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 2019, at $13,934. Utah had the lowest, at $7,193. The median was $9,635 and the figure for the United States was $9,671. Source: the Centers for Medicare & Medicaid Services, Office of the Actuary.

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Lowest7,193Utah
Median9,63551 states
United States9,671History

Map of states, 2019

Alabama: 8,741 USDAlaska: 13,226 USDArizona: 8,145 USDArkansas: 8,853 USDCalifornia: 9,628 USDColorado: 8,286 USDConnecticut: 11,831 USDDelaware: 12,213 USDDistrict of Columbia: 13,934 USDFlorida: 9,490 USDGeorgia: 8,243 USDHawaii: 9,555 USDIdaho: 7,723 USDIllinois: 9,496 USDIndiana: 9,927 USDIowa: 9,193 USDKansas: 8,745 USDKentucky: 9,744 USDLouisiana: 9,657 USDMaine: 11,488 USDMaryland: 10,248 USDMassachusetts: 12,729 USDMichigan: 9,532 USDMinnesota: 10,510 USDMississippi: 8,745 USDMissouri: 9,431 USDMontana: 9,808 USDNebraska: 9,917 USDNevada: 8,114 USDNew Hampshire: 11,310 USDNew Jersey: 11,264 USDNew Mexico: 8,459 USDNew York: 12,932 USDNorth Carolina: 8,619 USDNorth Dakota: 10,653 USDOhio: 10,173 USDOklahoma: 8,923 USDOregon: 9,635 USDPennsylvania: 11,175 USDRhode Island: 10,988 USDSouth Carolina: 8,345 USDSouth Dakota: 11,627 USDTennessee: 8,827 USDTexas: 8,028 USDUtah: 7,193 USDVermont: 12,159 USDVirginia: 8,826 USDWashington: 8,964 USDWest Virginia: 11,951 USDWisconsin: 9,652 USDWyoming: 10,111 USD
  • Under 8,500
  • 8,500 to 9,000
  • 9,000 to 9,600
  • 9,600 to 10K
  • 10K to 12K
  • 12K and over
USD, 2019. 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, 2019

District of Columbia: 13,934 USDDistrict of Columbia13,934Alaska: 13,226 USDAlaska13,226New York: 12,932 USDNew York12,932Massachusetts: 12,729 USDMassachusetts12,729Delaware: 12,213 USDDelaware12,213Vermont: 12,159 USDVermont12,159West Virginia: 11,951 USDWest Virginia11,951Connecticut: 11,831 USDConnecticut11,831South Dakota: 11,627 USDSouth Dakota11,627Maine: 11,488 USDMaine11,488New Hampshire: 11,310 USDNew Hampshire11,310New Jersey: 11,264 USDNew Jersey11,264Pennsylvania: 11,175 USDPennsylvania11,175Rhode Island: 10,988 USDRhode Island10,988North Dakota: 10,653 USDNorth Dakota10,653Minnesota: 10,510 USDMinnesota10,510Maryland: 10,248 USDMaryland10,248Ohio: 10,173 USDOhio10,173Wyoming: 10,111 USDWyoming10,111Indiana: 9,927 USDIndiana9,927Nebraska: 9,917 USDNebraska9,917Montana: 9,808 USDMontana9,808Kentucky: 9,744 USDKentucky9,744Louisiana: 9,657 USDLouisiana9,657Wisconsin: 9,652 USDWisconsin9,652Oregon: 9,635 USDOregon9,635California: 9,628 USDCalifornia9,628Hawaii: 9,555 USDHawaii9,555Michigan: 9,532 USDMichigan9,532Illinois: 9,496 USDIllinois9,496Florida: 9,490 USDFlorida9,490Missouri: 9,431 USDMissouri9,431Iowa: 9,193 USDIowa9,193Washington: 8,964 USDWashington8,964Oklahoma: 8,923 USDOklahoma8,923Arkansas: 8,853 USDArkansas8,853Tennessee: 8,827 USDTennessee8,827Virginia: 8,826 USDVirginia8,826Kansas: 8,745 USDKansas8,745Mississippi: 8,745 USDMississippi8,745Alabama: 8,741 USDAlabama8,741North Carolina: 8,619 USDNorth Carolina8,619New Mexico: 8,459 USDNew Mexico8,459South Carolina: 8,345 USDSouth Carolina8,345Colorado: 8,286 USDColorado8,286Georgia: 8,243 USDGeorgia8,243Arizona: 8,145 USDArizona8,145Nevada: 8,114 USDNevada8,114Texas: 8,028 USDTexas8,028Idaho: 7,723 USDIdaho7,723Utah: 7,193 USDUtah7,193District of Columbia: 13,934 USDDistrict of Columbia13,934Alaska: 13,226 USDAlaska13,226New York: 12,932 USDNew York12,932Massachusetts: 12,729 USDMassachusetts12,729Delaware: 12,213 USDDelaware12,213Vermont: 12,159 USDVermont12,159West Virginia: 11,951 USDWest Virginia11,951Connecticut: 11,831 USDConnecticut11,831South Dakota: 11,627 USDSouth Dakota11,627Maine: 11,488 USDMaine11,488New Hampshire: 11,310 USDNew Hampshire11,310New Jersey: 11,264 USDNew Jersey11,264Pennsylvania: 11,175 USDPennsylvania11,175Rhode Island: 10,988 USDRhode Island10,988North Dakota: 10,653 USDNorth Dakota10,653Minnesota: 10,510 USDMinnesota10,510Maryland: 10,248 USDMaryland10,248Ohio: 10,173 USDOhio10,173Wyoming: 10,111 USDWyoming10,111Indiana: 9,927 USDIndiana9,927Nebraska: 9,917 USDNebraska9,917Montana: 9,808 USDMontana9,808Kentucky: 9,744 USDKentucky9,744Louisiana: 9,657 USDLouisiana9,657Wisconsin: 9,652 USDWisconsin9,652Oregon: 9,635 USDOregon9,635California: 9,628 USDCalifornia9,628Hawaii: 9,555 USDHawaii9,555Michigan: 9,532 USDMichigan9,532Illinois: 9,496 USDIllinois9,496Florida: 9,490 USDFlorida9,490Missouri: 9,431 USDMissouri9,431Iowa: 9,193 USDIowa9,193Washington: 8,964 USDWashington8,964Oklahoma: 8,923 USDOklahoma8,923Arkansas: 8,853 USDArkansas8,853Tennessee: 8,827 USDTennessee8,827Virginia: 8,826 USDVirginia8,826Kansas: 8,745 USDKansas8,745Mississippi: 8,745 USDMississippi8,745Alabama: 8,741 USDAlabama8,741North Carolina: 8,619 USDNorth Carolina8,619New Mexico: 8,459 USDNew Mexico8,459South Carolina: 8,345 USDSouth Carolina8,345Colorado: 8,286 USDColorado8,286Georgia: 8,243 USDGeorgia8,243Arizona: 8,145 USDArizona8,145Nevada: 8,114 USDNevada8,114Texas: 8,028 USDTexas8,028Idaho: 7,723 USDIdaho7,723Utah: 7,193 USDUtah7,193
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

