US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2018, at $306.13 billion. Wyoming had the lowest, at $4.31 billion. The median was $29.64 billion and the figure for the United States was $2.34 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest306,125.6California

Lowest4,309.7Wyoming

Median29,643.351 states

United States2,344,739.8History

Map of states, 2018

Under 9,000
9,000 to 18K
18K to 30K
30K to 45K
45K to 68K
68K and over

USD million, 2018. 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, 2018

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	2018 USD million	Change on 2017
1	California	306,125.6	+6.5%
2	Texas	168,080.6	+3%
3	New York	167,324.8	+5.6%
4	Florida	146,244.9	+5.8%
5	Pennsylvania	104,842.6	+6.1%
6	Illinois	91,040.5	+3.2%
7	Ohio	90,144.9	+3%
8	New Jersey	70,132.9	+3.1%
9	Michigan	69,992.9	+2.8%
10	North Carolina	65,399.7	+4.7%
11	Massachusetts	64,617.7	+2.4%
12	Georgia	63,029.7	+5%
13	Washington	54,749.5	+4.9%
14	Virginia	54,072.1	+4.2%
15	Indiana	50,964.1	+4.7%
16	Minnesota	46,655.7	+5.9%
17	Wisconsin	45,427.1	+2.8%
18	Maryland	45,302.3	+3%
19	Tennessee	44,421.9	+1.7%
20	Missouri	44,402.7	+3.4%
21	Arizona	42,852	+5.8%
22	Colorado	38,352.2	+6%
23	Louisiana	31,984.6	+2.6%
24	Kentucky	30,945.4	+4.7%
25	Oregon	30,234	+4.2%
26	Alabama	29,643.3	+2.9%
27	Connecticut	29,197.1	+3.5%
28	South Carolina	29,012.1	+2.7%
29	Oklahoma	25,432.3	+4.1%
30	Iowa	21,220.2	+3%
31	Kansas	19,481	+5.2%
32	Arkansas	18,790.7	+2.4%
33	Mississippi	18,308.3	-0.4%
34	Nevada	18,153.3	+5.7%
35	Utah	17,103.6	+6.4%
36	West Virginia	15,460.2	+2.8%
37	Nebraska	14,494.9	+3.9%
38	New Mexico	12,997.7	+2.8%
39	New Hampshire	11,656.4	+5.2%
40	Maine	11,446	+4.8%
41	Idaho	10,429.1	+5%
42	Hawaii	9,994.7	+5.6%
43	Delaware	8,523.5	+4.9%
44	Rhode Island	8,267.5	+1.6%
45	South Dakota	8,141.6	+7.8%
46	Montana	8,114.6	+6%
47	Alaska	7,541.3	+4.9%
48	District of Columbia	7,302.1	+3.1%
49	North Dakota	6,795.5	+3.8%
50	Vermont	5,583	+4%
51	Wyoming	4,309.7	+3.1%

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, 2018) [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, 2018. 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=2018. 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, 2018. 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=2018.

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, 2018 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2018 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2018,
  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, 2018}},
  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=2018. 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, 2018
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=2018
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2018.
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 $306.13 billion in 2018, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $4.31 billion in 2018.

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.