Out-of-pocket health spending in United States

Households paid 10.9% of current health spending in United States directly out of pocket in 2023.

Measure: Out-of-pocket health spending Unit: % of current health expenditure Data: 2000 to 2023 Source: World Bank
United States, 2023 10.9% % of current health expenditure
Change from 2022 0percentage points 2022: 11.0%
World, 2023 17.3% Official aggregate
Median of OECD (38 countries), 2023 15.8% Middle value of 38 countries
Position in 2023 164th of 192 See the full ranking

Out-of-pocket health spending in United States over time

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United States World ×

% of current health expenditure. Source: World Bank, World Development Indicators. Gaps mean no published value; points are not joined across missing years.

Out-of-pocket health spending (% of current health expenditure), 2000 to 2023
Period United StatesWorld
2023 10.9% 17.3%
2022 11.0% 17.2%
2021 10.7% 17.0%
2020 10.1% 16.4%
2019 11.3% 18.0%
2018 11.3% 18.1%
2017 11.3% 18.1%
2016 11.6% 18.2%
2015 11.8% 18.4%
2014 12.0% 18.7%
2013 12.3% 19.0%
2012 12.3% 18.8%
2011 12.3% 18.6%
2010 12.4% 18.5%
2009 12.6% 18.3%
2008 13.4% 18.9%
2007 13.6% 18.9%
2006 13.7% 18.8%
2005 13.9% 18.7%
2004 14.0% 18.5%
2003 14.2% 18.6%
2002 14.3% 18.6%
2001 14.4% 18.9%
2000 15.1% 19.2%

A dash means no value was published for that period.

In short

  • That is a change of 0 percentage points from 11.0% in 2022.
  • Since 2013, when it was 12.3%, the figure has changed by −1.4 percentage points.
  • Among the 192 countries with data for 2023, United States has the 164th highest value.
  • The figure for the world in 2023 was 17.3%.

More for United States

All statistics for United States

Source and dates

Original producer
World Health Organization, Global Health Expenditure Database
Distributed by
World Bank, World Development Indicators
Dataset or series code
SH.XPD.OOPC.CH.ZS · dataset details · view at source
Observation period
2000 to 2023 for United States
Provider update
8 October 2026
Retrieved
9 November 2026
Published here
9 November 2026
Licence
CC BY 4.0 (per series metadata)
Attribution
Source: World Bank, World Development Indicators, original data: World Health Organization, Global Health Expenditure Database