Private Health Insurance Spending Per Enrollee by State
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2020
Location Per Enrollee Private Health Insurance Spending
United States 4994 Alabama 4680 Alaska 6523 Arizona 4231 Arkansas 4836 California 5302 Colorado 4538 Connecticut 5692 Delaware 5636 District of Columbia 9385 Florida 5057 Georgia 5359 Hawaii 4601 Idaho 4075 Illinois 4942 Indiana 4624 Iowa 4605 Kansas 4379 Kentucky 4934 Louisiana 4665 Maine 5911 Maryland 5045 Massachusetts 5795 Michigan 4633 Minnesota 4825 Mississippi 4310 Missouri 4864 Montana 4274 Nebraska 4437 Nevada 4277 New Hampshire 4806 New Jersey 5514 New Mexico 4773 New York 6264 North Carolina 4647 North Dakota 4906 Ohio 4503 Oklahoma 4620 Oregon 4692 Pennsylvania 4839 Rhode Island 4213 South Carolina 4402 South Dakota 4634 Tennessee 5501 Texas 4923 Utah 3287 Vermont 5561 Virginia 4434 Washington 5096 West Virginia 4602 Wisconsin 5093 Wyoming 5355
2019
Location Per Enrollee Private Health Insurance Spending
United States 5129 Alabama 4681 Alaska 6496 Arizona 4495 Arkansas 4770 California 5312 Colorado 4468 Connecticut 5537 Delaware 5379 District of Columbia 9752 Florida 5272 Georgia 5277 Hawaii 5126 Idaho 4094 Illinois 5084 Indiana 4799 Iowa 4836 Kansas 4543 Kentucky 5065 Louisiana 5061 Maine 5557 Maryland 5024 Massachusetts 6141 Michigan 4937 Minnesota 4938 Mississippi 4514 Missouri 5081 Montana 4583 Nebraska 4843 Nevada 4110 New Hampshire 4938 New Jersey 5725 New Mexico 4933 New York 6445 North Carolina 4873 North Dakota 4967 Ohio 4856 Oklahoma 4480 Oregon 4686 Pennsylvania 5036 Rhode Island 4501 South Carolina 4243 South Dakota 4989 Tennessee 5236 Texas 5157 Utah 3513 Vermont 5807 Virginia 4761 Washington 4951 West Virginia 5108 Wisconsin 5276 Wyoming 5012
2018
Location Per Enrollee Private Health Insurance Spending
United States 4941 Alabama 4234 Alaska 6278 Arizona 4424 Arkansas 4634 California 5071 Colorado 4602 Connecticut 5473 Delaware 5544 District of Columbia 9726 Florida 5104 Georgia 4820 Hawaii 5186 Idaho 4076 Illinois 5091 Indiana 4529 Iowa 4780 Kansas 4614 Kentucky 4644 Louisiana 4813 Maine 5203 Maryland 4850 Massachusetts 6145 Michigan 4477 Minnesota 4642 Mississippi 4171 Missouri 4836 Montana 4377 Nebraska 4892 Nevada 3841 New Hampshire 5084 New Jersey 5294 New Mexico 4505 New York 6367 North Carolina 4487 North Dakota 4863 Ohio 4933 Oklahoma 4154 Oregon 4660 Pennsylvania 4895 Rhode Island 4550 South Carolina 4153 South Dakota 4588 Tennessee 4823 Texas 4889 Utah 3539 Vermont 5876 Virginia 4598 Washington 4722 West Virginia 4760 Wisconsin 5360 Wyoming 5152
2017
Location Per Enrollee Private Health Insurance Spending
United States 4735 Alabama 4041 Alaska 6528 Arizona 4318 Arkansas 4359 California 4993 Colorado 4835 Connecticut 5398 Delaware 5298 District of Columbia 8972 Florida 4639 Georgia 4700 Hawaii 4707 Idaho 3767 Illinois 5012 Indiana 4344 Iowa 4629 Kansas 4378 Kentucky 4124 Louisiana 4540 Maine 5155 Maryland 4486 Massachusetts 5988 Michigan 4456 Minnesota 4554 Mississippi 3927 Missouri 4465 Montana 4377 Nebraska 4569 Nevada 3697 New Hampshire 4771 New Jersey 5166 New Mexico 4739 New York 5881 North Carolina 4453 North Dakota 4796 Ohio 4748 Oklahoma 4217 Oregon 4316 Pennsylvania 4711 Rhode Island 4647 South Carolina 4134 South Dakota 4394 Tennessee 4619 Texas 4531 Utah 3377 Vermont 5863 Virginia 4316 Washington 4513 West Virginia 4269 Wisconsin 4952 Wyoming 5215
