US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2017, at $287.45 billion. Wyoming had the lowest, at $4.18 billion. The median was $28.8 billion and the figure for the United States was $2.25 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest287,450California

Lowest4,181.9Wyoming

Median28,800.451 states

United States2,245,306History

Map of states, 2017

Under 9,000
9,000 to 17K
17K to 29K
29K to 44K
44K to 66K
66K and over

USD million, 2017. 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, 2017

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	2017 USD million	Change on 2016
1	California	287,450	+5.6%
2	Texas	163,199.1	+3%
3	New York	158,451.1	+4.4%
4	Florida	138,238	+4.5%
5	Pennsylvania	98,772.4	+2.5%
6	Illinois	88,201.5	+2.4%
7	Ohio	87,495.3	+3.1%
8	Michigan	68,117.7	+2.4%
9	New Jersey	68,053.7	+3.6%
10	Massachusetts	63,097.4	+2.2%
11	North Carolina	62,471.7	+3.8%
12	Georgia	60,016.7	+3.7%
13	Washington	52,186.6	+3.6%
14	Virginia	51,881.8	+2%
15	Indiana	48,661.3	+4.6%
16	Wisconsin	44,198	+2%
17	Minnesota	44,073.4	+2.6%
18	Maryland	43,987.1	+3.1%
19	Tennessee	43,697.2	+5.2%
20	Missouri	42,935.7	+3%
21	Arizona	40,520.8	+6.1%
22	Colorado	36,192.7	+4.7%
23	Louisiana	31,165.2	+4.5%
24	Kentucky	29,560.3	+3.9%
25	Oregon	29,024.2	+3.6%
26	Alabama	28,800.4	+2.3%
27	South Carolina	28,245.2	+2.7%
28	Connecticut	28,207	+1.8%
29	Oklahoma	24,433.9	+3.9%
30	Iowa	20,598.6	+2.2%
31	Kansas	18,515.3	+3.2%
32	Mississippi	18,379.3	+1.6%
33	Arkansas	18,354.2	+5%
34	Nevada	17,171.9	+4.7%
35	Utah	16,076.9	+5.9%
36	West Virginia	15,044.4	+4.6%
37	Nebraska	13,956.3	+4%
38	New Mexico	12,645.5	+2.1%
39	New Hampshire	11,084.6	+3.3%
40	Maine	10,919.2	+4.8%
41	Idaho	9,931.1	+5.3%
42	Hawaii	9,466.1	+5.4%
43	Rhode Island	8,133.9	+0.5%
44	Delaware	8,121.9	+4.7%
45	Montana	7,656.5	+5.2%
46	South Dakota	7,549.9	+4.7%
47	Alaska	7,187.9	+3.8%
48	District of Columbia	7,083	+1.1%
49	North Dakota	6,543.9	+3.4%
50	Vermont	5,368.3	+3.8%
51	Wyoming	4,181.9	+4.8%

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, 2017) [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, 2017. 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=2017. 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, 2017. 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=2017.

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, 2017 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2017 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2017,
  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, 2017}},
  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=2017. 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, 2017
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=2017
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2017.
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 $287.45 billion in 2017, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $4.18 billion in 2017.

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.