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U.S. incarceration, state by state · updated October 2026

Every state is paying for care it could deliver smarter.

Explore the latest jail, prison and federal custody counts, corrections budgets and costs for all 50 states and D.C., zoom in to any county jail or prison, then estimate what telehealth delivery and behavioral health care that continues past release could save your jurisdiction.

State explorer

Choose a measure to shade the map. Click a state to zoom in to its county jails and prisons, then click any jail or prison for its numbers and a satellite view.

United States

Top 10

    Savings calculator

    See what it's worth when fewer people come back. Starts from the selected state's published figures; change any input to model a single facility.

    Population from state data

    $

    Fewer people coming back recidivism

    %
    %
    Published results for care that continues after release: 12% less reincarceration with addiction medication in 7 Massachusetts jails (NEJM, 2025); 16% less with Medicaid enrollment at release (NBER, 2023); 32% less with in-jail buprenorphine in Franklin County, MA (2022).

    Care delivery telehealth

    Planning assumption. Replace with the facility's own transport log.
    $
    Security and vehicle cost per avoided transport: $1,500 in LA County jails (2025). North Carolina prisons: $1,631 median per trip (2023).
    %
    LA County jails resolved 25% of 15,395 specialist consults without a transport (2022–25).

    Program cost optional

    $
    Enter your TrustVideo quote to see net savings and return on investment.

    Why care after release matters

    The weeks after release are the most dangerous and the most expensive for the system to get wrong.

    −52%

    Fewer overdose deaths after release, and 12% less reincarceration, when 7 Massachusetts jails offered addiction medication (6,400 people).

    Friedmann, Evans et al., NEJM 2025
    10×

    Risk of death after release from jail or prison compared with the general public. Substance use caused 36% of deaths after jail release.

    Minnesota 2020–21, AJPH 2024
    −58%

    Drop in overdose deaths in California prisons in the first year of the state's addiction treatment program.

    CCHCS ISUDT report, 2022; 2025 update
    44%

    Share of U.S. jails that offer any addiction medication. Only 13% offer it to everyone who needs it; the top barrier is lack of licensed staff.

    JAMA Network Open, via NIDA, 2024
    −16%

    Less reincarceration within 6 months when people were enrolled in Medicaid at release. 21 states and D.C. now have approved reentry waivers.

    NBER 2023; Medicaid.gov 2026
    $1,500

    Security and vehicle cost saved each time a telehealth consult replaces a transport. A quarter of specialist consults needed no trip.

    LA County jails, NCCHC 2025

    Bring the clinic to the cell block, and keep care going after release.

    TrustVideo connects jails and prisons with psychiatry, medical specialists and recovery support by secure video, then follows people into the community so treatment doesn't stop at the gate.

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    Methodology and sources

      Figures are estimates for planning and illustration. Savings are cost avoidance based on average costs, not budget cuts.