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rawpixel / Unsplash

Healthcare is one of the most common sources of stress for Americans, and it’s no wonder, given how high the costs of both health insurance premiums and out of pocket healthcare expenses have grown.

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Nearly half of Americans reported delaying or doing without medical care in 2021 due to being unable to afford the costs, according to a survey by the Kaiser Family Foundation.

Those who stress about healthcare costs are not just the uninsured, either; the same survey found that almost one-third of insured adults also have anxiety about being able to pay for their monthly health insurance, and another 44% worry about whether they will be able to afford their deductible.

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, making them good places for older folks to retire. The study analyzed data from Missouri Economic Research and Information Center on annual healthcare costs in all 50 states. GOBankingRates also factored in average annual prescription costs sourced from Kaiser Family Foundation Prescription Sales, total medical expenditures sourced from Kaiser Family Foundation Health Care Expenditures, the median home value from Zillow’s Home Value Index, and the average cost of healthcare for people age 65 and older.

The following list is organized from least to most expensive annual healthcare costs.

csfotoimages / Getty Images

csfotoimages / Getty Images

1. Kentucky

  • Prescription Sales:  $8,031,816,317

  • Health Cost of living: 81.8

  • Annual Health Cost:  $5,750.54

  • 2023 Home Value:  $192,080.63

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Sean Pavone / Shutterstock.com

Sean Pavone / Shutterstock.com

2. Alabama

  • Total expenditures:  $45.7 billion

  • Prescription Sales:  $7,595,065,062

  • Health Cost of living: 86.9

  • Annual Health Cost:  $6,109.07

  • 2023 Home Value:  $205,596.72

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DenisTangneyJr / Getty Images/iStockphoto

DenisTangneyJr / Getty Images/iStockphoto

3. Arkansas

  • Total expenditures:  $28.3 billion

  • Prescription Sales:  $4,270,411,143

  • Health Cost of living: 87.2

  • Annual Health Cost:  $6,130.16

  • 2023 Home Value:  $177,659.55

Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

4. Tennessee

  • Total expenditures:  $64.3 billion

  • Prescription Sales:  $12,378,461,230

  • Health Cost of living: 88.1

  • Annual Health Cost:  $6,193.43

  • 2023 Home Value:  $295,025.85

f11photo / Getty Images/iStockphoto

f11photo / Getty Images/iStockphoto

5. Missouri

  • Total expenditures:  $61 billion

  • Prescription Sales:  $8,388,211,110

  • Health Cost of living: 89.9

  • Annual Health Cost:  $6,319.97

  • 2023 Home Value:  $230,264.93

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georgeclerk / iStock.com

georgeclerk / iStock.com

6. Utah

  • Total expenditures:  $24.5 billion

  • Prescription Sales:  $3,662,498,053

  • Health Cost of living: 90.3

  • Annual Health Cost:  $6,348.09

  • 2023 Home Value:  $523,236.34

Sean Pavone / Shutterstock.com

Sean Pavone / Shutterstock.com

7. Oklahoma

  • Total expenditures:  $37.6 billion

  • Prescription Sales:  $5,384,438,969

  • Health Cost of living: 91.8

  • Annual Health Cost:  $6,453.54

  • 2023 Home Value:  $193,251.15

Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

8. Arizona

  • Total expenditures:  $64.9 billion

  • Prescription Sales:  $9,205,879,893

  • Health Cost of living: 93.5

  • Annual Health Cost:  $6,573.05

  • 2023 Home Value:  $422,688.94

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espiegle / Getty Images/iStockphoto

espiegle / Getty Images/iStockphoto

9. Michigan

  • Total expenditures:  $98.6 billion

  • Prescription Sales:  $12,820,459,660

  • Health Cost of living: 94

  • Annual Health Cost:  $6,608.20

  • 2023 Home Value:  $218,689.67

MoreISO / Getty Images/iStockphoto

MoreISO / Getty Images/iStockphoto

10. Texas

  • Total expenditures: $246.8 billion

  • Prescription Sales: $35,148,774,471

  • Health Cost of living: 94.1

  • Annual Health Cost:  $6,615.23

  • 2023 Home Value:  $299,094.45

f11photo / Shutterstock.com

f11photo / Shutterstock.com

11. Nevada

  • Total expenditures:  $26.2 billion

  • Prescription Sales:  $3,561,862,610

  • Health Cost of living: 94.9

  • Annual Health Cost:  $6,671.47

  • 2023 Home Value:  $429,939.53

Mlenny / Getty Images

Mlenny / Getty Images

12. Illinois

  • Total expenditures:  $128.3 billion

  • Prescription Sales:  $18,637,066,513

  • Health Cost of living: 95.4

  • Annual Health Cost:  $6,706.62

  • 2023 Home Value:  $244,772.25

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DianeBentleyRaymond / Getty Images

