US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2019, at $325.02 billion. Wyoming had the lowest, at $4.45 billion. The median was $31.36 billion and the figure for the United States was $2.47 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest325,015.5California

Lowest4,452.4Wyoming

Median31,35851 states

United States2,472,390.5History

Map of states, 2019

Under 9,000
9,000 to 19K
19K to 31K
31K to 47K
47K to 72K
72K and over

USD million, 2019. 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, 2019

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	2019 USD million	Change on 2018
1	California	325,015.5	+6.2%
2	New York	180,469.1	+7.9%
3	Texas	177,916.8	+5.9%
4	Florida	154,078.5	+5.4%
5	Pennsylvania	107,977.6	+3%
6	Ohio	96,147.4	+6.7%
7	Illinois	94,506.8	+3.8%
8	New Jersey	74,146.2	+5.7%
9	Michigan	73,322.9	+4.8%
10	North Carolina	68,811	+5.2%
11	Georgia	67,739.3	+7.5%
12	Massachusetts	67,715.3	+4.8%
13	Washington	57,821.9	+5.6%
14	Virginia	57,654.5	+6.6%
15	Indiana	54,079.2	+6.1%
16	Wisconsin	47,845.2	+5.3%
17	Minnesota	47,809.6	+2.5%
18	Maryland	46,600.1	+2.9%
19	Missouri	46,546.2	+4.8%
20	Tennessee	46,052.5	+3.7%
21	Arizona	45,541.9	+6.3%
22	Colorado	40,288.9	+5%
23	Louisiana	33,656.3	+5.2%
24	Kentucky	32,332.7	+4.5%
25	Oregon	32,134.8	+6.3%
26	Alabama	31,358	+5.8%
27	South Carolina	30,564.4	+5.4%
28	Connecticut	30,372.7	+4%
29	Oklahoma	26,364.2	+3.7%
30	Iowa	22,368.1	+5.4%
31	Kansas	20,480.3	+5.1%
32	Arkansas	19,845.9	+5.6%
33	Nevada	19,059.9	+5%
34	Mississippi	19,000.6	+3.8%
35	Utah	17,932.4	+4.8%
36	West Virginia	16,257.7	+5.2%
37	Nebraska	15,303.3	+5.6%
38	New Mexico	13,533.3	+4.1%
39	New Hampshire	12,123.1	+4%
40	Maine	11,959.6	+4.5%
41	Idaho	10,940.3	+4.9%
42	Hawaii	10,662.6	+6.7%
43	Delaware	8,909.8	+4.5%
44	South Dakota	8,747	+7.4%
45	Rhode Island	8,686	+5.1%
46	Montana	8,561	+5.5%
47	Alaska	7,918.9	+5%
48	District of Columbia	7,558.6	+3.5%
49	North Dakota	7,387.9	+8.7%
50	Vermont	5,832.4	+4.5%
51	Wyoming	4,452.4	+3.3%

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, 2019) [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, 2019. 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=2019. 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, 2019. 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=2019.

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, 2019 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2019 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2019,
  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, 2019}},
  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=2019. 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, 2019
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=2019
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2019.
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 $325.02 billion in 2019, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $4.45 billion in 2019.

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.