Study analyzes 180,291 married non-Hispanic blacks and whites from 1997–2013 NHIS data. Ordinal logistic regressions show whites intermarried with blacks have significantly poorer self-reported health than endogamous whites. Whites intermarried with other races report significantly poorer health than endogamous whites. White women with Hispanic husbands report significantly poorer health than endogamous white women. Whites with black spouses fare worse than interracially married whites with Hispanic spouses. Married non-Hispanic blacks show no significant health difference between interracial and endogamous marriages. Spousal race and couple-level contexts drive household health production. Findings emphasize theoretical role of spousal characteristics in health outcomes.