The first year of the coronavirus pandemic caused a dramatic increase in hospital costs. Our team of analysts found that hospital expenses per patient increased by nearly 10% in 2020.

The sharp increase in hospital expenses is part of a trend that goes back at least a decade. We found that hospital expenses have risen 23% since 2016 and 47% since 2011.

Key findings:

  • Hospital expenses increased 9% during the first year of COVID-19
  • Washington, Oregon and New York have the highest hospital expenses
  • Average per-patient cost went from $1,794 to $2,646 in a decade
  • Health insurance premiums are up 17% since 2016

The cost of the coronavirus pandemic on hospitals

From labor and supplies to medications, the coronavirus pandemic had an impact on nearly every aspect of hospital care and expenses. In one year, average hospital expenses per patient rose 9% from $2,420 to $2,646.

Washington, Oregon and New York currently have the highest hospital costs at around $4,000 per patient. But many states experienced dramatic jumps in costs. Expenses increased by 15% or more in eight states since 2019. Meanwhile, expenses have increased by more than 20% in 29 states since 2016.

States with the highest hospital expenses
State Daily per-patient cost % change since 2016 % change since 2019
Washington $4,268 34% 22%
Oregon $3,998 23% 9%
New York $3,726 40% 20%
Connecticut $3,698 23% 21%
California $3,686 22% 10%
North Dakota $3,684 14% 0%
New Hampshire $3,280 47% 15%
Utah $3,254 18% 4%
Wisconsin $3,233 27% 11%
Colorado $3,172 16% 8%
New Mexico $3,152 18% 10%
Vermont $3,114 39% 17%
Ohio $3,022 12% 10%
Rhode Island $3,019 23% 7%
Texas $3,009 31% 12%
Arizona $2,889 30% 14%
Illinois $2,867 24% 12%
Massachusetts $2,833 24% -7%
Virginia $2,827 22% 10%
Nevada $2,634 34% 9%
Idaho $2,630 10% 7%
Indiana $2,546 17% 0%
Hawaii $2,533 27% 13%
New Jersey $2,527 -17% -17%
Florida $2,471 20% 7%
North Carolina $2,462 36% 16%
Maryland $2,452 26% 12%
Wyoming $2,443 4% 1%
Nebraska $2,417 42% 9%
South Dakota $2,398 37% 6%
Alaska $2,385 1% 1%
Missouri $2,364 16% 9%
Minnesota $2,357 27% 12%
Kentucky $2,336 28% 8%
South Carolina $2,280 18% 11%
Louisiana $2,262 21% 7%
Delaware $2,257 -5% 6%
Kansas $2,228 29% 13%
Oklahoma $2,172 24% 6%
Tennessee $2,169 26% 11%
Arkansas $2,116 25% -1%
Michigan $2,102 8% 4%
Pennsylvania $1,998 18% 7%
Montana $1,989 35% 17%
Maine $1,911 20% 8%
Alabama $1,794 19% 6%
Georgia $1,787 19% 15%
Iowa $1,652 8% 5%
West Virginia $1,624 22% 14%
Mississippi $1,436 7% 5%

Hospital expenses and health insurance

How much a hospital pays to care for a patient is not a direct indicator of how much people living in the state will pay for health care. However, we did observe a consistent pattern: The more hospital expenses went up, the more people paid for health insurance.

Our analysts found that health insurance premiums have risen by 17% since 2016. Premiums have risen fastest in South Carolina, Nebraska and Vermont, where people are now paying as much as 30% more than they were in 2016.

Health insurance premiums didn’t rise dramatically during the first year of the pandemic. Our analysts found that nationwide, health insurance premiums rose by 3% from 2019 to 2020. However, preliminary information from 2022 indicates that health insurance premiums have risen by as much as 24% in some states over the last year.

Hospital expenses and health insurance
State Average health insurance cost % change in health insurance since 2016 % change in hospital expenses since 2016
Alabama $6,393 15% 19%
Alaska $8,635 9% 1%
Arizona $6,612 9% 30%
Arkansas $6,414 20% 25%
California $7,173 18% 22%
Colorado $7,206 21% 16%
Connecticut $7,501 15% 23%
Delaware $7,280 12% -5%
Florida $7,078 13% 20%
Georgia $6,876 14% 19%
Hawaii $7,040 20% 27%
Idaho $6,744 21% 10%
Illinois $7,376 18% 24%
Indiana $7,319 19% 17%
Iowa $6,932 18% 8%
Kansas $6,675 14% 29%
Kentucky $6,949 21% 28%
Louisiana $6,713 17% 21%
Maine $7,496 21% 20%
Maryland $7,352 19% 26%
Massachusetts $7,452 13% 24%
Michigan $6,683 13% 8%
Minnesota $6,910 15% 27%
Mississippi $6,561 16% 7%
Missouri $7,179 22% 16%
Montana $6,860 6% 35%
Nebraska $7,611 25% 42%
Nevada $6,493 18% 34%
New Hampshire $7,991 20% 47%
New Jersey $7,373 14% -17%
New Mexico $7,424 19% 18%
New York $8,177 24% 40%
North Carolina $7,036 23% 36%
North Dakota $7,216 17% 14%
Ohio $6,989 11% 12%
Oklahoma $7,058 22% 24%
Oregon $6,917 16% 23%
Pennsylvania $7,246 17% 18%
Rhode Island $7,326 10% 23%
South Carolina $7,516 30% 18%
South Dakota $7,070 20% 37%
Tennessee $6,485 17% 26%
Texas $7,017 20% 31%
Utah $6,593 8% 18%
Vermont $7,868 24% 39%
Virginia $6,928 12% 22%
Washington $7,440 16% 34%
West Virginia $6,993 10% 22%
Wisconsin $7,250 14% 27%
Wyoming $7,743 19% 4%

Costs of uninsured health care

The number of people without health insurance increased during the first year of the pandemic. It’s estimated that between 5 and 10 million people lost their health insurance in 2020, bringing the total number of people without health insurance to more than 30 million and putting a tremendous strain on the health care system.

People without health insurance face higher medical bills they often struggle to or cannot pay. Every year, more than $35 billion worth of medical bills goes unpaid. This debt is absorbed by medical providers who then charge more for their services. Ultimately, the higher costs are reflected in people’s health insurance premiums.

It’s currently unclear exactly how much the increase in hospital expenses will increase health insurance premiums. However, if the recent past is any indication, we can expect premiums to continue to rise along with hospital expenses. Health insurance is largely tied to employment, but there are ways to buy health insurance on the open market.

Methodology

QuoteWizard analyzed American Hospital Association data via the Kaiser Family Foundation to determine the average per-patient hospital cost in each state. Data was evaluated over a 10-year period from 2016 to 2020. Hospital expense data was then cross-referenced with Kaiser Family Foundation and LendingTree information on the average cost of health insurance in each state.

References:

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