2016
Location Per Enrollee Private Health Insurance Spending
United States 4549 Alabama 3740 Alaska 6804 Arizona 4407 Arkansas 4128 California 4976 Colorado 4525 Connecticut 4996 Delaware 4776 District of Columbia 8759 Florida 4483 Georgia 4613 Hawaii 4421 Idaho 3759 Illinois 4690 Indiana 4294 Iowa 4192 Kansas 4124 Kentucky 4303 Louisiana 4578 Maine 5135 Maryland 4262 Massachusetts 5345 Michigan 4225 Minnesota 4355 Mississippi 3801 Missouri 3995 Montana 3863 Nebraska 4295 Nevada 3482 New Hampshire 4758 New Jersey 5003 New Mexico 4462 New York 5324 North Carolina 4169 North Dakota 4758 Ohio 4520 Oklahoma 3915 Oregon 4179 Pennsylvania 4699 Rhode Island 4590 South Carolina 3972 South Dakota 4088 Tennessee 4421 Texas 4468 Utah 3529 Vermont 5422 Virginia 4150 Washington 4323 West Virginia 3838 Wisconsin 4898 Wyoming 4738
2015
Location Per Enrollee Private Health Insurance Spending
United States 4339 Alabama 3566 Alaska 6684 Arizona 3828 Arkansas 3724 California 4626 Colorado 4115 Connecticut 4930 Delaware 4446 District of Columbia 8445 Florida 4319 Georgia 4520 Hawaii 4101 Idaho 3486 Illinois 4566 Indiana 4177 Iowa 4011 Kansas 4123 Kentucky 4408 Louisiana 4451 Maine 4590 Maryland 4140 Massachusetts 5233 Michigan 3885 Minnesota 4176 Mississippi 3763 Missouri 4068 Montana 3339 Nebraska 4126 Nevada 3693 New Hampshire 4552 New Jersey 4769 New Mexico 4147 New York 5265 North Carolina 3972 North Dakota 4454 Ohio 4241 Oklahoma 3692 Oregon 3774 Pennsylvania 4528 Rhode Island 4393 South Carolina 3819 South Dakota 4190 Tennessee 4006 Texas 4257 Utah 3318 Vermont 5301 Virginia 4061 Washington 3933 West Virginia 3665 Wisconsin 4474 Wyoming 4466
2014
Location Per Enrollee Private Health Insurance Spending
United States 4183 Alabama 3391 Alaska 5470 Arizona 3636 Arkansas 3663 California 4307 Colorado 4151 Connecticut 4813 Delaware 4436 District of Columbia 8517 Florida 4191 Georgia 4133 Hawaii 3905 Idaho 3170 Illinois 4521 Indiana 4062 Iowa 3780 Kansas 4025 Kentucky 4238 Louisiana 4136 Maine 4602 Maryland 4033 Massachusetts 4935 Michigan 3681 Minnesota 4090 Mississippi 3723 Missouri 3933 Montana 3520 Nebraska 4158 Nevada 3404 New Hampshire 4520 New Jersey 4731 New Mexico 4065 New York 4871 North Carolina 3525 North Dakota 4034 Ohio 3970 Oklahoma 3597 Oregon 3823 Pennsylvania 4234 Rhode Island 4504 South Carolina 4007 South Dakota 3920 Tennessee 4262 Texas 4276 Utah 3264 Vermont 5019 Virginia 3876 Washington 4125 West Virginia 3661 Wisconsin 4701 Wyoming 4597
2013
Location Per Enrollee Private Health Insurance Spending
