US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2023, at $404.76 billion. Wyoming had the lowest, at $5.3 billion. The median was $38.84 billion and the figure for the United States was $3.06 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest404,758.1California

Lowest5,301.4Wyoming

Median38,837.751 states

United States3,063,934.6History

Map of states, 2023

Under 12K
12K to 23K
23K to 39K
39K to 58K
58K to 89K
89K and over

USD million, 2023. 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, 2023

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	2023 USD million	Change on 2022
1	California	404,758.1	+9.4%
2	Texas	226,556.1	+9.4%
3	New York	222,478	+9.9%
4	Florida	203,947.7	+10.4%
5	Pennsylvania	124,810.1	+6.2%
6	Illinois	116,281.5	+9.1%
7	Ohio	112,472.5	+7.6%
8	New Jersey	90,848.4	+8.4%
9	North Carolina	88,697.8	+9.4%
10	Georgia	88,414.7	+9.5%
11	Michigan	84,432	+6.8%
12	Massachusetts	79,727	+7.4%
13	Virginia	73,739.4	+10.4%
14	Indiana	70,957.6	+8.5%
15	Washington	70,559.4	+9%
16	Arizona	59,240	+9.9%
17	Tennessee	58,756.7	+8.9%
18	Missouri	58,252.7	+11.8%
19	Minnesota	56,590.1	+8.7%
20	Wisconsin	55,730.3	+6.1%
21	Maryland	54,476.4	+6.9%
22	Colorado	49,516.1	+8.4%
23	Louisiana	43,956	+7.9%
24	Kentucky	42,935.2	+9.5%
25	South Carolina	38,995.4	+9%
26	Oregon	38,837.7	+7.5%
27	Alabama	38,384.7	+6.2%
28	Connecticut	36,622.2	+7.6%
29	Oklahoma	34,051.1	+9.5%
30	Iowa	26,452.4	+5.3%
31	Kansas	25,113.7	+8.4%
32	Arkansas	24,905.6	+7.7%
33	Utah	23,433	+9.9%
34	Nevada	23,052.4	+6.5%
35	Mississippi	22,542.6	+5.5%
36	West Virginia	19,657.2	+8.8%
37	Nebraska	18,986	+6.7%
38	New Mexico	16,953.9	+8.3%
39	Idaho	14,810.5	+9.4%
40	Maine	13,995.3	+7.9%
41	New Hampshire	13,891.7	+6.3%
42	Hawaii	13,080.5	+8.8%
43	Delaware	11,482.6	+8.4%
44	South Dakota	10,616.9	+5.8%
45	Montana	10,313.8	+6.2%
46	Rhode Island	10,195.2	+8.9%
47	Alaska	9,623.5	+8.7%
48	District of Columbia	9,009	+8.1%
49	North Dakota	8,714.7	+5.1%
50	Vermont	6,777.8	+6.5%
51	Wyoming	5,301.4	+7.5%

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, 2023) [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, 2023. 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=2023. 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, 2023. 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=2023.

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, 2023 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2023 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2023,
  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, 2023}},
  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=2023. 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, 2023
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=2023
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2023.
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 $404.76 billion in 2023, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $5.3 billion in 2023.

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.