DianeBentleyRaymond / Getty Images

13. Montana

  • Total expenditures:  $11 billion

  • Prescription Sales:  $968,230,030

  • Health Cost of living: 95.7

  • Annual Health Cost:  $6,727.71

  • 2023 Home Value:  $437,276.21

Sean Pavone / Shutterstock.com

Sean Pavone / Shutterstock.com

14. New Jersey

  • Total expenditures:  $105.4 billion

  • Prescription Sales:  $11,442,428,793

  • Health Cost of living: 96.1

  • Annual Health Cost:  $6,755.83

  • 2023 Home Value:  $466,251.23

Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

15. Maine

  • Total expenditures:  $16.3 billion

  • Prescription Sales:  $1,689,235,729

  • Health Cost of living: 96.2

  • Annual Health Cost:  $6,762.86

  • 2023 Home Value:  $355,438.99

16. Maryland

  • Total expenditures:  $65.6 billion

  • Prescription Sales:  $6,655,825,064

  • Health Cost of living: 96.2

  • Annual Health Cost:  $6,762.86

  • 2023 Home Value:  $399,432.56

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Mercuri / Getty Images/iStockphoto

Mercuri / Getty Images/iStockphoto

17. Florida

  • Total expenditures:  $214.4 billion

  • Prescription Sales:  $27,850,576,298

  • Health Cost of living: 96.3

  • Annual Health Cost:  $6,769.89

  • 2023 Home Value:  $401,406.60

Davel5957 / Getty Images/iStockphoto

Davel5957 / Getty Images/iStockphoto

18. Ohio

  • Total expenditures:  $122.5 billion

  • Prescription Sales:  $15,616,299,030

  • Health Cost of living: 96.5

  • Annual Health Cost:  $6,783.95

  • 2023 Home Value:  $210,301.05

Kruck20 / Getty Images/iStockphoto

Kruck20 / Getty Images/iStockphoto

19. South Carolina

  • Total expenditures:  $45.7 billion

  • Prescription Sales:  $6,869,070,901

  • Health Cost of living: 96.7

  • Annual Health Cost:  $6,798.01

  • 2023 Home Value:  $277,815.60

benedek / Getty Images

benedek / Getty Images

20. Pennsylvania

  • Total expenditures:  $148.3 billion

  • Prescription Sales:  $13,534,978,210

  • Health Cost of living: 96.7

  • Annual Health Cost:  $6,798.01

  • 2023 Home Value:  $247,297.53

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21. West Virginia

  • Total expenditures:  $22.8 billion

  • Prescription Sales:  $2,996,916,342

  • Health Cost of living: 97

  • Annual Health Cost:  $6,819.10

  • 2023 Home Value:  $150,671.59

DenisTangneyJr / Getty Images

DenisTangneyJr / Getty Images

22. South Dakota

  • Total expenditures:  $11.2 billion

  • Prescription Sales:  $812,859,186

  • Health Cost of living: 97

  • Annual Health Cost:  $6,819.10

  • 2023 Home Value:  $287,737.32

Matt Bills / Getty Images/iStockphoto

Matt Bills / Getty Images/iStockphoto

23. Nebraska

  • Total expenditures:  $20.4 billion

  • Prescription Sales:  $2,501,994,025

  • Health Cost of living: 97.1

  • Annual Health Cost:  $6,826.13

  • 2023 Home Value:  $247,302.74

digidreamgrafix / Getty Images/iStockphoto

digidreamgrafix / Getty Images/iStockphoto

24. Kansas

  • Total expenditures:  $27.4 billion

  • Prescription Sales:  $4,408,000,497

  • Health Cost of living: 97.1

  • Annual Health Cost:  $6,826.13

  • 2023 Home Value:  $211,736.92

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DenisTangneyJr / Getty Images

