# Out-of-pocket health spending (US) in United States

Out-of-pocket health spending (US) in United States was $556.55 billion in 2024. Source: Centers for Medicare & Medicaid Services, Office of the Actuary.

- Indicator id: `health_expenditure_out_of_pocket_usd`
- Place id: `us`
- Unit: USD million
- Definition: US health spending paid directly by patients, including copayments, deductibles and care not covered by insurance, but not insurance premiums, in USD million.
- Note: Part of national health expenditure (national_health_expenditure_usd), at current prices. CMS revises earlier years with each annual release.
- Source: 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 (https://www.cms.gov/data-research/statistics-trends-and-reports/national-health-expenditure-data/historical)
- Publisher page: https://invokely.ai/en/publishers/centers-for-medicare-and-medicaid-services
- Retrieved: 2026-10-18
- License: Public domain (US government work, 17 USC 105)
- Citation: 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.
- Web page: https://invokely.ai/en/out-of-pocket-health-spending-us/united-states
- API: https://invokely.ai/api/v1/series?indicator=health_expenditure_out_of_pocket_usd&place=us

| 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 |