US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2022, at $370.1 billion. Wyoming had the lowest, at $4.93 billion. The median was $36.14 billion and the figure for the United States was $2.82 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest370,096.7California

Lowest4,930.7Wyoming

Median36,14351 states

United States2,818,254.5History

Map of states, 2022

Under 11K
11K to 21K
21K to 36K
36K to 53K
53K to 81K
81K and over

USD million, 2022. 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, 2022

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	2022 USD million	Change on 2021
1	California	370,096.7	+6.3%
2	Texas	207,053.2	+6.9%
3	New York	202,376.6	+5.5%
4	Florida	184,667.5	+8.7%
5	Pennsylvania	117,504	+6.2%
6	Illinois	106,566.4	+7.2%
7	Ohio	104,484.1	+6.2%
8	New Jersey	83,847	+7%
9	North Carolina	81,071.2	+5.7%
10	Georgia	80,710.1	+7.6%
11	Michigan	79,090.8	+4.9%
12	Massachusetts	74,220.2	+4.3%
13	Virginia	66,799.8	+8.9%
14	Indiana	65,381.2	+11.1%
15	Washington	64,720.7	+6.1%
16	Tennessee	53,952.3	+7.7%
17	Arizona	53,926.7	+6.6%
18	Wisconsin	52,506.5	+5.9%
19	Missouri	52,098.2	+6.5%
20	Minnesota	52,074.4	+4.9%
21	Maryland	50,983.9	+4.8%
22	Colorado	45,671.8	+7.2%
23	Louisiana	40,724.4	+5.5%
24	Kentucky	39,208.1	+7.8%
25	Alabama	36,157.3	+6.8%
26	Oregon	36,143	+6%
27	South Carolina	35,783	+6.6%
28	Connecticut	34,027.7	+5.6%
29	Oklahoma	31,098.1	+10.1%
30	Iowa	25,126.4	+5.4%
31	Kansas	23,159.4	+6.6%
32	Arkansas	23,123.1	+9%
33	Nevada	21,636.5	+6.1%
34	Mississippi	21,375.7	+4.4%
35	Utah	21,315.2	+11.3%
36	West Virginia	18,065.5	+5.2%
37	Nebraska	17,787.9	+7.4%
38	New Mexico	15,655.4	+5.3%
39	Idaho	13,538.7	+10.6%
40	New Hampshire	13,063.4	+4.5%
41	Maine	12,974.6	+5.6%
42	Hawaii	12,019.5	+6.1%
43	Delaware	10,588.2	+11.5%
44	South Dakota	10,033	+6.9%
45	Montana	9,712.7	+5.5%
46	Rhode Island	9,360.8	+4.3%
47	Alaska	8,850.3	+10.5%
48	District of Columbia	8,337.2	+5.6%
49	North Dakota	8,293	+5.4%
50	Vermont	6,362.4	+5.7%
51	Wyoming	4,930.7	+3.8%

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, 2022) [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, 2022. 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=2022. 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, 2022. 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=2022.

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, 2022 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2022 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2022,
  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, 2022}},
  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=2022. 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

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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, 2022
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=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2022.
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 $370.1 billion in 2022, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $4.93 billion in 2022.

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.