US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2021, at $348.26 billion. Wyoming had the lowest, at $4.75 billion. The median was $33.86 billion and the figure for the United States was $2.64 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest348,263.5California

Lowest4,750.6Wyoming

Median33,863.951 states

United States2,642,026.6History

Map of states, 2021

Under 10K
10K to 20K
20K to 34K
34K to 50K
50K to 76K
76K and over

USD million, 2021. 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, 2021

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	2021 USD million	Change on 2020
1	California	348,263.5	+12.7%
2	Texas	193,606.1	+13.9%
3	New York	191,765	+9.4%
4	Florida	169,851.1	+16%
5	Pennsylvania	110,627.1	+8.3%
6	Illinois	99,380	+10%
7	Ohio	98,359.7	+10.6%
8	New Jersey	78,338.3	+10.5%
9	North Carolina	76,699.9	+18.8%
10	Michigan	75,360.6	+10.4%
11	Georgia	75,022.9	+14.4%
12	Massachusetts	71,180.1	+11.8%
13	Virginia	61,348.4	+12.9%
14	Washington	60,981.2	+13%
15	Indiana	58,875	+13.2%
16	Arizona	50,583.5	+12.2%
17	Tennessee	50,089	+11.5%
18	Minnesota	49,661.6	+12.1%
19	Wisconsin	49,586	+10.9%
20	Missouri	48,917.3	+11%
21	Maryland	48,629.7	+9.7%
22	Colorado	42,591.3	+12.2%
23	Louisiana	38,603.6	+15.4%
24	Kentucky	36,355.7	+17.4%
25	Oregon	34,091.6	+12%
26	Alabama	33,863.9	+12.5%
27	South Carolina	33,565	+14.7%
28	Connecticut	32,224.7	+10.8%
29	Oklahoma	28,253.2	+12.6%
30	Iowa	23,835.5	+11.4%
31	Kansas	21,720.9	+10.6%
32	Arkansas	21,212.2	+11.5%
33	Mississippi	20,480.1	+11.3%
34	Nevada	20,387.2	+13%
35	Utah	19,150.1	+11.5%
36	West Virginia	17,177.4	+10.1%
37	Nebraska	16,562.1	+12.8%
38	New Mexico	14,867.5	+15.1%
39	New Hampshire	12,499.9	+9.9%
40	Maine	12,287.6	+9.2%
41	Idaho	12,236.6	+15.6%
42	Hawaii	11,325.4	+9.2%
43	Delaware	9,494.7	+12.1%
44	South Dakota	9,389.5	+11.2%
45	Montana	9,204.4	+12.8%
46	Rhode Island	8,977.8	+9.5%
47	Alaska	8,011.3	+12.1%
48	District of Columbia	7,894.8	+11.6%
49	North Dakota	7,867.5	+11.5%
50	Vermont	6,018.7	+8.9%
51	Wyoming	4,750.6	+9.7%

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, 2021) [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, 2021. 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=2021. 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, 2021. 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=2021.

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, 2021 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2021 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2021,
  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, 2021}},
  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=2021. 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, 2021
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=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2021.
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 $348.26 billion in 2021, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $4.75 billion in 2021.

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.