Data / Rankings / Personal health care spending per person, by state of residence / US states

US states by personal health care spending per person, by state of residence, 2020

District of Columbia had the highest personal health care spending per person, by state of residence of 51 states in 2020, at $14,381. Utah had the lowest, at $7,522. The median was $10,212 and the figure for the United States was $10,191. Source: the Centers for Medicare & Medicaid Services, Office of the Actuary.

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Highest14,381District of Columbia
Lowest7,522Utah
Median10,21251 states
United States10,191History

Map of states, 2020

Alabama: 9,280 USDAlaska: 13,642 USDArizona: 8,756 USDArkansas: 9,338 USDCalifornia: 10,299 USDColorado: 8,583 USDConnecticut: 12,489 USDDelaware: 12,899 USDDistrict of Columbia: 14,381 USDFlorida: 9,865 USDGeorgia: 8,758 USDHawaii: 10,291 USDIdaho: 8,148 USDIllinois: 10,190 USDIndiana: 10,517 USDIowa: 9,789 USDKansas: 9,408 USDKentucky: 10,257 USDLouisiana: 10,515 USDMaine: 12,077 USDMaryland: 10,839 USDMassachusetts: 13,319 USDMichigan: 9,897 USDMinnesota: 10,846 USDMississippi: 9,394 USDMissouri: 9,921 USDMontana: 10,212 USDNebraska: 10,514 USDNevada: 8,348 USDNew Hampshire: 11,793 USDNew Jersey: 11,868 USDNew Mexico: 8,902 USDNew York: 14,007 USDNorth Carolina: 8,917 USDNorth Dakota: 11,301 USDOhio: 10,478 USDOklahoma: 9,444 USDOregon: 10,071 USDPennsylvania: 11,603 USDRhode Island: 11,694 USDSouth Carolina: 8,766 USDSouth Dakota: 12,495 USDTennessee: 9,336 USDTexas: 8,406 USDUtah: 7,522 USDVermont: 12,756 USDVirginia: 9,195 USDWashington: 9,265 USDWest Virginia: 12,769 USDWisconsin: 9,982 USDWyoming: 10,989 USD
  • Under 8,900
  • 8,900 to 9,400
  • 9,400 to 10K
  • 10K to 11K
  • 11K to 12K
  • 12K and over
USD, 2020. Source: CMS, CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20). Boundaries: U.S. Census Bureau cartographic boundary files.

