Share of out-of-pocket spending on healthcare in United States
United States: Share of out-of-pocket spending on healthcare was 10.9% in 2023. ▼ Falling
Share of out-of-pocket spending on healthcare in United States, 2000–2023
Source: Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data. Measured in % of current health expenditure.
Analysis
United States recorded 10.9% for share of out-of-pocket spending on healthcare in 2023.
The figure is down 0.4% on the previous year and down 11.0% over ten years.
Over the whole period, share of out-of-pocket spending on healthcare in United States peaked at 15.1% in 2000 and was at its lowest, 10.1%, in 2020.
United States ranks 163rd of 193 countries on this measure, in the bottom quarter.
The long-run direction has been consistently falling across the 24 years of available data.
Share of out-of-pocket spending on healthcare in United States, year by year
| Year | % of current health expenditure | 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
| Decade | Average | Lowest | Highest | 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
More health data for United States
- Un projection of annual infant deaths, annual growth rate -1.67 % change on previous year (2100)
- Heat deaths vs projected death rates, annual growth rate -0.1867 % change on previous year (2090)
- Estimated changes in temperature-related death rates compared to projected death rates 1,069 deaths per 1,000 people (2090)
- Number of infants who die before age 1 4,015 deaths (2100)
- Neonatal tetanus - number of reported cases, gaps filled 0 (2023)
- Population ages 00-04, female, annual growth rate 0.056 % change on previous year (2025)
- Population ages 00-04, female, per unit of GDP 0 units per US$ of GDP (2025)
- Population ages 00-04, female, per capita 0.0261 units per person (2025)
- Population ages 00-04, male, annual growth rate 0.1919 % change on previous year (2025)
- Population ages 00-04, male, per unit of GDP 0 units per US$ of GDP (2025)
Frequently asked questions
- What is share of out-of-pocket spending on healthcare in United States?
- Share of out-of-pocket spending on healthcare in United States was 10.9% in 2023, according to Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data.
- What is the highest share of out-of-pocket spending on healthcare recorded in United States?
- The highest recorded value was 15.1% in 2000.
- What is the lowest share of out-of-pocket spending on healthcare recorded in United States?
- The lowest recorded value was 10.1% in 2020.
- How does United States rank for share of out-of-pocket spending on healthcare?
- United States ranks 163rd out of 193 countries with data for 2023.
- Is share of out-of-pocket spending on healthcare 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 Global Health Expenditure Database, WHO, via World Bank (2026) – processed by Our World in Data, published as part of Share of out-of-pocket spending on healthcare. Statizoid updates them automatically from the source API.
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About this data
Out-of-pocket spending on healthcare as percent of total current healthcare expenditure.