Out-of-pocket expenditure in Upper middle income

Upper middle income: Out-of-pocket expenditure was 31.2% in 2023. ▼ Falling

Latest (2023)
31.2%
Change on year
up 0.8%
Rank
23rd
of 47 groups
All-time high
45.4%
in 2002
All-time low
31.0%
in 2022
Years of data
24
2000–2023

Out-of-pocket expenditure in Upper middle income, 2000–2023

010203040502000201120232000: 42.3 % of current health expenditure2001: 44.4 % of current health expenditure2002: 45.4 % of current health expenditure2003: 44 % of current health expenditure2004: 42.8 % of current health expenditure2005: 42.9 % of current health expenditure2006: 41.5 % of current health expenditure2007: 39.4 % of current health expenditure2008: 37.5 % of current health expenditure2009: 36.1 % of current health expenditure2010: 35.1 % of current health expenditure2011: 34.8 % of current health expenditure2012: 35 % of current health expenditure2013: 34.1 % of current health expenditure2014: 33.1 % of current health expenditure2015: 32.2 % of current health expenditure2016: 32.3 % of current health expenditure2017: 32 % of current health expenditure2018: 32.6 % of current health expenditure2019: 32.5 % of current health expenditure2020: 32.1 % of current health expenditure2021: 32 % of current health expenditure2022: 31 % of current health expenditure2023: 31.2 % of current health expenditure

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

Analysis

The most recent figure for out-of-pocket expenditure in Upper middle income is 31.2%, measured in 2023.

The figure is up 0.8% on the previous year and down 8.4% over ten years.

Over the whole period, out-of-pocket expenditure in Upper middle income peaked at 45.4% in 2002 and was at its lowest, 31.0%, in 2022.

Upper middle income ranks 23rd of 47 groups on this measure, in the middle of the range.

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

Out-of-pocket expenditure in Upper middle income, year by year

Annual values for Out-of-pocket expenditure (% of current health expenditure) in Upper middle income, 2000 to 2023.
Year % of current health expenditure Change
2000 42.3%
2001 44.4% +4.9%
2002 45.4% +2.2%
2003 44.0% -3.1%
2004 42.8% -2.6%
2005 42.9% +0.3%
2006 41.5% -3.3%
2007 39.4% -5.2%
2008 37.5% -4.7%
2009 36.1% -3.9%
2010 35.1% -2.7%
2011 34.8% -0.7%
2012 35.0% +0.4%
2013 34.1% -2.6%
2014 33.1% -2.9%
2015 32.2% -2.7%
2016 32.3% +0.4%
2017 32.0% -1.0%
2018 32.6% +1.9%
2019 32.5% -0.4%
2020 32.1% -1.1%
2021 32.0% -0.3%
2022 31.0% -3.3%
2023 31.2% +0.8%

Averages by decade

DecadeAverage LowestHighest Years
2000s 41.6% 36.1% 45.4% 10
2010s 33.4% 32.0% 35.1% 10
2020s 31.6% 31.0% 32.1% 4

Countries ranked near Upper middle income

  1. 20 Sudan 57.4% compare
  2. 21 Egypt 57.2% compare
  3. 22 Guatemala 57.2% compare
  4. 23 Comoros 56.6% compare
  5. 24 Sri Lanka 54.8% compare
  6. 25 Sierra Leone 54.5% compare
  7. 26 Guinea 54.4% compare

See the full ranking of 240 places →

More health data for Upper middle income

All data for Upper middle income →

Frequently asked questions

What is out-of-pocket expenditure in Upper middle income?
Out-of-pocket expenditure in Upper middle income was 31.2% 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 Upper middle income?
The highest recorded value was 45.4% in 2002.
What is the lowest out-of-pocket expenditure recorded in Upper middle income?
The lowest recorded value was 31.0% in 2022.
How does Upper middle income rank for out-of-pocket expenditure?
Upper middle income ranks 23rd out of 47 groups with data for 2023.
Is out-of-pocket expenditure rising or falling in Upper middle income?
Over the last ten years it is down 8.4%. The long-run trend across the full record is falling.
Where does this Upper middle income 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 Upper middle income. 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/upper-middle-income/

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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.