US states by consumer spending on health care services

California had the highest consumer spending on health care services of 51 states in 2024, at $437.34 billion. Wyoming had the lowest, at $5.69 billion. The median was $42.65 billion and the figure for the United States was $3.33 trillion. Source: the U.S. Bureau of Economic Analysis.

Highest437,343.3California

Lowest5,685.9Wyoming

Median42,653.951 states

United States3,327,162.1History

Map of states, 2024

Under 13K
13K to 24K
24K to 43K
43K to 63K
63K to 97K
97K and over

USD million, 2024. 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, 2024

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	2024 USD million	Change on 2023
1	California	437,343.3	+8.1%
2	Texas	244,871.7	+8.1%
3	New York	243,894.4	+9.6%
4	Florida	223,518.8	+9.6%
5	Pennsylvania	134,543.3	+7.8%
6	Illinois	126,258.6	+8.6%
7	Ohio	121,609.2	+8.1%
8	New Jersey	99,661.7	+9.7%
9	Georgia	97,618.3	+10.4%
10	North Carolina	97,243.9	+9.6%
11	Michigan	91,786.6	+8.7%
12	Massachusetts	85,772.9	+7.6%
13	Virginia	81,508.4	+10.5%
14	Washington	77,582.7	+10%
15	Indiana	77,093.6	+8.6%
16	Arizona	65,231.4	+10.1%
17	Tennessee	63,635	+8.3%
18	Missouri	62,902.9	+8%
19	Minnesota	61,299.5	+8.3%
20	Wisconsin	60,261.4	+8.1%
21	Maryland	59,101	+8.5%
22	Colorado	52,771.6	+6.6%
23	Louisiana	46,808.1	+6.5%
24	Kentucky	45,900.5	+6.9%
25	South Carolina	42,663.1	+9.4%
26	Oregon	42,653.9	+9.8%
27	Alabama	41,377.1	+7.8%
28	Connecticut	39,210	+7.1%
29	Oklahoma	37,296.7	+9.5%
30	Iowa	28,076	+6.1%
31	Kansas	27,002.7	+7.5%
32	Arkansas	26,521.1	+6.5%
33	Utah	25,413.9	+8.5%
34	Nevada	24,686.5	+7.1%
35	Mississippi	23,838.6	+5.7%
36	West Virginia	21,559.8	+9.7%
37	Nebraska	20,501.7	+8%
38	New Mexico	18,122.5	+6.9%
39	Idaho	16,245.5	+9.7%
40	Maine	15,418.5	+10.2%
41	New Hampshire	15,090.3	+8.6%
42	Hawaii	14,257.5	+9%
43	Delaware	12,567.8	+9.5%
44	South Dakota	11,554	+8.8%
45	Montana	11,113	+7.7%
46	Rhode Island	11,001	+7.9%
47	Alaska	10,522.5	+9.3%
48	District of Columbia	9,773.4	+8.5%
49	North Dakota	9,336.8	+7.1%
50	Vermont	7,453.5	+10%
51	Wyoming	5,685.9	+7.3%

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, 2024) [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, 2024. 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=2024. 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, 2024. 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=2024.

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, 2024 [Dataset]. Available at: https://apps.bea.gov/regional/zip/SAPCE.zip, via Invokely: https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2024 (Accessed: 12 October 2026).

BibTeX

@misc{bureau_us_states_by_consumer_2024,
  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, 2024}},
  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=2024. 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, 2024
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=2024
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/consumer-spending-health-care/us-states?period=2024.
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 $437.34 billion in 2024, according to the U.S. Bureau of Economic Analysis.

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

Wyoming, with $5.69 billion in 2024.

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.