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

District of Columbia had the highest personal health care spending per person, by state of residence of 51 states in 2018, at $13,487. Utah had the lowest, at $7,008. The median was $9,168 and the figure for the United States was $9,246. Source: the Centers for Medicare & Medicaid Services, Office of the Actuary.

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Highest13,487District of Columbia
Lowest7,008Utah
Median9,16851 states
United States9,246History

Map of states, 2018

Alabama: 8,343 USDAlaska: 12,695 USDArizona: 7,816 USDArkansas: 8,545 USDCalifornia: 9,069 USDColorado: 7,998 USDConnecticut: 11,378 USDDelaware: 11,771 USDDistrict of Columbia: 13,487 USDFlorida: 9,148 USDGeorgia: 7,844 USDHawaii: 8,932 USDIdaho: 7,444 USDIllinois: 9,118 USDIndiana: 9,297 USDIowa: 8,812 USDKansas: 8,381 USDKentucky: 9,332 USDLouisiana: 9,217 USDMaine: 10,950 USDMaryland: 9,934 USDMassachusetts: 12,215 USDMichigan: 9,142 USDMinnesota: 10,174 USDMississippi: 8,417 USDMissouri: 9,032 USDMontana: 9,354 USDNebraska: 9,492 USDNevada: 7,892 USDNew Hampshire: 10,974 USDNew Jersey: 10,665 USDNew Mexico: 8,154 USDNew York: 12,098 USDNorth Carolina: 8,285 USDNorth Dakota: 10,269 USDOhio: 9,627 USDOklahoma: 8,625 USDOregon: 9,168 USDPennsylvania: 10,910 USDRhode Island: 10,464 USDSouth Carolina: 7,975 USDSouth Dakota: 11,086 USDTennessee: 8,565 USDTexas: 7,711 USDUtah: 7,008 USDVermont: 11,797 USDVirginia: 8,425 USDWashington: 8,588 USDWest Virginia: 11,337 USDWisconsin: 9,244 USDWyoming: 9,787 USD
  • Under 8,200
  • 8,200 to 8,600
  • 8,600 to 9,200
  • 9,200 to 9,800
  • 9,800 to 11K
  • 11K and over
USD, 2018. 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, 2018

District of Columbia: 13,487 USDDistrict of Columbia13,487Alaska: 12,695 USDAlaska12,695Massachusetts: 12,215 USDMassachusetts12,215New York: 12,098 USDNew York12,098Vermont: 11,797 USDVermont11,797Delaware: 11,771 USDDelaware11,771Connecticut: 11,378 USDConnecticut11,378West Virginia: 11,337 USDWest Virginia11,337South Dakota: 11,086 USDSouth Dakota11,086New Hampshire: 10,974 USDNew Hampshire10,974Maine: 10,950 USDMaine10,950Pennsylvania: 10,910 USDPennsylvania10,910New Jersey: 10,665 USDNew Jersey10,665Rhode Island: 10,464 USDRhode Island10,464North Dakota: 10,269 USDNorth Dakota10,269Minnesota: 10,174 USDMinnesota10,174Maryland: 9,934 USDMaryland9,934Wyoming: 9,787 USDWyoming9,787Ohio: 9,627 USDOhio9,627Nebraska: 9,492 USDNebraska9,492Montana: 9,354 USDMontana9,354Kentucky: 9,332 USDKentucky9,332Indiana: 9,297 USDIndiana9,297Wisconsin: 9,244 USDWisconsin9,244Louisiana: 9,217 USDLouisiana9,217Oregon: 9,168 USDOregon9,168Florida: 9,148 USDFlorida9,148Michigan: 9,142 USDMichigan9,142Illinois: 9,118 USDIllinois9,118California: 9,069 USDCalifornia9,069Missouri: 9,032 USDMissouri9,032Hawaii: 8,932 USDHawaii8,932Iowa: 8,812 USDIowa8,812Oklahoma: 8,625 USDOklahoma8,625Washington: 8,588 USDWashington8,588Tennessee: 8,565 USDTennessee8,565Arkansas: 8,545 USDArkansas8,545Virginia: 8,425 USDVirginia8,425Mississippi: 8,417 USDMississippi8,417Kansas: 8,381 USDKansas8,381Alabama: 8,343 USDAlabama8,343North Carolina: 8,285 USDNorth Carolina8,285New Mexico: 8,154 USDNew Mexico8,154Colorado: 7,998 USDColorado7,998South Carolina: 7,975 USDSouth Carolina7,975Nevada: 7,892 USDNevada7,892Georgia: 7,844 USDGeorgia7,844Arizona: 7,816 USDArizona7,816Texas: 7,711 USDTexas7,711Idaho: 7,444 USDIdaho7,444Utah: 7,008 USDUtah7,008District of Columbia: 13,487 USDDistrict of Columbia13,487Alaska: 12,695 USDAlaska12,695Massachusetts: 12,215 USDMassachusetts12,215New York: 12,098 USDNew York12,098Vermont: 11,797 USDVermont11,797Delaware: 11,771 USDDelaware11,771Connecticut: 11,378 USDConnecticut11,378West Virginia: 11,337 USDWest Virginia11,337South Dakota: 11,086 USDSouth Dakota11,086New Hampshire: 10,974 USDNew Hampshire10,974Maine: 10,950 USDMaine10,950Pennsylvania: 10,910 USDPennsylvania10,910New Jersey: 10,665 USDNew Jersey10,665Rhode Island: 10,464 USDRhode Island10,464North Dakota: 10,269 USDNorth Dakota10,269Minnesota: 10,174 USDMinnesota10,174Maryland: 9,934 USDMaryland9,934Wyoming: 9,787 USDWyoming9,787Ohio: 9,627 USDOhio9,627Nebraska: 9,492 USDNebraska9,492Montana: 9,354 USDMontana9,354Kentucky: 9,332 USDKentucky9,332Indiana: 9,297 USDIndiana9,297Wisconsin: 9,244 USDWisconsin9,244Louisiana: 9,217 USDLouisiana9,217Oregon: 9,168 USDOregon9,168Florida: 9,148 USDFlorida9,148Michigan: 9,142 USDMichigan9,142Illinois: 9,118 USDIllinois9,118California: 9,069 USDCalifornia9,069Missouri: 9,032 USDMissouri9,032Hawaii: 8,932 USDHawaii8,932Iowa: 8,812 USDIowa8,812Oklahoma: 8,625 USDOklahoma8,625Washington: 8,588 USDWashington8,588Tennessee: 8,565 USDTennessee8,565Arkansas: 8,545 USDArkansas8,545Virginia: 8,425 USDVirginia8,425Mississippi: 8,417 USDMississippi8,417Kansas: 8,381 USDKansas8,381Alabama: 8,343 USDAlabama8,343North Carolina: 8,285 USDNorth Carolina8,285New Mexico: 8,154 USDNew Mexico8,154Colorado: 7,998 USDColorado7,998South Carolina: 7,975 USDSouth Carolina7,975Nevada: 7,892 USDNevada7,892Georgia: 7,844 USDGeorgia7,844Arizona: 7,816 USDArizona7,816Texas: 7,711 USDTexas7,711Idaho: 7,444 USDIdaho7,444Utah: 7,008 USDUtah7,008
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