United States 4081 Alabama 3330 Alaska 5306 Arizona 3417 Arkansas 3479 California 4131 Colorado 3981 Connecticut 4665 Delaware 4186 District of Columbia 8256 Florida 4011 Georgia 4018 Hawaii 3706 Idaho 3064 Illinois 4355 Indiana 3913 Iowa 3680 Kansas 3960 Kentucky 4246 Louisiana 4002 Maine 4555 Maryland 3893 Massachusetts 4948 Michigan 3593 Minnesota 3888 Mississippi 3654 Missouri 4012 Montana 3514 Nebraska 3807 Nevada 3214 New Hampshire 4476 New Jersey 4606 New Mexico 4015 New York 4957 North Carolina 3383 North Dakota 4178 Ohio 3910 Oklahoma 3292 Oregon 3742 Pennsylvania 4194 Rhode Island 4416 South Carolina 3803 South Dakota 3968 Tennessee 4192 Texas 4233 Utah 3112 Vermont 4657 Virginia 3713 Washington 4062 West Virginia 3858 Wisconsin 4588 Wyoming 4465
2012
Location Per Enrollee Private Health Insurance Spending
United States 4078 Alabama 3300 Alaska 6143 Arizona 3766 Arkansas 3562 California 4135 Colorado 3832 Connecticut 4777 Delaware 4425 District of Columbia 8404 Florida 3957 Georgia 3853 Hawaii 3899 Idaho 3027 Illinois 4224 Indiana 3862 Iowa 3771 Kansas 3693 Kentucky 4323 Louisiana 4069 Maine 4498 Maryland 4031 Massachusetts 5060 Michigan 3754 Minnesota 4083 Mississippi 3656 Missouri 4188 Montana 3517 Nebraska 4026 Nevada 3167 New Hampshire 4508 New Jersey 4369 New Mexico 4221 New York 4834 North Carolina 3551 North Dakota 4167 Ohio 3849 Oklahoma 3334 Oregon 4055 Pennsylvania 4107 Rhode Island 4564 South Carolina 3705 South Dakota 3854 Tennessee 4100 Texas 4109 Utah 3058 Vermont 4497 Virginia 3694 Washington 4125 West Virginia 4097 Wisconsin 4644 Wyoming 4452
2011
Location Per Enrollee Private Health Insurance Spending
United States 4006 Alabama 3371 Alaska 5418 Arizona 3777 Arkansas 3320 California 4172 Colorado 3758 Connecticut 4734 Delaware 4900 District of Columbia 8498 Florida 3917 Georgia 3761 Hawaii 3724 Idaho 2799 Illinois 4134 Indiana 3695 Iowa 3609 Kansas 3615 Kentucky 4313 Louisiana 3597 Maine 4334 Maryland 4036 Massachusetts 4888 Michigan 3744 Minnesota 4148 Mississippi 3571 Missouri 3832 Montana 3365 Nebraska 3913 Nevada 3814 New Hampshire 4814 New Jersey 4211 New Mexico 3819 New York 4824 North Carolina 3580 North Dakota 3935 Ohio 3905 Oklahoma 3239 Oregon 3947 Pennsylvania 4072 Rhode Island 4432 South Carolina 3810 South Dakota 3690 Tennessee 3826 Texas 3874 Utah 3027 Vermont 4565 Virginia 3447 Washington 3869 West Virginia 3817 Wisconsin 4745 Wyoming 4142
2010
Location Per Enrollee Private Health Insurance Spending
United States 3850 Alabama 3318 Alaska 5089 Arizona 3515 Arkansas 3160 California 3763 Colorado 3389 Connecticut 4522 Delaware 4311 District of Columbia 7815 Florida 3895 Georgia 3578 Hawaii 3525 Idaho 2898 Illinois 4067 Indiana 3586 Iowa 3741 Kansas 3457 Kentucky 3919 Louisiana 3576 Maine 4134 Maryland 3836 Massachusetts 4692 Michigan 3986 Minnesota 3704 Mississippi 3603 Missouri 3421 Montana 2952 Nebraska 3758 Nevada 3790 New Hampshire 4419 New Jersey 3877 New Mexico 3452 New York 4684 North Carolina 3505 North Dakota 3610 Ohio 3879 Oklahoma 3364 Oregon 3969 Pennsylvania 3704 Rhode Island 4670 South Carolina 3488 South Dakota 3372 Tennessee 3739 Texas 3924 Utah 2919 Vermont 4061 Virginia 3472 Washington 4014 West Virginia 3342 Wisconsin 4520 Wyoming 3952
