Secondhand smoke exposure: Advertisement Article continues below this ad Costs over a lifetime in Texas Total cost per smoker: $3,942,385 Out-of-pocket cost (rank): $165,739 (29) Financial opportunity cost (rank): $2,903,224 (29) Health care cost per smoker (rank): $191,846 (37) Income loss per smoker (rank): $659,163 (22) Other costs per smoker (rank): $22,413 (3) Costs per year in Texas Total cost per smoker: $82,133 Out-of-pocket cost (rank): $3,453 (29) Financial opportunity cost (rank): $60,484 (29) Health care cost per smoker (rank): $3,997 (37) Income loss per smoker (rank): $13,733 (22) Other costs per smoker (rank): $467 (3) Advertisement Article continues below this ad Texas' ranking dropped six places from 2025

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Texas moved down seven spots, falling from 27th to 34th, and South Carolina went from 44th to 51st to earn the distinction of the least costly state for smoking in 2025
Even the cheap brands arent remotely cheap by historical standards