Out-of-pocket spending per capita on healthcare by country
Out-of-pocket spending is defined as direct payments made by individuals to health care providers at the time of service use. This data is adjusted for differences in living costs between countries, but it is not adjusted for inflation.
Countries reporting
193
Highest
2,335 current international $
Switzerland
Lowest
0.745 current international $
Tuvalu
Median
277.92 current international $
Years covered
25
2000–2024
Data points
4,561
What the numbers show
Out-of-pocket spending per capita on healthcare is currently reported for 193 countries. The highest value is 2,335 current international $ in Switzerland; the lowest is 0.745 current international $ in Tuvalu.
The median across all reporting countries is 277.92 current international $, and the mean is 452.95 current international $.
The gap between the highest and lowest reporting country is a factor of about 3,135.
Over the past decade 167 countries rose and 25 fell. The largest increase was in Kiribati (up 1,089.0%), and the largest decrease in Tuvalu (down 96.8%).
Out-of-pocket spending per capita on healthcare: full country ranking
| # | Country | Latest | Year | 10-year change | Trend |
|---|---|---|---|---|---|
| 1 | Switzerland | 2,335 current international $ | 2023 | up 57.0% | rising |
| 2 | Liechtenstein | 1,931 current international $ | 2023 | up 42.6% | rising |
| 3 | Malta | 1,765 current international $ | 2023 | up 110.5% | rising |
| 4 | Republic of Korea | 1,714 current international $ | 2024 | up 96.6% | rising |
| 5 | Singapore | 1,665 current international $ | 2023 | up 50.0% | rising |
| 6 | Armenia | 1,636 current international $ | 2023 | up 95.5% | volatile |
| 7 | Belgium | 1,611 current international $ | 2023 | up 67.7% | rising |
| 8 | United States of America | 1,472 current international $ | 2023 | up 42.5% | rising |
| 9 | Chile | 1,414 current international $ | 2024 | up 133.3% | rising |
| 10 | Portugal | 1,389 current international $ | 2024 | up 77.1% | rising |
| 11 | Austria | 1,358 current international $ | 2024 | up 35.6% | rising |
| 12 | Panama | 1,342 current international $ | 2023 | up 188.9% | volatile |
| 13 | Norway | 1,303 current international $ | 2023 | up 48.5% | rising |
| 14 | Lithuania | 1,297 current international $ | 2024 | up 137.2% | volatile |
| 15 | Australia | 1,219 current international $ | 2023 | up 50.0% | rising |
| 16 | Greece | 1,185 current international $ | 2023 | up 60.7% | rising |
| 17 | Canada | 1,168 current international $ | 2024 | up 69.7% | rising |
| 18 | Italy | 1,114 current international $ | 2024 | up 49.4% | rising |
| 19 | Latvia | 1,064 current international $ | 2023 | up 127.0% | rising |
| 20 | Bulgaria | 1,054 current international $ | 2023 | up 110.0% | rising |
| 21 | Sweden | 1,040 current international $ | 2024 | up 33.5% | rising |
| 22 | Iceland | 1,031 current international $ | 2024 | up 51.5% | rising |
| 23 | Spain | 1,029 current international $ | 2023 | up 42.8% | rising |
| 24 | Trinidad and Tobago | 1,016 current international $ | 2023 | up 62.6% | rising |
| 25 | Denmark | 1,007 current international $ | 2024 | up 52.9% | rising |
| 26 | Georgia | 986.59 current international $ | 2023 | up 68.7% | rising |
| 27 | Turkmenistan | 978.15 current international $ | 2023 | up 142.3% | volatile |
| 28 | Netherlands | 965.95 current international $ | 2024 | up 59.9% | rising |
