The states with the worst and best healthcare, ranked

The quality of healthcare in your home state can have a meaningful impact on both wellness and your wallet.

The most recent health expenditure data from the Centers for Medicare & Medicaid Services found that the average American spent $15,474 per person on healthcare in 2024, comprising 18% of America’s gross domestic product.

The personal finance website WalletHub dove deeper into the data to rank the states with the best and worst healthcare in the US.

The analysis was based on figures compiled by institutions including the US Census Bureau, the Bureau of Labor Statistics, the Centers for Disease Control and Prevention, the Child and Adolescent Health Measurement Initiative, the UnitedHealth Foundation, and the Health Resources and Services Administration.

To establish the ranking, WalletHub evaluated all 50 states and the District of Columbia using 44 metrics in three categories: cost, access, and outcomes.

The cost ranking included factors such as average monthly insurance premiums and the cost of medical and dental visits.

To determine the access ranking, WalletHub looked at hospital beds and physicians per capita, the percentages of uninsured children and adults, and the Centers for Medicare and Medicaid Services’ ranking of public hospital systems.

The outcomes ranking was calculated using factors such as each state’s infant and maternal mortality rates, life expectancy, and rates of cancer, stroke, heart disease, and type 2 diabetes.

Here is every state’s healthcare ranked from worst to best.