Best and Worst States for Healthcare Costs

Healthcare is one of the most common sources of stress for Americans. About 7 in 10 adults said they’re worried about it, according to an American Psychological Association survey — and the stress is coming from the cost.

Nearly 40% said their family has struggled to pay for medical services. Those with private insurance, like through an employer, were more likely than those with public insurance to say that the cost of care is stressful.

It’s not surprising that covering healthcare costs can create so much anxiety. The average amount that Americans spent per person on healthcare was $11,172 in 2018, according to the Centers for Medicare and Medicaid Services. In fact, a Kaiser Family Foundation survey found the cost is so high that half of American adults said they or a family member have put off getting healthcare or dental care. Nearly one-third of respondents said they haven’t taken their prescription drugs because of the cost.

Considering that healthcare costs have such a major impact on Americans’ finances, GOBankingRates set out to see which states have the most — and least — affordable healthcare. The study analyzed data from the Bureau of Labor Statistics and Missouri Economic Research and Information Center on annual healthcare costs in all 50 states. GOBankingRates also factored in average hospital inpatient expenses, average annual premiums for people enrolled in employer-based health insurance plans and the median medical debt in collections for each state.

Based on the study results, you might find that care is more affordable in your state than others — or living elsewhere could help you save money on healthcare and prescription drugs.

Last updated: Dec. 30, 2019

1. West Virginia

  • Healthcare cost-of-living index: 87.6

  • Annual healthcare costs: $4,351.97

  • Hospital inpatient expenses per day: $1,986

  • Annual premium for:

    • A single employee: $1,353

    • An employee and one eligible family member: $3,222

    • A family: $4,371

  • Median medical debt in collections: $621

2. Montana

  • Healthcare cost-of-living index: 95.1

  • Annual healthcare costs: $4,724.57

  • Hospital inpatient expenses per day: $1,070

  • Annual premium for:

    • A single employee: $1,115

    • An employee and one eligible family member: $3,232

    • A family: $5,208

  • Median medical debt in collections: $871

3. Washington

  • Healthcare cost-of-living index: 118.5

  • Annual healthcare costs: $5,887.08

  • Hospital inpatient expenses per day: $3,429

  • Annual premium for:

    • A single employee: $955

    • An employee and one eligible family member: $2,558

    • A family: $3,862

  • Median medical debt in collections: $637