Are employers in your state getting ripped off? Here are the 10 states with the highest average health care cost per employee, the 10 with the lowest average cost per employee — and a care quality estimate...

41. Idaho

Total spending per enrollee: $5,282

11% higher than the median

0% quality difference from median

42. California

Total spending per enrollee: $5,307

12% higher than the median

4% better quality than median

43. Texas

Total spending per enrollee: $5,481

15% higher than the median

4% lower quality than median

44. Indiana

Total spending per enrollee: $5,510

16% higher than the median

3% lower quality than median

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45. West Virginia

Total spending per enrollee: $5,523

16% higher than the median

7% lower quality than median

46. New Hampshire

Total spending per enrollee: $5,725

20% higher than the median

2% better quality than median

47. New York

Total spending per enrollee: $6,053

27% higher than the median

3% better quality than median

48. Wisconsin

Total spending per enrollee: $6,335

33% higher than the median

1% better quality than median

49. Wyoming

Total spending per enrollee: $6,360

34% higher than the median

7% lower quality than median

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50. Alaska

Total spending per enrollee: $8,042

69% higher than the median

0% quality difference

10. Nevada

Total spending per enrollee: $4,227

11% lower than the median

10% lower quality

9. Kentucky

Total spending per enrollee: $4,134

13% lower than the median

0% quality difference

8. Tennessee

Total spending per enrollee: $3,906

18% lower than the median

1% higher quality

7. Michigan

Total spending per enrollee: $3,848

19% lower than the median

2% lower quality

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6. Iowa

Total spending per enrollee: $3,851

19% lower than the median

8% higher quality

5. Alabama

Total spending per enrollee: $3,867

19% lower than the median

1% lower quality

4. Maryland

Total spending per enrollee: $3,819

20% lower than the median

0% quality difference

3. Arkansas

Total spending per enrollee: $3,624

24% lower than the median

3% lower quality

2. Hawaii

Total spending per enrollee: $3,299

32% lower than the median

3% higher quality

1. Mississippi

Total spending per enrollee: $3,225

31% lower than the median

2% lower quality

(Related: 10 Top States for Obesity, for the CDC’s Highest Earners)

Analysts have created a web tool that can help you show clients and prospects what you know in your gut: health care costs vary widely from market to market, and have no clear relationship with care quality.

The analysts, who are affiliated with the Commonwealth Fund, used data from the 2016 Truven Marketscan Database to show users how state-level health care spending varies for people with Medicare, and for people with employer-sponsored health coverage.

The tool shows, for example, that the quality of care in Hawaii is great, but that Hawaii’s average per-enrollee spending on health care is near the bottom.

The tool also hints at provider efforts to shift costs for patients who come in with low-paying Medicare plans to patients with employer-sponsored coverage: the higher a state’s average cost per Medicare enrollee is, the lower its average cost per employer plan member tends to be, and vice versa.

Want to know more about  health care spending in your state?

Look at the data cards in the slideshow above for a taste.

The tool itself is available here.

— Read Only 5% of Our Off-Season Buyers Can Afford Major Medical: Web Brokeron ThinkAdvisor.

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