Out-of-pocket expenditure in Japan

Japan: Out-of-pocket expenditure was 12.2% in 2023. ▼ Falling

Latest (2023)
12.2%
Change on year
up 9.8%
World rank
156th
of 193 countries
All-time high
16.9%
in 2003
All-time low
10.8%
in 2021
Years of data
24
2000–2023

Out-of-pocket expenditure in Japan, 2000–2023

0510152000201120232000: 15.9 % of current health expenditure2001: 15.8 % of current health expenditure2002: 16 % of current health expenditure2003: 16.9 % of current health expenditure2004: 16.6 % of current health expenditure2005: 15.7 % of current health expenditure2006: 16.4 % of current health expenditure2007: 15.5 % of current health expenditure2008: 15.2 % of current health expenditure2009: 15.2 % of current health expenditure2010: 14.6 % of current health expenditure2011: 13.1 % of current health expenditure2012: 13 % of current health expenditure2013: 12.7 % of current health expenditure2014: 12.9 % of current health expenditure2015: 12.9 % of current health expenditure2016: 12.9 % of current health expenditure2017: 12.7 % of current health expenditure2018: 13 % of current health expenditure2019: 12.9 % of current health expenditure2020: 11.6 % of current health expenditure2021: 10.8 % of current health expenditure2022: 11.1 % of current health expenditure2023: 12.2 % of current health expenditure

Source: Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Measured in % of current health expenditure.

Analysis

Japan recorded 12.2% for out-of-pocket expenditure in 2023.

The figure is up 9.8% on the previous year and down 3.7% over ten years.

Over the whole period, out-of-pocket expenditure in Japan peaked at 16.9% in 2003 and was at its lowest, 10.8%, in 2021.

That places Japan 156th out of 193 countries with data for 2023, putting it in the bottom quarter.

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

Out-of-pocket expenditure in Japan, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Japan, 2000 to 2023.
Year % of current health expenditure Change
2000 15.9%
2001 15.8% -0.8%
2002 16.0% +1.2%
2003 16.9% +5.7%
2004 16.6% -1.8%
2005 15.7% -5.5%
2006 16.4% +4.8%
2007 15.5% -5.5%
2008 15.2% -1.8%
2009 15.2% -0.5%
2010 14.6% -3.9%
2011 13.1% -9.9%
2012 13.0% -1.1%
2013 12.7% -2.1%
2014 12.9% +1.3%
2015 12.9% +0.6%
2016 12.9% -0.7%
2017 12.7% -1.6%
2018 13.0% +2.7%
2019 12.9% -0.7%
2020 11.6% -10.4%
2021 10.8% -6.4%
2022 11.1% +3.0%
2023 12.2% +9.8%

Japan compared with similar countries

  • Japan's 12.2% is below the median for high income countries, which is 16.8%, 73% of the median. (64 countries reporting)
  • Japan's 12.2% is above the median for East Asia & Pacific, which is 12.2%, 1.0× the median. (29 countries reporting)

Averages by decade

DecadeAverage LowestHighest Years
2000s 15.9% 15.2% 16.9% 10
2010s 13.1% 12.7% 14.6% 10
2020s 11.4% 10.8% 12.2% 4

Countries ranked near Japan

  1. 153 Lesotho 13.2% compare
  2. 154 San Marino 13.1% compare
  3. 155 New Zealand 12.7% compare
  4. 157 Palau 12.1% compare
  5. 158 Malawi 12.0% compare
  6. 159 Netherlands 11.8% compare

See the full ranking of 240 places →

More health data for Japan

All data for Japan →

Frequently asked questions

What is out-of-pocket expenditure in Japan?
Out-of-pocket expenditure in Japan was 12.2% in 2023, according to Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO).
What is the highest out-of-pocket expenditure recorded in Japan?
The highest recorded value was 16.9% in 2003.
What is the lowest out-of-pocket expenditure recorded in Japan?
The lowest recorded value was 10.8% in 2021.
How does Japan rank for out-of-pocket expenditure?
Japan ranks 156th out of 193 countries with data for 2023.
Is out-of-pocket expenditure rising or falling in Japan?
Over the last ten years it is down 3.7%. The long-run trend across the full record is falling.
Where does this Japan data come from?
The figures come from Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO), published as part of Out-of-pocket expenditure (% of current health expenditure). Statizoid updates them automatically from the source API.

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Out-of-pocket expenditure in Japan. Statizoid, drawing on Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO). Retrieved 16 September 2026, from https://health.statizoid.com/stat/out-of-pocket-expenditure-percent-of-current-health-expenditure/japan/

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About this data

Indicator
Out-of-pocket expenditure (% of current health expenditure)
Unit
% of current health expenditure
Source
Global Health Expenditure Database, updated December 12th, 2025, World Health Organization (WHO)
Licence
CC BY 4.0 (World Bank Open Data)
Coverage
240 places, 5,692 data points, 2000–2024
Last refreshed

Share of out-of-pocket payments of total current health expenditures. Out-of-pocket payments are spending on health directly out-of-pocket by households.