| 29 | United Kingdom of Great Britain and Northern Ireland | 961.49 current international $ | 2024 | up 48.3% | rising |
| 30 | Germany | 944.93 current international $ | 2024 | up 47.8% | rising |
| 31 | Ireland | 930.5 current international $ | 2024 | up 36.3% | rising |
| 32 | Russian Federation | 909.7 current international $ | 2023 | up 98.6% | volatile |
| 33 | Finland | 906.78 current international $ | 2023 | up 25.3% | rising |
| 34 | Monaco | 828.21 current international $ | 2023 | up 83.2% | rising |
| 35 | Israel | 826.24 current international $ | 2023 | up 45.1% | rising |
| 36 | Cyprus | 814.19 current international $ | 2023 | down 9.3% | rising |
| 37 | Saint Kitts and Nevis | 809.24 current international $ | 2023 | up 15.2% | rising |
| 38 | Estonia | 799.86 current international $ | 2024 | up 84.8% | volatile |
| 39 | Montenegro | 765.73 current international $ | 2023 | up 47.3% | rising |
| 40 | Argentina | 755.94 current international $ | 2023 | up 44.6% | rising |
| 41 | Luxembourg | 749.05 current international $ | 2024 | up 21.4% | rising |
| 42 | Serbia | 740.03 current international $ | 2023 | up 43.8% | rising |
| 43 | Bahrain | 732.23 current international $ | 2023 | up 16.9% | rising |
| 44 | North Macedonia | 715.31 current international $ | 2023 | up 142.0% | rising |
| 45 | Mauritius | 708.46 current international $ | 2023 | up 62.2% | rising |
| 46 | New Zealand | 707.43 current international $ | 2024 | up 64.7% | rising |
| 47 | Albania | 707 current international $ | 2023 | up 85.2% | volatile |
| 48 | San Marino | 684.85 current international $ | 2023 | up 57.9% | falling |
| 49 | Hungary | 663.02 current international $ | 2023 | up 31.7% | rising |
| 50 | Czechia | 657.35 current international $ | 2024 | up 83.9% | volatile |
| 51 | Japan | 656.45 current international $ | 2023 | up 23.2% | rising |
| 52 | Slovakia | 650.99 current international $ | 2023 | up 32.9% | rising |
| 53 | Azerbaijan | 641.69 current international $ | 2023 | up 75.5% | volatile |
| 54 | Poland | 638.32 current international $ | 2024 | up 72.6% | rising |
| 55 | Slovenia | 637.15 current international $ | 2024 | up 86.9% | rising |
| 56 | Bahamas | 636.42 current international $ | 2023 | up 33.3% | rising |
| 57 | France | 633.76 current international $ | 2024 | up 22.3% | rising |
| 58 | Ukraine | 626.07 current international $ | 2021 | up 125.5% | rising |
| 59 | Belarus | 624.75 current international $ | 2023 | up 71.1% | volatile |
| 60 | Bosnia and Herzegovina | 615.82 current international $ | 2023 | up 105.9% | rising |
| 61 | Andorra | 615.19 current international $ | 2023 | up 41.0% | rising |
| 62 | Romania | 600.23 current international $ | 2023 | up 189.9% | volatile |
| 63 | Barbados | 570.71 current international $ | 2023 | up 21.5% | rising |
| 64 | Mexico | 564.1 current international $ | 2023 | up 39.6% | rising |
| 65 | Brazil | 543.09 current international $ | 2023 | up 53.7% | rising |
| 66 | Mongolia | 541.16 current international $ | 2023 | up 236.0% | volatile |
| 67 | Uruguay | 536.07 current international $ | 2023 | up 77.3% | rising |
| 68 | Guatemala | 534.85 current international $ | 2023 | up 120.3% | rising |
| 69 | Malaysia | 534.6 current international $ | 2023 | up 92.4% | rising |
| 70 | Paraguay | 533.75 current international $ | 2023 | up 52.7% | rising |
