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States With the Best, Worst Health Care

WalletHub ranking puts New Hampshire at the top of the list for cost, access, health outcomes
Posted Aug 2, 2026 12:25 PM CDT
States With the Best, Worst Health Care
   (Getty/OlenaMykhaylova)

New Hampshire may be better known for its foliage, but a new analysis says its healthcare is what really stands out. WalletHub ranked all 50 states and Washington, DC, on nearly four dozen measures of cost, access, and outcomes and found the Granite State on top. New Hampshire's edge comes from having the lowest average monthly health insurance premiums in the country, at about $469, and the second-lowest out-of-pocket costs. Here, the top and bottom 10 states:

Best States

  1. New Hampshire
  2. Minnesota
  3. Iowa
  4. Rhode Island
  5. Hawaii
  6. Massachusetts
  7. Maine
  8. Wisconsin
  9. Colorado
  10. Nebraska

Worst States
  1. Tennessee
  2. Arkansas
  3. New Mexico
  4. Louisiana
  5. Alabama
  6. West Virginia
  7. Texas
  8. Georgia
  9. Mississippi
  10. Alaska
See how other states rank here.

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