Out-of-pocket health spending (US) in United States
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. That is up 5.9% from 2023.
Out-of-pocket health spending (US) in United States, 1960 to 2024
All 65 values
| Period | USD million |
|---|---|
| 2024 | 556,554 |
| 2023 | 525,424 |
| 2022 | 491,924 |
| 2021 | 457,160 |
| 2020 | 412,276 |
| 2019 | 420,412 |
| 2018 | 403,033 |
| 2017 | 385,333 |
| 2016 | 375,394 |
| 2015 | 360,681 |
| 2014 | 345,400 |
| 2013 | 333,801 |
| 2012 | 325,074 |
| 2011 | 312,304 |
| 2010 | 303,421 |
| 2009 | 298,232 |
| 2008 | 301,151 |
| 2007 | 294,246 |
| 2006 | 278,349 |
| 2005 | 264,965 |
| 2004 | 248,765 |
| 2003 | 235,460 |
| 2002 | 219,435 |
| 2001 | 205,825 |
| 2000 | 197,580 |
| 1999 | 184,280 |
| 1998 | 173,880 |
| 1997 | 158,675 |
| 1996 | 148,260 |
| 1995 | 141,957 |
| 1994 | 138,447 |
| 1993 | 140,230 |
| 1992 | 139,127 |
| 1991 | 136,761 |
| 1990 | 133,752 |
| 1989 | 122,585 |
| 1988 | 116,237 |
| 1987 | 105,838 |
| 1986 | 99,649 |
| 1985 | 91,564 |
| 1984 | 82,410 |
| 1983 | 74,653 |
| 1982 | 68,608 |
| 1981 | 61,935 |
| 1980 | 55,251 |
| 1979 | 49,915 |
| 1978 | 46,035 |
| 1977 | 43,133 |
| 1976 | 39,278 |
| 1975 | 36,031 |
| 1974 | 33,295 |
| 1973 | 30,737 |
| 1972 | 27,805 |
| 1971 | 25,515 |
| 1970 | 24,208 |
| 1969 | 21,911 |
| 1968 | 19,951 |
| 1967 | 17,985 |
| 1966 | 18,132 |
| 1965 | 17,863 |
| 1964 | 16,669 |
| 1963 | 15,171 |
| 1962 | 14,085 |
| 1961 | 13,193 |
| 1960 | 12,778 |
Definition
US health spending paid directly by patients, including copayments, deductibles and care not covered by insurance, but not insurance premiums, in USD million.
Part of national health expenditure (national_health_expenditure_usd), at current prices. CMS revises earlier years with each annual release.
How to cite
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.Citation styles
APA 7
Centers for Medicare & Medicaid Services, Office of the Actuary. (2026). 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 (Out-of-pocket health spending (US), United States, 1960 to 2024) [Data set]. Retrieved October 18, 2026, from https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical
MLA 9
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, Out-of-pocket health spending (US), United States, 1960 to 2024. Centers for Medicare & Medicaid Services, Office of the Actuary, 13 Jan. 2026, https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical. Invokely, https://invokely.ai/en/out-of-pocket-health-spending-us/united-states. Accessed 18 Oct. 2026.
Chicago (author-date)
Centers for Medicare & Medicaid Services, Office of the Actuary. 2026. 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. Out-of-pocket health spending (US), United States, 1960 to 2024. Dataset. Accessed October 18, 2026. https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical. Also distributed by Invokely, https://invokely.ai/en/out-of-pocket-health-spending-us/united-states.
Harvard
Centers for Medicare & Medicaid Services, Office of the Actuary (2026) 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, Out-of-pocket health spending (US), United States, 1960 to 2024 [Dataset]. Available at: https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical, via Invokely: https://invokely.ai/en/out-of-pocket-health-spending-us/united-states (Accessed: 18 October 2026).
BibTeX
@misc{centers_out_of_pocket_health_2024,
author = {{Centers for Medicare \& Medicaid Services, Office of the Actuary}},
title = {{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: Out-of-pocket health spending (US), United States, 1960 to 2024}},
year = {2026},
howpublished = {Data set},
url = {https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical},
urldate = {2026-10-18},
note = {Accessed via Invokely, https://invokely.ai/en/out-of-pocket-health-spending-us/united-states. Publisher attribution: 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.},
}
RIS
TY - DATA
AU - Centers for Medicare & Medicaid Services, Office of the Actuary
TI - 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: Out-of-pocket health spending (US), United States, 1960 to 2024
PY - 2026
DA - 2026/01/13
PB - Centers for Medicare & Medicaid Services, Office of the Actuary
DB - Invokely
UR - https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical
L2 - https://invokely.ai/en/out-of-pocket-health-spending-us/united-states
Y2 - 2026/10/18
N1 - Accessed via Invokely, https://invokely.ai/en/out-of-pocket-health-spending-us/united-states.
N1 - Publisher attribution: 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.
ER -
Use this data in your AI agent
Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:
What is the latest out-of-pocket health spending (US) in United States? Cite the source.
get_value {"indicator":"health_expenditure_out_of_pocket_usd","place":"us"}
GET https://invokely.ai/api/v1/value?indicator=health_expenditure_out_of_pocket_usd&place=usQuestions
What is the out-of-pocket health spending (US) in United States?
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. That is up 5.9% from 2023.
Where does this figure come from?
Centers for Medicare & Medicaid Services, Office of the Actuary. 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. Retrieved by Invokely on 2026-10-18.
What was the highest out-of-pocket health spending (US) in United States?
$556.55 billion in 2024, the highest value since 1960 in this series.