| 71 | Egypt | 517.42 current international $ | 2023 | up 72.8% | rising |
| 72 | Saudi Arabia | 490.54 current international $ | 2023 | up 28.6% | rising |
| 73 | Uzbekistan | 479.78 current international $ | 2023 | up 133.4% | volatile |
| 74 | China | 478.38 current international $ | 2023 | up 122.6% | volatile |
| 75 | Costa Rica | 465.09 current international $ | 2023 | up 67.9% | rising |
| 76 | Iran, Islamic Republic of | 459.1 current international $ | 2023 | up 7.5% | flat |
| 77 | Saint Lucia | 456.31 current international $ | 2023 | up 25.1% | rising |
| 78 | Iraq | 454.96 current international $ | 2023 | up 88.5% | volatile |
| 79 | Cuba | 427.06 current international $ | 2023 | up 59.5% | rising |
| 80 | Grenada | 426.79 current international $ | 2023 | up 22.9% | rising |
| 81 | Tunisia | 422.09 current international $ | 2023 | up 55.4% | rising |
| 82 | Maldives | 412.95 current international $ | 2023 | up 2.3% | falling |
| 83 | Kazakhstan | 403.57 current international $ | 2023 | up 145.8% | rising |
| 84 | Equatorial Guinea | 402.04 current international $ | 2023 | up 29.7% | rising |
| 85 | Seychelles | 391.92 current international $ | 2023 | up 146.8% | rising |
| 86 | Ecuador | 382.43 current international $ | 2023 | up 38.8% | rising |
| 87 | El Salvador | 381.98 current international $ | 2023 | up 59.1% | rising |
| 88 | United Arab Emirates | 360.27 current international $ | 2023 | down 28.6% | falling |
| 89 | Guyana | 350.45 current international $ | 2023 | up 116.8% | volatile |
| 90 | Türkiye | 336.99 current international $ | 2023 | up 104.3% | rising |
| 91 | Algeria | 329.42 current international $ | 2023 | up 38.7% | rising |
| 92 | Republic of Moldova | 324.47 current international $ | 2023 | up 31.2% | rising |
| 93 | Croatia | 302.83 current international $ | 2023 | up 140.3% | rising |
| 94 | Honduras | 293.68 current international $ | 2023 | up 70.0% | rising |
| 95 | Dominican Republic | 292.85 current international $ | 2023 | up 48.7% | rising |
| 96 | Dominica | 283.96 current international $ | 2023 | up 45.7% | rising |
| 97 | Sri Lanka | 277.92 current international $ | 2023 | up 41.8% | rising |
| 98 | Jordan | 275 current international $ | 2023 | up 76.6% | flat |
| 99 | Viet Nam | 270.32 current international $ | 2023 | up 118.0% | volatile |
| 100 | Nicaragua | 259.17 current international $ | 2023 | up 95.2% | rising |
| 101 | Colombia | 259.06 current international $ | 2024 | up 66.7% | rising |
| 102 | Antigua and Barbuda | 258.3 current international $ | 2023 | down 9.7% | rising |
| 103 | Peru | 258.08 current international $ | 2023 | up 36.2% | rising |
| 104 | Kuwait | 256.77 current international $ | 2023 | down 7.2% | falling |
| 105 | Afghanistan | 254.42 current international $ | 2023 | up 91.7% | volatile |
| 106 | Palestine, State of | 254.3 current international $ | 2023 | up 19.6% | rising |
| 107 | Philippines | 248.6 current international $ | 2023 | up 58.5% | rising |
| 108 | Saint Vincent and the Grenadines | 241.17 current international $ | 2023 | up 52.3% | rising |
| 109 | Tajikistan | 227.05 current international $ | 2023 | up 91.0% | volatile |
| 110 | Morocco | 225.78 current international $ | 2023 | up 8.9% | rising |
| 111 | Suriname | 225.31 current international $ | 2023 | up 4.0% | rising |
| 112 | Palau | 224.7 current international $ | 2023 | down 16.2% | rising |