All states, 2020

District of Columbia: 14,381 USDDistrict of Columbia14,381New York: 14,007 USDNew York14,007Alaska: 13,642 USDAlaska13,642Massachusetts: 13,319 USDMassachusetts13,319Delaware: 12,899 USDDelaware12,899West Virginia: 12,769 USDWest Virginia12,769Vermont: 12,756 USDVermont12,756South Dakota: 12,495 USDSouth Dakota12,495Connecticut: 12,489 USDConnecticut12,489Maine: 12,077 USDMaine12,077New Jersey: 11,868 USDNew Jersey11,868New Hampshire: 11,793 USDNew Hampshire11,793Rhode Island: 11,694 USDRhode Island11,694Pennsylvania: 11,603 USDPennsylvania11,603North Dakota: 11,301 USDNorth Dakota11,301Wyoming: 10,989 USDWyoming10,989Minnesota: 10,846 USDMinnesota10,846Maryland: 10,839 USDMaryland10,839Indiana: 10,517 USDIndiana10,517Louisiana: 10,515 USDLouisiana10,515Nebraska: 10,514 USDNebraska10,514Ohio: 10,478 USDOhio10,478California: 10,299 USDCalifornia10,299Hawaii: 10,291 USDHawaii10,291Kentucky: 10,257 USDKentucky10,257Montana: 10,212 USDMontana10,212Illinois: 10,190 USDIllinois10,190Oregon: 10,071 USDOregon10,071Wisconsin: 9,982 USDWisconsin9,982Missouri: 9,921 USDMissouri9,921Michigan: 9,897 USDMichigan9,897Florida: 9,865 USDFlorida9,865Iowa: 9,789 USDIowa9,789Oklahoma: 9,444 USDOklahoma9,444Kansas: 9,408 USDKansas9,408Mississippi: 9,394 USDMississippi9,394Arkansas: 9,338 USDArkansas9,338Tennessee: 9,336 USDTennessee9,336Alabama: 9,280 USDAlabama9,280Washington: 9,265 USDWashington9,265Virginia: 9,195 USDVirginia9,195North Carolina: 8,917 USDNorth Carolina8,917New Mexico: 8,902 USDNew Mexico8,902South Carolina: 8,766 USDSouth Carolina8,766Georgia: 8,758 USDGeorgia8,758Arizona: 8,756 USDArizona8,756Colorado: 8,583 USDColorado8,583Texas: 8,406 USDTexas8,406Nevada: 8,348 USDNevada8,348Idaho: 8,148 USDIdaho8,148Utah: 7,522 USDUtah7,522District of Columbia: 14,381 USDDistrict of Columbia14,381New York: 14,007 USDNew York14,007Alaska: 13,642 USDAlaska13,642Massachusetts: 13,319 USDMassachusetts13,319Delaware: 12,899 USDDelaware12,899West Virginia: 12,769 USDWest Virginia12,769Vermont: 12,756 USDVermont12,756South Dakota: 12,495 USDSouth Dakota12,495Connecticut: 12,489 USDConnecticut12,489Maine: 12,077 USDMaine12,077New Jersey: 11,868 USDNew Jersey11,868New Hampshire: 11,793 USDNew Hampshire11,793Rhode Island: 11,694 USDRhode Island11,694Pennsylvania: 11,603 USDPennsylvania11,603North Dakota: 11,301 USDNorth Dakota11,301Wyoming: 10,989 USDWyoming10,989Minnesota: 10,846 USDMinnesota10,846Maryland: 10,839 USDMaryland10,839Indiana: 10,517 USDIndiana10,517Louisiana: 10,515 USDLouisiana10,515Nebraska: 10,514 USDNebraska10,514Ohio: 10,478 USDOhio10,478California: 10,299 USDCalifornia10,299Hawaii: 10,291 USDHawaii10,291Kentucky: 10,257 USDKentucky10,257Montana: 10,212 USDMontana10,212Illinois: 10,190 USDIllinois10,190Oregon: 10,071 USDOregon10,071Wisconsin: 9,982 USDWisconsin9,982Missouri: 9,921 USDMissouri9,921Michigan: 9,897 USDMichigan9,897Florida: 9,865 USDFlorida9,865Iowa: 9,789 USDIowa9,789Oklahoma: 9,444 USDOklahoma9,444Kansas: 9,408 USDKansas9,408Mississippi: 9,394 USDMississippi9,394Arkansas: 9,338 USDArkansas9,338Tennessee: 9,336 USDTennessee9,336Alabama: 9,280 USDAlabama9,280Washington: 9,265 USDWashington9,265Virginia: 9,195 USDVirginia9,195North Carolina: 8,917 USDNorth Carolina8,917New Mexico: 8,902 USDNew Mexico8,902South Carolina: 8,766 USDSouth Carolina8,766Georgia: 8,758 USDGeorgia8,758Arizona: 8,756 USDArizona8,756Colorado: 8,583 USDColorado8,583Texas: 8,406 USDTexas8,406Nevada: 8,348 USDNevada8,348Idaho: 8,148 USDIdaho8,148Utah: 7,522 USDUtah7,522
USD. Source: CMS, CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20). Retrieved 2026-10-18.

