Explore across the country
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% Difference from National Average
Hover over a state to see how it compares to the national average or click to go to the state page.
Lowest spending state
Arkansas
-24%
vs. national average
Average spending state
Massachusetts
+1%
vs. national average
Highest spending state
Alaska
+55%
vs. national average
What does the spending index measure?
The spending index shows health care spending per-person with employer-sponsored insurance in a given area compared to the national average. A positive percentage means per-person spending is higher than the national average. A negative percentage means per-person spending is lower than the national average. It reflects spending on all medical services, including Inpatient, Outpatient, and Professional (clinical) services. For a complete explanation of our Health Cost Landscape methodology, see our methodology document.
What we're seeing in the data
Interesting patterns and outliers from across the country. Click a card to explore more.
Spending is rising fastest in
Overall per-person spending has increased 45% over time.
Highest overall prices are in
Overall prices are 98% above the national average.
Highest overall use is in
Overall use is 58% above the national average.
Hospital concentration is rising fastest in
The hospital market has changed from highly concentrated to very highly concentrated over time.
Highest cost burdened metro
Cost burden is 113% above national average.
Lowest cost burdened metro
Cost burden is 64% below national average.
What is the Health Cost Landscape?
The Health Cost Landscape provides local data on health care spending, as well as the factors that contribute to spending, including the use, prices, and mix of services that people in an area receive. It also provides contextual information about health care markets, such as the relative cost burden of health care spending and hospital market concentration. This tool is intended to facilitate apples-to-apples comparisons of health care markets across different geographic areas. The Health Cost Landscape website is part of HCCI’s broader effort to increase transparency into the health care system and equip stakeholders with relevant information to improve health care.