RankStates2019
USD
Change on 2018
1District of Columbia13,934+3.3%
2Alaska13,226+4.2%
3New York12,932+6.9%
4Massachusetts12,729+4.2%
5Delaware12,213+3.8%
6Vermont12,159+3.1%
7West Virginia11,951+5.4%
8Connecticut11,831+4%
9South Dakota11,627+4.9%
10Maine11,488+4.9%
11New Hampshire11,310+3.1%
12New Jersey11,264+5.6%
13Pennsylvania11,175+2.4%
14Rhode Island10,988+5%
15North Dakota10,653+3.7%
16Minnesota10,510+3.3%
17Maryland10,248+3.2%
18Ohio10,173+5.7%
19Wyoming10,111+3.3%
20Indiana9,927+6.8%
21Nebraska9,917+4.5%
22Montana9,808+4.9%
23Kentucky9,744+4.4%
24Louisiana9,657+4.8%
25Wisconsin9,652+4.4%
26Oregon9,635+5.1%
27California9,628+6.2%
28Hawaii9,555+7%
29Michigan9,532+4.3%
30Illinois9,496+4.1%
31Florida9,490+3.7%
32Missouri9,431+4.4%
33Iowa9,193+4.3%
34Washington8,964+4.4%
35Oklahoma8,923+3.5%
36Arkansas8,853+3.6%
37Tennessee8,827+3.1%
38Virginia8,826+4.8%
39Kansas8,745+4.3%
39Mississippi8,745+3.9%
41Alabama8,741+4.8%
42North Carolina8,619+4%
43New Mexico8,459+3.7%
44South Carolina8,345+4.6%
45Colorado8,286+3.6%
46Georgia8,243+5.1%
47Arizona8,145+4.2%
48Nevada8,114+2.8%
49Texas8,028+4.1%
50Idaho7,723+3.7%
51Utah7,193+2.6%

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, 2019) [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, 2019. 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=2019. 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, 2019. 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=2019.

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, 2019 [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=2019 (Accessed: 18 October 2026).

BibTeX
@misc{centers_us_states_by_personal_2019,
  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, 2019}},
  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=2019. 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, 2019
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=2019
Y2  - 2026/10/18
N1  - Accessed via Invokely, https://invokely.ai/rankings/personal-health-care-spending-per-person/us-states?period=2019.
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 $13,934 in 2019, 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 $7,193 in 2019.

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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