RankStates2018
USD		Change on 2017
1District of Columbia13,487+2.7%
2Alaska12,695+3.2%
3Massachusetts12,215+4%
4New York12,098+4.7%
5Vermont11,797+2.4%
6Delaware11,771+2.9%
7Connecticut11,378+3.5%
8West Virginia11,337+2.9%
9South Dakota11,086+6.2%
10New Hampshire10,974+3.8%
11Maine10,950+5.3%
12Pennsylvania10,910+5.5%
13New Jersey10,665+3.1%
14Rhode Island10,464+1.7%
15North Dakota10,269+3.1%
16Minnesota10,174+4%
17Maryland9,934+3.6%
18Wyoming9,787+3.1%
19Ohio9,627+2.4%
20Nebraska9,492+3.3%
21Montana9,354+3.6%
22Kentucky9,332+4.2%
23Indiana9,297+3.1%
24Wisconsin9,244+2.5%
25Louisiana9,217+2.6%
26Oregon9,168+3.9%
27Florida9,148+3.8%
28Michigan9,142+2.3%
29Illinois9,118+3%
30California9,069+5.5%
31Missouri9,032+2.4%
32Hawaii8,932+5.1%
33Iowa8,812+3.4%
34Oklahoma8,625+2.9%
35Washington8,588+3.7%
36Tennessee8,565+0.9%
37Arkansas8,545+1.6%
38Virginia8,425+3%
39Mississippi8,417+0.3%
40Kansas8,381+4%
41Alabama8,343+2.3%
42North Carolina8,285+2.2%
43New Mexico8,154+2.3%
44Colorado7,998+5%
45South Carolina7,975+1.5%
46Nevada7,892+3.3%
47Georgia7,844+3.1%
48Arizona7,816+3.7%
49Texas7,711+1.8%
50Idaho7,444+2.6%
51Utah7,008+5.7%

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, 2018) [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, 2018. 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?period=2018. 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, 2018. 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?period=2018.

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, 2018 [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?period=2018 (Accessed: 18 October 2026).

BibTeX
@misc{centers_us_states_by_personal_2018,
  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, 2018}},
  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?period=2018. 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, 2018
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?period=2018
Y2  - 2026/10/18
N1  - Accessed via Invokely, https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states?period=2018.
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 $13,487 in 2018, 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 $7,008 in 2018.

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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