| 113 | Qatar | 215.5 current international $ | 2023 | down 5.8% | falling |
| 114 | Cambodia | 212.17 current international $ | 2023 | up 81.5% | rising |
| 115 | Bolivia, Plurinational State of | 206.47 current international $ | 2023 | up 65.3% | rising |
| 116 | Libya | 202.38 current international $ | 2023 | down 27.6% | falling |
| 117 | Myanmar | 201.42 current international $ | 2023 | up 120.8% | volatile |
| 118 | Nepal | 197.27 current international $ | 2023 | up 152.3% | volatile |
| 119 | Lebanon | 191.23 current international $ | 2023 | down 55.1% | falling |
| 120 | Nigeria | 187.06 current international $ | 2023 | up 55.0% | rising |
| 121 | Jamaica | 175.85 current international $ | 2023 | down 11.2% | rising |
| 122 | Bhutan | 172.31 current international $ | 2023 | up 203.5% | volatile |
| 123 | Cameroon | 166.54 current international $ | 2023 | up 103.1% | rising |
| 124 | Cape Verde | 158.7 current international $ | 2023 | up 113.0% | rising |
| 125 | Bangladesh | 157.44 current international $ | 2023 | up 166.9% | volatile |
| 126 | Belize | 153.55 current international $ | 2023 | up 43.9% | rising |
| 127 | Guinea-Bissau | 152.13 current international $ | 2023 | up 137.2% | volatile |
| 128 | India | 151.95 current international $ | 2023 | up 17.0% | rising |
| 129 | Liberia | 147.38 current international $ | 2023 | up 211.0% | volatile |
| 130 | Kyrgyzstan | 147.35 current international $ | 2023 | down 2.8% | rising |
| 131 | Comoros | 141.2 current international $ | 2023 | up 43.6% | rising |
| 132 | Brunei Darussalam | 140.54 current international $ | 2023 | down 5.5% | volatile |
| 133 | Mauritania | 132.06 current international $ | 2023 | up 127.1% | rising |
| 134 | Indonesia | 129.49 current international $ | 2023 | down 10.1% | rising |
| 135 | Togo | 119.5 current international $ | 2023 | up 151.5% | rising |
| 136 | Yemen | 116.69 current international $ | 2023 | down 0.3% | rising |
| 137 | Gabon | 116.23 current international $ | 2023 | down 1.3% | falling |
| 138 | Thailand | 105.97 current international $ | 2023 | up 60.8% | rising |
| 139 | Eswatini | 101.59 current international $ | 2023 | up 52.6% | rising |
| 140 | Burkina Faso | 98.1 current international $ | 2023 | up 220.1% | volatile |
| 141 | Guinea | 91.82 current international $ | 2023 | up 132.7% | rising |
| 142 | Oman | 91.15 current international $ | 2023 | up 11.0% | falling |
| 143 | Senegal | 91.14 current international $ | 2023 | up 35.9% | rising |
| 144 | South Africa | 90.6 current international $ | 2023 | up 9.9% | falling |
| 145 | Syrian Arab Republic | 88.66 current international $ | 2023 | up 39.1% | falling |
| 146 | Sierra Leone | 86.56 current international $ | 2023 | down 32.8% | rising |
| 147 | Angola | 80.84 current international $ | 2023 | up 83.3% | rising |
| 148 | Pakistan | 80.51 current international $ | 2023 | up 27.2% | rising |
| 149 | Namibia | 80.04 current international $ | 2023 | down 7.9% | rising |
| 150 | Côte d'Ivoire | 79.78 current international $ | 2023 | up 4.4% | falling |
| 151 | Chad | 67.14 current international $ | 2023 | up 83.4% | rising |
| 152 | Kenya | 66.55 current international $ | 2023 | up 35.2% | rising |
| 153 | Samoa | 63.68 current international $ | 2023 | up 71.6% | rising |
| 154 | Ghana | 62.55 current international $ | 2023 | down 32.8% | rising |