DenisTangneyJr / Getty Images

25. Mississippi

  • Total expenditures:  $27.9 billion

  • Prescription Sales:  $4,435,079,204

  • Health Cost of living: 97.6

  • Annual Health Cost:  $6,861.28

  • 2023 Home Value:  $164,964.62

DenisTangneyJr / Getty Images/iStockphoto

DenisTangneyJr / Getty Images/iStockphoto

26. Louisiana

  • Total expenditures:  $48.8 billion

  • Prescription Sales:  $7,237,285,636

  • Health Cost of living: 97.9

  • Annual Health Cost:  $6,882.37

  • 2023 Home Value:  $185,547.77

Davel5957 / Getty Images

Davel5957 / Getty Images

27. Wyoming

  • Total expenditures:  $6.4 billion

  • Prescription Sales:  $622,538,071

  • Health Cost of living: 98.6

  • Annual Health Cost:  $6,931.58

  • 2023 Home Value:  $325,043.12

Ron and Patty Thomas / Getty Images

Ron and Patty Thomas / Getty Images

28. Indiana

  • Total expenditures:  $71 billion

  • Prescription Sales:  $9,263,917,975

  • Health Cost of living: 98.9

  • Annual Health Cost:  $6,952.67

  • 2023 Home Value:  $225,211.73

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Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

29. New Mexico

  • Total expenditures:  $18.8 billion

  • Prescription Sales:  $2,464,097,104

  • Health Cost of living: 99.6

  • Annual Health Cost:  $7,001.88

  • 2023 Home Value:  $282,904.19

pabradyphoto / Getty Images/iStockphoto

pabradyphoto / Getty Images/iStockphoto

30. Iowa

  • Total expenditures:  $31 billion

  • Prescription Sales:  $3,595,363,402

  • Health Cost of living: 99.7

  • Annual Health Cost:  $7,008.91

  • 2023 Home Value:  $204,538.46

christiannafzger / Getty Images/iStockphoto

christiannafzger / Getty Images/iStockphoto

31. Idaho

  • Total expenditures:  $14,886,000,000

  • Prescription Sales:  $1,893,945,927

  • Health Cost of living: 101.2

  • Annual Health Cost:  $7,114.36

  • 2023 Home Value:  $444,321.25

©Shutterstock.com

©Shutterstock.com

32. Oregon

  • Total expenditures:  $42.7 billion

  • Prescription Sales:  $4,244,144,617

  • Health Cost of living: 101.4

  • Annual Health Cost:  $7,128.42

  • 2023 Home Value:  $498,120.15

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Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

33. Georgia

  • Total expenditures:  $93.8 billion

  • Prescription Sales:  $13,791,505,382

  • Health Cost of living: 101.4

  • Annual Health Cost:  $7,128.42

  • 2023 Home Value:  $311,237.01

Boogich / Getty Images

Boogich / Getty Images

34. Colorado

  • Total expenditures:  $49.9 billion

  • Prescription Sales:  $6,742,641,348

  • Health Cost of living: 102

  • Annual Health Cost:  $7,170.60

  • 2023 Home Value:  $558,684.03

garytog / Getty Images/iStockphoto

garytog / Getty Images/iStockphoto

35. Virginia

  • Total expenditures:  $79 billion

  • Prescription Sales:  $9,342,756,183

  • Health Cost of living: 102.6

  • Annual Health Cost:  $7,212.78

  • 2023 Home Value:  $366,186.09

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©Shutterstock.com

©Shutterstock.com

36. Delaware

  • Total expenditures:  $12.7 billion

  • Prescription Sales:  $1,725,723,360

  • Health Cost of living: 104.3

  • Annual Health Cost:  $7,332.29

  • 2023 Home Value:  $358,962.22

ferrantraite / Getty Images

ferrantraite / Getty Images

37. New York

  • Total expenditures:  $271 billion

  • Prescription Sales:  $27,425,428,273

  • Health Cost of living: 104.5

  • Annual Health Cost:  $7,346.35

  • 2023 Home Value:  $401,215.22

Sean Pavone / Shutterstock.com

Sean Pavone / Shutterstock.com

38. Vermont

  • Total expenditures:  $7.9 billion

  • Prescription Sales:  $671,914,956

  • Health Cost of living: 106.2

  • Annual Health Cost:  $7,465.86

  • 2023 Home Value:  $333,884.10

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bluejayphoto / Getty Images/iStockphoto

