# Out-of-pocket health spending (US)

US health spending paid directly by patients, including copayments, deductibles and care not covered by insurance, but not insurance premiums, in USD million.

## Key facts

- Out-of-pocket health spending (US) in the United States was $556.55 billion in 2024, according to the Centers for Medicare & Medicaid Services, Office of the Actuary.
- Published for 1 places, with figures from 1960 to 2024.
- Figures last updated on 2026-10-18.

- Indicator id: `health_expenditure_out_of_pocket_usd`
- Unit: USD million
- Note: Part of national health expenditure (national_health_expenditure_usd), at current prices. CMS revises earlier years with each annual release.
- Web page: https://invokely.ai/en/out-of-pocket-health-spending-us
- API: https://invokely.ai/api/v1/indicators/health_expenditure_out_of_pocket_usd

## Latest figures

| Place | Period | USD million | Source |
|---|---|---:|---|
| United States | 2024 | 556,554 | Centers for Medicare & Medicaid Services, Office of the Actuary, National Health Statistics Group. CMS National Health Expenditure Accounts, type of service and source of funds: total national health expenditures paid out of pocket, millions, calendar years from 1960. https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical. Retrieved 2026-10-18. |