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United States Health Expenditure by State, Payer, and Type of Care, 2003-2019


General Info
Institute for Health Metrics and Evaluation (IHME)
Coverage type 
Time period covered 
01/2003 - 12/2019
Data type
  • Subnationally representative

This dataset contains health expenditure by state and the District of Columbia for the United States for the years 2003-2019, reported in spending per person in 2020 United States Dollars (USD). These data include total health expenditure, health spending by payer, and health spending by type of service, sourced from the Centers for Medicare and Medicaid Services (CMS) State Health Expenditure Accounts from 1991-2014 and estimated by IHME for 2015-2019. In addition to true spending estimates, these data contain standardized estimates of total health spending and spending by payer, where estimates were controlled for state variation in age, regional prices, income, population density, and health risk factors. Standardized estimates were produced by IHME for the years 2003-2019.