billion and the figure for the United States was $2.16 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest272,200.1California

Lowest3,989.2Wyoming

Median28,020.351 states

United States2,164,634.3History

Map of states, 2016

Under 8,000
8,000 to 16K
16K to 28K
28K to 43K
43K to 64K
64K and over

USD million, 2016. 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, 2016

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	2016 USD million	Change on 2015
1	California	272,200.1	+5.3%
2	Texas	158,465.1	+4.2%
3	New York	151,790	+6.2%
4	Florida	132,295.5	+4.7%
5	Pennsylvania	96,326.3	+4.3%
6	Illinois	86,135.3	+4.9%
7	Ohio	84,832.1	+4.2%
8	Michigan	66,524.1	+4.5%
9	New Jersey	65,687.4	+6.2%
10	Massachusetts	61,734.7	+5.2%
11	North Carolina	60,188.2	+5.7%
12	Georgia	57,903	+6.3%
13	Virginia	50,845.1	+4.4%
14	Washington	50,368.8	+4.2%
15	Indiana	46,524.1	+6.4%
16	Wisconsin	43,334.3	+3.2%
17	Minnesota	42,942.4	+5.9%
18	Maryland	42,656.9	+3.8%
19	Missouri	41,679.8	+5.1%
20	Tennessee	41,527.3	+5.6%
21	Arizona	38,181.7	+6.1%
22	Colorado	34,557.9	+5.7%
23	Louisiana	29,826.2	+5.6%
24	Kentucky	28,455.8	+5.4%
25	Alabama	28,152.3	+5.2%
26	Oregon	28,020.3	+6%
27	Connecticut	27,696.3	+4.2%
28	South Carolina	27,505.8	+5.4%
29	Oklahoma	23,521.6	+3.9%
30	Iowa	20,153.6	+4.4%
31	Mississippi	18,082.2	+5.3%
32	Kansas	17,943.7	+3.2%
33	Arkansas	17,480.4	+7.7%
34	Nevada	16,408.5	+8.6%
35	Utah	15,175.2	+7.1%
36	West Virginia	14,385.4	+6.7%
37	Nebraska	13,413.8	+6.8%
38	New Mexico	12,383.2	+2.8%
39	New Hampshire	10,734.8	+3.9%
40	Maine	10,423.1	+6%
41	Idaho	9,432.8	+5.3%
42	Hawaii	8,981.2	+3.7%
43	Rhode Island	8,091.2	+3.7%
44	Delaware	7,759.7	+2.8%
45	Montana	7,277.1	+5.6%
46	South Dakota	7,209.9	+6.6%
47	District of Columbia	7,007.2	+3.2%
48	Alaska	6,926.9	+4.1%
49	North Dakota	6,327.1	+5%
50	Vermont	5,170	+3.6%
51	Wyoming	3,989.2	+4%

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, 2016) [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, 2016. 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=2016. 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, 2016. 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=2016.

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, 2016 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2016 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2016,
  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, 2016}},
  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=2016. 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, 2016
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=2016
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2016.
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 $272.2 billion in 2016, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $3.99 billion in 2016.

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.