| 155 | Central African Republic | 61.54 current international $ | 2023 | up 302.0% | volatile |
| 156 | Sao Tome and Principe | 59.16 current international $ | 2023 | up 55.3% | falling |
| 157 | Benin | 58.45 current international $ | 2023 | up 90.5% | rising |
| 158 | Congo | 58.42 current international $ | 2023 | up 68.1% | rising |
| 159 | Botswana | 55.77 current international $ | 2023 | up 66.5% | falling |
| 160 | Lao People's Democratic Republic | 55.27 current international $ | 2023 | down 9.4% | rising |
| 161 | Haiti | 54.88 current international $ | 2023 | up 21.2% | rising |
| 162 | Lesotho | 50.89 current international $ | 2023 | up 26.0% | rising |
| 163 | Mali | 49.07 current international $ | 2023 | up 105.1% | falling |
| 164 | Fiji | 45.54 current international $ | 2023 | down 35.3% | volatile |
| 165 | Djibouti | 44.71 current international $ | 2023 | up 69.3% | rising |
| 166 | Uganda | 44.64 current international $ | 2023 | down 20.5% | rising |
| 167 | South Sudan | 42.9 current international $ | 2023 | up 160.7% | rising |
| 168 | Eritrea | 41.94 current international $ | 2023 | up 5.9% | rising |
| 169 | Ethiopia | 39.67 current international $ | 2023 | up 83.2% | rising |
| 170 | Niger | 39.38 current international $ | 2023 | up 37.3% | rising |
| 171 | Venezuela, Bolivarian Republic of | 33.37 current international $ | 2023 | — | rising |
| 172 | Tanzania, United Republic of | 33.25 current international $ | 2023 | up 40.6% | rising |
| 173 | Timor-Leste | 32.25 current international $ | 2023 | up 111.3% | rising |
| 174 | Gambia | 31.8 current international $ | 2023 | up 93.7% | flat |
| 175 | Tonga | 30.03 current international $ | 2023 | up 79.4% | rising |
| 176 | Zambia | 25.07 current international $ | 2023 | up 34.6% | falling |
| 177 | Burundi | 24.51 current international $ | 2023 | up 98.1% | rising |
| 178 | Congo, Democratic Republic of the | 21.95 current international $ | 2023 | up 119.1% | rising |
| 179 | Naoero | 18.1 current international $ | 2023 | up 106.7% | falling |
| 180 | Madagascar | 17.23 current international $ | 2023 | down 12.4% | falling |
| 181 | Sudan | 16.21 current international $ | 2023 | down 91.6% | rising |
| 182 | Somalia | 16.03 current international $ | 2023 | up 35.5% | rising |
| 183 | Malawi | 15.04 current international $ | 2023 | up 81.0% | rising |
| 184 | Mozambique | 14.79 current international $ | 2023 | up 174.0% | volatile |
| 185 | Micronesia, Federated States of | 12.43 current international $ | 2023 | up 33.0% | flat |
| 186 | Vanuatu | 11.84 current international $ | 2023 | up 31.4% | rising |
| 187 | Kiribati | 11.66 current international $ | 2023 | up 1,089.0% | volatile |
| 188 | Papua New Guinea | 11.38 current international $ | 2023 | up 85.7% | rising |
| 189 | Zimbabwe | 10.97 current international $ | 2023 | down 79.1% | volatile |
| 190 | Marshall Islands | 9.2 current international $ | 2023 | up 47.6% | rising |
| 191 | Rwanda | 7.26 current international $ | 2023 | down 42.4% | rising |
| 192 | Solomon Islands | 4.85 current international $ | 2023 | up 39.1% | rising |
| 193 | Tuvalu | 0.745 current international $ | 2023 | down 96.8% | volatile |
About this data
Out-of-pocket spending is defined as direct payments made by individuals to health care providers at the time of service use. This data is adjusted for differences in living costs between countries, but it is not adjusted for inflation.