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Health care in America may be expensive, but a new study finds that where you live can make all the difference.
In order to determine where Americans receive the best and worst health care, WalletHub compared the 50 U.S. states and the District of Columbia across three dimensions: cost, accessibility and outcomes.
What they’re saying:
“Health care has two crucial components, cost and quality,” Chip Lupo, a WalletHub analyst, said. “The best health care in the nation isn’t helpful if it bankrupts the people who try to get it, and cheap health care isn’t worth paying for if it provides subpar or ineffective treatment. Therefore, the best states for health care are those that make high-quality care affordable, on top of providing many options for doctors and making insurance easily accessible.”
New Hampshire has best health care, study finds
By the numbers:
The data found that New Hampshire was the best state for health care, with the fourth-lowest out-of-pocket medical spending in the country. Residents also had the lowest average monthly health insurance premium, at around $470.
In addition, the Granite State has the fifth-highest nurses per capita and sixth-highest physician assistants per capita and sixth-highest physician assistants per capita. New Hampshire also stood out for its strong overall health profile, with the fifth-lowest share of residents with coronary heart disease, the third-lowest prevalence of strokes and the second-lowest prevalence of type-2 diabetes in the U.S.

FILE: Doctor reads a blood pressure gauge during an examination of patient. (Credit: Joe Raedle/Getty Images)
New Hampshire was followed by Rhode Island and Minnesota.
Meanwhile, Mississippi ranked last for states with the best health care. This was followed by Alaska and Alabama.
States with best health care systems
Expense of health care in US
Dig deeper:
The average American spends nearly $14,600 per year on personal health care, according to the most recent estimates from the Centers for Medicare & Medicaid Services.
RELATED: People in these states spend the most on health care
While health care in the U.S. can be expensive, higher medical costs don’t necessarily translate to better results. According to research by the Kaiser Family Foundation, the U.S. lags behind several other wealthy nations on several measures, such as health coverage, life expectancy and disease burden, which measure longevity and quality of life, WalletHub noted.
Despite this, WalleHub said that the U.S. has improved in giving more healthcare access for people in worse health, and healthcare cost growth has slowed somewhat.
Another WalletHub analysis, published last month, looked at which states spend the most – and least – on health care.
People in the nation’s poorest states tend to spend the most on health care, the analysis showed. Mississippi topped the list, with residents spending 18.66% of their median household income on health care costs.
The Source: The information for this story was provided by WalletHub’s study published on July 28, 2025. This story was reported from Los Angeles.