2009
Location Per Enrollee Private Health Insurance Spending
United States 3713 Alabama 3403 Alaska 4845 Arizona 3464 Arkansas 3219 California 3536 Colorado 3522 Connecticut 4464 Delaware 4161 District of Columbia 7483 Florida 3533 Georgia 3475 Hawaii 3513 Idaho 2936 Illinois 4104 Indiana 3571 Iowa 3551 Kansas 3303 Kentucky 3797 Louisiana 3425 Maine 3974 Maryland 3739 Massachusetts 4308 Michigan 3744 Minnesota 3656 Mississippi 3323 Missouri 3636 Montana 2914 Nebraska 3568 Nevada 3971 New Hampshire 4469 New Jersey 3827 New Mexico 3303 New York 4408 North Carolina 3611 North Dakota 3370 Ohio 3554 Oklahoma 3320 Oregon 3870 Pennsylvania 3645 Rhode Island 4071 South Carolina 3521 South Dakota 3354 Tennessee 3633 Texas 3681 Utah 2796 Vermont 4293 Virginia 3264 Washington 3836 West Virginia 3352 Wisconsin 4488 Wyoming 4071
2008
Location Per Enrollee Private Health Insurance Spending
United States 3457 Alabama 3127 Alaska 4434 Arizona 3350 Arkansas 3211 California 3329 Colorado 3334 Connecticut 4116 Delaware 4036 District of Columbia 6930 Florida 3325 Georgia 3373 Hawaii 3337 Idaho 2732 Illinois 3656 Indiana 3735 Iowa 3342 Kansas 3167 Kentucky 3306 Louisiana 3264 Maine 3720 Maryland 3384 Massachusetts 4022 Michigan 3549 Minnesota 3543 Mississippi 3150 Missouri 3276 Montana 2945 Nebraska 3333 Nevada 3206 New Hampshire 4043 New Jersey 3427 New Mexico 2703 New York 3966 North Carolina 3204 North Dakota 3227 Ohio 3545 Oklahoma 2840 Oregon 3514 Pennsylvania 3507 Rhode Island 3919 South Carolina 3300 South Dakota 3171 Tennessee 3605 Texas 3276 Utah 2705 Vermont 3747 Virginia 3092 Washington 3614 West Virginia 3328 Wisconsin 3981 Wyoming 3750
2007
Location Per Enrollee Private Health Insurance Spending
United States 3312 Alabama 3125 Alaska 4099 Arizona 3035 Arkansas 2900 California 3188 Colorado 3148 Connecticut 3745 Delaware 3953 District of Columbia 6561 Florida 3127 Georgia 3101 Hawaii 3147 Idaho 2740 Illinois 3505 Indiana 3600 Iowa 3263 Kansas 2998 Kentucky 3121 Louisiana 3097 Maine 3575 Maryland 3184 Massachusetts 3669 Michigan 3545 Minnesota 3219 Mississippi 3110 Missouri 3218 Montana 2793 Nebraska 3290 Nevada 2843 New Hampshire 3673 New Jersey 3542 New Mexico 2700 New York 3796 North Carolina 2995 North Dakota 3016 Ohio 3378 Oklahoma 2845 Oregon 3393 Pennsylvania 3360 Rhode Island 3633 South Carolina 3202 South Dakota 2909 Tennessee 3205 Texas 3256 Utah 2825 Vermont 3571 Virginia 3112 Washington 3417 West Virginia 3329 Wisconsin 3799 Wyoming 3580
2006
Location Per Enrollee Private Health Insurance Spending
United States 3125 Alabama 2917 Alaska 4000 Arizona 2678 Arkansas 2768 California 3005 Colorado 2925 Connecticut 3555 Delaware 3668 District of Columbia 6530 Florida 2906 Georgia 2984 Hawaii 3001 Idaho 2855 Illinois 3280 Indiana 3147 Iowa 3321 Kansas 2697 Kentucky 2810 Louisiana 3185 Maine 3510 Maryland 3041 Massachusetts 3445 Michigan 3494 Minnesota 3078 Mississippi 2639 Missouri 3214 Montana 2760 Nebraska 3079 Nevada 2817 New Hampshire 3428 New Jersey 3357 New Mexico 2695 New York 3471 North Carolina 2962 North Dakota 2943 Ohio 3175 Oklahoma 2808 Oregon 3157 Pennsylvania 3175 Rhode Island 3334 South Carolina 3006 South Dakota 2889 Tennessee 2915 Texas 3130 Utah 2830 Vermont 3146 Virginia 2910 Washington 3087 West Virginia 3107 Wisconsin 3504 Wyoming 3093
