U.S. health care expenditure distribution by payer 2014-2019

The U.S. has the highest expenditure on health care per capita globally. However, the U.S. has an unique way of paying for their health care where a majority of the expenditure falls upon private insurances. Currently, about one third of all health expenditure is paid by private insurance. Public insurance programs Medicare and Medicaid accounted for 21 and 16 percent of health expenditure during that same year.

U.S. health care system

Globally health spending has been increasing among most countries. However, the U.S. has the highest public and private per capita health expenditure among all countries globally, followed by Switzerland. As of 2019, annual health care costs per capita in the United States totaled 11.6 thousand U.S. dollars, a significant amount considering the average U.S. personal income is around 54 thousand dollars.

Out of pocket costs in the U.S.

Aside from overall high health care costs for U.S. residents, the total out-of-pocket costs for health care have been on the rise in recent years. In recent years the average per capita out-of-pocket health care payments have exceeded one thousand dollars. Physician services, dental services and prescription drugs are associated with the largest proportion of out-of-pocket expenditures for U.S. residents.

Distribution of U.S. health care expenditure from 2014 to 2019, by payer

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Release date

November 2019


United States

Survey time period

financial years 2014 to 2019

Supplementary notes

The statistic was assembled from several editions of the CMS Financial report.

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Statistics on "Health expenditures in the U.S."

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