bluejayphoto / Getty Images/iStockphoto

39. California

  • Total expenditures:  $405.5 billion

  • Prescription Sales:  $32,525,850,723

  • Health Cost of living: 106.4

  • Annual Health Cost:  $7,479.92

  • 2023 Home Value:  $747,628.38

Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

40. Rhode Island

  • Total expenditures:  $12.4 billion

  • Prescription Sales:  $1,265,773,132

  • Health Cost of living: 107.4

  • Annual Health Cost:  $7,550.22

  • 2023 Home Value:  $426,464.16

Sean Pavone / Getty Images/iStockphoto

Sean Pavone / Getty Images/iStockphoto

41. North Carolina

  • Total expenditures:  $94.5 billion

  • Prescription Sales:  $15,179,518,162

  • Health Cost of living: 109.5

  • Annual Health Cost:  $7,697.85

  • 2023 Home Value: $314,945.99

DenisTangneyJr / Getty Images/iStockphoto

DenisTangneyJr / Getty Images/iStockphoto

42. Connecticut

  • Total expenditures:  $44.4 billion

  • Prescription Sales:  $5,416,378,763

  • Health Cost of living: 109.7

  • Annual Health Cost:  $7,711.91

  • 2023 Home Value:  $384,211.21

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3841128876 / Shutterstock.com

3841128876 / Shutterstock.com

43. Minnesota

  • Total expenditures:  $61.4 billion

  • Prescription Sales:  $5,866,165,654

  • Health Cost of living: 111.5

  • Annual Health Cost:  $7,838.45

  • 2023 Home Value:  $323,769.23

DenisTangneyJr / Getty Images

DenisTangneyJr / Getty Images

44. North Dakota

  • Total expenditures:  $8.7 billion

  • Prescription Sales:  $589,855,944

  • Health Cost of living: 111.6

  • Annual Health Cost:  $7,845.48

  • 2023 Home Value:  $247,713.49

DenisTangneyJr / iStock.com

DenisTangneyJr / iStock.com

45. Massachusetts

  • Total expenditures:  $91.8 billion

  • Prescription Sales:  $8,051,356,086

  • Health Cost of living: 112.6

  • Annual Health Cost:  $7,915.78

  • 2023 Home Value:  $584,901.41

f11photo / Getty Images/iStockphoto

f11photo / Getty Images/iStockphoto

46. Wisconsin

  • Total expenditures:  $58.2 billion

  • Prescription Sales:  $9,045,899,186

  • Health Cost of living: 113.7

  • Annual Health Cost:  $7,993.11

  • 2023 Home Value:  $266,558.47

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Art Wager / Getty Images

Art Wager / Getty Images

47. Hawaii

  • Total expenditures:  $14.5 billion

  • Prescription Sales:  $1,253,852,242

  • Health Cost of living: 118.4

  • Annual Health Cost:  $8,323.52

  • 2023 Home Value:  $966,545.19

RomanKhomlyak / Getty Images/iStockphoto

RomanKhomlyak / Getty Images/iStockphoto

48. Washington

  • Total expenditures:  $71.3 billion

  • Prescription Sales:  $6,907,126,327

  • Health Cost of living: 119.8

  • Annual Health Cost:  $8,421.94

  • 2023 Home Value:  $585,856.29

DenisTangneyJr / Getty Images/iStockphoto

DenisTangneyJr / Getty Images/iStockphoto

49. New Hampshire

  • Total expenditures:  $16.1 billion

  • Prescription Sales:  $1,422,879,387

  • Health Cost of living: 120.6

  • Annual Health Cost:  $8,478.18

  • 2023 Home Value:  $449,351.82

©Shutterstock.com

©Shutterstock.com

50. Alaska

  • Total expenditures:  $9.9 billion

  • Prescription Sales:  $757,206,371

  • Health Cost of living: 149.8

  • Annual Health Cost:  $10,530.94

  • 2023 Home Value:  $354,937.10

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Cameron Huddleston contributed to the reporting for this article.

Methodology: To find the Best US States to Retire with Low Healthcare Costs, GoBankingRates analyzed every state through a few factors; [1] average annual prescription costs sourced from Kaiser Family Foundation Prescription Sales, [2] Total medical expenditures sourced from Kaiser Family Foundation Health Care Expenditures, [3] Healthcare Cost of Living sourced from the Missouri Economic Research and Information, [4] 2023 Median Home Value sourced from Zillow Home Value Index, and [5] the average annual healthcare cost by people 65 and over. This average is multiplied by the Health CoL to find the average cost for each state for people 65 and over.  All information is up-to-date as-of June 9th, 2023.

This article originally appeared on GOBankingRates.com: Best US States To Retire In With Low Healthcare Costs

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