Out-of-pocket expenditure as percentage of current health expenditure in United States

United States: Out-of-pocket expenditure as percentage of current health expenditure was 10.9% in 2023. ▼ Falling

Latest (2023)
10.9%
Change on year
down 0.4%
World rank
164th
of 194 countries
All-time high
15.1%
in 2000
All-time low
10.1%
in 2020
Years of data
24
2000–2023

Out-of-pocket expenditure as percentage of current health expenditure in United States, 2000–2023

0510152000201120232000: 15.12001: 14.42002: 14.32003: 14.22004: 142005: 13.92006: 13.72007: 13.62008: 13.42009: 12.62010: 12.42011: 12.32012: 12.32013: 12.32014: 122015: 11.82016: 11.62017: 11.32018: 11.32019: 11.32020: 10.12021: 10.72022: 112023: 10.9

Source: World Health Organization, Global Health Observatory.

Analysis

The most recent figure for out-of-pocket expenditure as percentage of current health expenditure in United States is 10.9%, measured in 2023.

That represents a change of down 0.4% on the previous year and down 11.0% over ten years.

Over the whole period, out-of-pocket expenditure as percentage of current health expenditure in United States peaked at 15.1% in 2000 and was at its lowest, 10.1%, in 2020.

United States ranks 164th of 194 countries on this measure, in the bottom quarter.

The long-run direction has been consistently falling across the 24 years of available data.

Out-of-pocket expenditure as percentage of current health expenditure in United States, year by year

Annual values for Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%) in United States, 2000 to 2023.
Year Value Change
2000 15.1%
2001 14.4% -4.6%
2002 14.3% -0.6%
2003 14.2% -1.2%
2004 14.0% -1.2%
2005 13.9% -0.4%
2006 13.7% -1.7%
2007 13.6% -0.6%
2008 13.4% -1.7%
2009 12.6% -5.3%
2010 12.4% -2.2%
2011 12.3% -0.4%
2012 12.3% +0.1%
2013 12.3% -0.4%
2014 12.0% -2.5%
2015 11.8% -1.9%
2016 11.6% -1.1%
2017 11.3% -2.4%
2018 11.3% -0.2%
2019 11.3% -0.1%
2020 10.1% -11.0%
2021 10.7% +6.6%
2022 11.0% +2.2%
2023 10.9% -0.4%

United States compared with similar countries

  • United States's 10.9% is below the median for high income countries, which is 16.8%, 65% of the median. (64 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 13.9% 12.6% 15.1% 10
2010s 11.9% 11.3% 12.4% 10
2020s 10.7% 10.1% 11.0% 4

Countries ranked near United States

  1. 161 Andorra 11.1% compare
  2. 162 Germany 11.1% compare
  3. 163 Eswatini 11.0% compare
  4. 165 Zimbabwe 10.6% compare
  5. 166 Mozambique 10.4% compare
  6. 167 Zambia 10.3% compare

See the full ranking of 207 places →

More health data for United States

All data for United States →

Frequently asked questions

What is out-of-pocket expenditure as percentage of current health expenditure in United States?
Out-of-pocket expenditure as percentage of current health expenditure in United States was 10.9% in 2023, according to World Health Organization, Global Health Observatory.
What is the highest out-of-pocket expenditure as percentage of current health expenditure recorded in United States?
The highest recorded value was 15.1% in 2000.
What is the lowest out-of-pocket expenditure as percentage of current health expenditure recorded in United States?
The lowest recorded value was 10.1% in 2020.
How does United States rank for out-of-pocket expenditure as percentage of current health expenditure?
United States ranks 164th out of 194 countries with data for 2023.
Is out-of-pocket expenditure as percentage of current health expenditure rising or falling in United States?
Over the last ten years it is down 11.0%. The long-run trend across the full record is falling.
Where does this United States data come from?
The figures come from World Health Organization, Global Health Observatory, published as part of Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%). Statizoid updates them automatically from the source API.

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Out-of-pocket expenditure as percentage of current health expenditure in United States. Statizoid, drawing on World Health Organization, Global Health Observatory. Retrieved 19 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-as-percentage-of-current-health-expenditure-che-percent/united-states/

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About this data

Indicator
Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%)
Source
World Health Organization, Global Health Observatory
Licence
CC BY-NC-SA 3.0 IGO (WHO)
Coverage
207 places, 4,876 data points, 2000–2023
Last refreshed