2005
Location Per Enrollee Private Health Insurance Spending
United States 2981 Alabama 2774 Alaska 4324 Arizona 2770 Arkansas 2453 California 2838 Colorado 2918 Connecticut 3383 Delaware 3549 District of Columbia 6371 Florida 2803 Georgia 3102 Hawaii 2833 Idaho 2646 Illinois 3054 Indiana 3291 Iowa 2766 Kansas 2575 Kentucky 2878 Louisiana 2992 Maine 3178 Maryland 2884 Massachusetts 3279 Michigan 3143 Minnesota 2907 Mississippi 2841 Missouri 2837 Montana 2614 Nebraska 2735 Nevada 2984 New Hampshire 3396 New Jersey 3088 New Mexico 2475 New York 3119 North Carolina 2712 North Dakota 2461 Ohio 3081 Oklahoma 2876 Oregon 2903 Pennsylvania 3058 Rhode Island 3411 South Carolina 2788 South Dakota 2753 Tennessee 2988 Texas 3089 Utah 2720 Vermont 3299 Virginia 2769 Washington 3017 West Virginia 2840 Wisconsin 3409 Wyoming 3019
2004
Location Per Enrollee Private Health Insurance Spending
United States 2779 Alabama 2777 Alaska 3984 Arizona 2342 Arkansas 2387 California 2633 Colorado 2646 Connecticut 3229 Delaware 3379 District of Columbia 6303 Florida 2597 Georgia 2866 Hawaii 2544 Idaho 2427 Illinois 2893 Indiana 2990 Iowa 2808 Kansas 2619 Kentucky 2864 Louisiana 2681 Maine 3047 Maryland 2688 Massachusetts 3168 Michigan 2976 Minnesota 2847 Mississippi 2345 Missouri 2686 Montana 2238 Nebraska 2970 Nevada 2801 New Hampshire 3097 New Jersey 3004 New Mexico 2253 New York 2920 North Carolina 2517 North Dakota 2353 Ohio 2833 Oklahoma 2610 Oregon 2726 Pennsylvania 2776 Rhode Island 3070 South Carolina 2650 South Dakota 2685 Tennessee 2896 Texas 2738 Utah 2227 Vermont 3019 Virginia 2761 Washington 2744 West Virginia 2524 Wisconsin 3043 Wyoming 2747
2003
Location Per Enrollee Private Health Insurance Spending
United States 2594 Alabama 2448 Alaska 3755 Arizona 2254 Arkansas 2213 California 2475 Colorado 2502 Connecticut 2969 Delaware 2977 District of Columbia 5858 Florida 2434 Georgia 2655 Hawaii 2148 Idaho 2410 Illinois 2846 Indiana 2863 Iowa 2379 Kansas 2312 Kentucky 2442 Louisiana 2376 Maine 2699 Maryland 2405 Massachusetts 2861 Michigan 2835 Minnesota 2683 Mississippi 2226 Missouri 2321 Montana 2197 Nebraska 2548 Nevada 2504 New Hampshire 2709 New Jersey 2787 New Mexico 2163 New York 2885 North Carolina 2628 North Dakota 2214 Ohio 2608 Oklahoma 2430 Oregon 2467 Pennsylvania 2545 Rhode Island 2736 South Carolina 2316 South Dakota 2425 Tennessee 2527 Texas 2637 Utah 2063 Vermont 2709 Virginia 2377 Washington 2624 West Virginia 2516 Wisconsin 2865 Wyoming 2758
2002
Location Per Enrollee Private Health Insurance Spending
