It's true that non-coastal Utah, Colorado, and Minnesota have good life expectancy for the US but they lag behind California, New York, Massachusetts, New Jersey, New Hampshire, Connecticut, and Hawaii.
Utah is 1.7 years behind the EU average. Even Hawaii with the highest life expectancy in the US is behind all but the former Eastern Block EU countries.
Median income is not much lower in Utah than in California. Utah's low healthcare spending per capita is likely a reflection of Utah having the lowest median age of any state. Most healthcare costs are spent on elderly people.
I should add though that life expectancy is affected at least as much by social policy as by healthcare spending. Much of the difference is a result of cars/guns/drugs killing more people earlier in life in the US than in Europe.
While Utah has a lower homicide rate than California (2.2 vs 5.1 per 100k) like many rural states it has a much higher suicide rate (21.5 vs 10.1 per 100k). Accident mortality (mostly overdoses and car accidents) are similar (49.7 vs 51.1 per 100k).
https://www.cdc.gov/nchs/data-visualization/state-life-expec...
Utah is 1.7 years behind the EU average. Even Hawaii with the highest life expectancy in the US is behind all but the former Eastern Block EU countries.
https://web.archive.org/web/20240324032202/https://www.ined....
(Archive link to get comparable 2022 data.)