Story at a glance Five of the top 10 most expensive states were in the eastern portion of the United States. Louisiana was the second most expensive state for health care. Michigan had the cheapest health care costs in the nation. South Dakota has the highest health care costs in the nation, according to a new report from Forbes Advisor. Louisiana ranked second, followed by West Virginia, Florida and Wyoming. Nebraska, Maine, Delaware, New Hampshire and Oklahoma rounded out the top ten most expensive states. Although South Dakota is situated in the Midwest, the states with the highest health care costs tended to be in the eastern portion of the country.
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