United States 2371 Alabama 2195 Alaska 3306 Arizona 1941 Arkansas 2352 California 2165 Colorado 2274 Connecticut 2574 Delaware 2887 District of Columbia 5173 Florida 2328 Georgia 2224 Hawaii 2008 Idaho 1983 Illinois 2701 Indiana 2579 Iowa 2245 Kansas 2138 Kentucky 2220 Louisiana 2286 Maine 2509 Maryland 2246 Massachusetts 2860 Michigan 2538 Minnesota 2389 Mississippi 2015 Missouri 2138 Montana 1900 Nebraska 2475 Nevada 2267 New Hampshire 2433 New Jersey 2613 New Mexico 1876 New York 2561 North Carolina 2574 North Dakota 2224 Ohio 2283 Oklahoma 2162 Oregon 2140 Pennsylvania 2366 Rhode Island 2535 South Carolina 2145 South Dakota 2360 Tennessee 2267 Texas 2418 Utah 2135 Vermont 2471 Virginia 2166 Washington 2491 West Virginia 2359 Wisconsin 2728 Wyoming 2553
2001
Location Per Enrollee Private Health Insurance Spending
United States 2176 Alabama 2184 Alaska 3091 Arizona 1836 Arkansas 1923 California 2059 Colorado 2056 Connecticut 2574 Delaware 2619 District of Columbia 4942 Florida 2107 Georgia 2353 Hawaii 2045 Idaho 1854 Illinois 2297 Indiana 2364 Iowa 1953 Kansas 2125 Kentucky 2009 Louisiana 2015 Maine 2286 Maryland 2053 Massachusetts 2655 Michigan 2313 Minnesota 2128 Mississippi 2006 Missouri 1948 Montana 1979 Nebraska 2276 Nevada 1890 New Hampshire 2205 New Jersey 2404 New Mexico 2117 New York 2487 North Carolina 2051 North Dakota 2087 Ohio 2164 Oklahoma 1847 Oregon 1995 Pennsylvania 2245 Rhode Island 2309 South Carolina 2064 South Dakota 1931 Tennessee 2016 Texas 2089 Utah 1926 Vermont 2269 Virginia 2069 Washington 1977 West Virginia 1862 Wisconsin 2338 Wyoming 2200
Notes
The Centers for Medicare and Medicaid Services (CMS) Office of the Actuary produces Health Expenditures by State of Residence and Health Expenditures by State of Provider every five years. The State Health Expenditure Accounts are a subcomponent of the National Health Expenditure Accounts (NHEA), the official government estimates of health spending in the United States.
Data reflect Private Health Insurance spending on personal health care services and products (hospital care, physician services, nursing home care, prescription drugs, etc.) by state of residence. State of residence estimates account for the flow of individuals between states in order to consume health care services and present health spending based on where individuals reside rather than where they receive care.
Additional information on data and methods is available here.
Sources
Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. National Health Expenditure Data: Health Expenditures by State of Residence , August 2022.
Definitions
Private Health Insurance Spending Per Enrollee : includes spending for all privately funded personal health care services and products (hospital care, physician services, nursing home care, prescription drugs, etc.) by state of residence (aggregate spending divided by population). Hospital spending is included and reflects the total net revenue (gross charges less contractual adjustments, bad debts, and charity care). Costs such as insurance program administration, research, and construction expenses are not included in this total.