The U.S. spends far more on health care than other wealthy nations, but that investment does not achieve better quality of care or improved health outcomes . Furthermore, both spending and quality vary widely across, and even within, states. In this tool, we provide ways for you to compare health care spending, relative to quality of care, in all states, as well as in the nation’s 300-plus local health care markets, called hospital referral regions (HRRs).