Full ranking

RankStates2020
USD		Change on 2019
1District of Columbia14,381+3.2%
2New York14,007+8.3%
3Alaska13,642+3.1%
4Massachusetts13,319+4.6%
5Delaware12,899+5.6%
6West Virginia12,769+6.8%
7Vermont12,756+4.9%
8South Dakota12,495+7.5%
9Connecticut12,489+5.6%
10Maine12,077+5.1%
11New Jersey11,868+5.4%
12New Hampshire11,793+4.3%
13Rhode Island11,694+6.4%
14Pennsylvania11,603+3.8%
15North Dakota11,301+6.1%
16Wyoming10,989+8.7%
17Minnesota10,846+3.2%
18Maryland10,839+5.8%
19Indiana10,517+5.9%
20Louisiana10,515+8.9%
21Nebraska10,514+6%
22Ohio10,478+3%
23California10,299+7%
24Hawaii10,291+7.7%
25Kentucky10,257+5.3%
26Montana10,212+4.1%
27Illinois10,190+7.3%
28Oregon10,071+4.5%
29Wisconsin9,982+3.4%
30Missouri9,921+5.2%
31Michigan9,897+3.8%
32Florida9,865+4%
33Iowa9,789+6.5%
34Oklahoma9,444+5.8%
35Kansas9,408+7.6%
36Mississippi9,394+7.4%
37Arkansas9,338+5.5%
38Tennessee9,336+5.8%
39Alabama9,280+6.2%
40Washington9,265+3.4%
41Virginia9,195+4.2%
42North Carolina8,917+3.5%
43New Mexico8,902+5.2%
44South Carolina8,766+5%
45Georgia8,758+6.2%
46Arizona8,756+7.5%
47Colorado8,583+3.6%
48Texas8,406+4.7%
49Nevada8,348+2.9%
50Idaho8,148+5.5%
51Utah7,522+4.6%

Other periods

About this ranking

Spending on personal health care (hospital, physician and clinical, dental and other professional services, home health and nursing care, prescription drugs, other medical products and other personal care) for residents of each state, wherever the care was received, divided by the state's resident population, in US dollars per person.

CMS state estimates by state of residence, 1991 to 2020 (released in 2022); CMS has not published later years. Excludes administration, the net cost of insurance, public health and investment, so values are lower than national health expenditure per person.

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

Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20). https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence. Retrieved 2026-10-18.

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

Centers for Medicare & Medicaid Services, Office of the Actuary. (2022). CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20) (US states by personal health care spending per person, by state of residence, 2020) [Data set]. Retrieved October 18, 2026, from https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence

MLA 9

CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20), US states by personal health care spending per person, by state of residence, 2020. Centers for Medicare & Medicaid Services, Office of the Actuary, 20 Sept. 2022, https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence. Invokely, https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states. Accessed 18 Oct. 2026.

Chicago (author-date)

Centers for Medicare & Medicaid Services, Office of the Actuary. 2022. CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20). US states by personal health care spending per person, by state of residence, 2020. Dataset. Accessed October 18, 2026. https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence. Also distributed by Invokely, https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states.

Harvard

Centers for Medicare & Medicaid Services, Office of the Actuary (2022) CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20), US states by personal health care spending per person, by state of residence, 2020 [Dataset]. Available at: https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence, via Invokely: https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states (Accessed: 18 October 2026).

BibTeX
@misc{centers_us_states_by_personal_2020,
  author = {{Centers for Medicare \& Medicaid Services, Office of the Actuary}},
  title = {{CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US\_PER\_CAPITA20): US states by personal health care spending per person, by state of residence, 2020}},
  year = {2022},
  howpublished = {Data set},
  url = {https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence},
  urldate = {2026-10-18},
  note = {Accessed via Invokely, https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states. Publisher attribution: Centers for Medicare \& Medicaid Services, Office of the Actuary, National Health Statistics Group. CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US\_PER\_CAPITA20). https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence. Retrieved 2026-10-18.},
}
RIS
TY  - DATA
AU  - Centers for Medicare & Medicaid Services, Office of the Actuary
TI  - CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20): US states by personal health care spending per person, by state of residence, 2020
PY  - 2022
DA  - 2022/09/20
PB  - Centers for Medicare & Medicaid Services, Office of the Actuary
DB  - Invokely
UR  - https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence
L2  - https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states
Y2  - 2026/10/18
N1  - Accessed via Invokely, https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states.
N1  - Publisher attribution: Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20). https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/state-residence. Retrieved 2026-10-18.
ER  -
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Questions

Which state has the highest personal health care spending per person, by state of residence?

District of Columbia, with $14,381 in 2020, according to the Centers for Medicare & Medicaid Services, Office of the Actuary.

Which state has the lowest personal health care spending per person, by state of residence?

Utah, with $7,522 in 2020.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Medicare & Medicaid Services, Office of the Actuary, CMS Health Expenditures by State of Residence, 1991 to 2020: personal health care per capita (US_PER_CAPITA20). Retrieved 2026-10-18.

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