Households health spending distribution U.S. 2013-2021

In 2021, out-of-pocket health spending was responsible for 37 percent of total U.S. household health spending. This statistic illustrates the health spending distribution of households in the United States from 2013 to 2021.

Health spending distribution of U.S. households from 2013 to 2021

Characteristic	Out-of-pocket health spending	Private insurance premiums (employee or enrollee share)	Medicare payroll tax	Medicare part B (and D for 2019) premiums	Direct Purchase Insurance (household contribution)*	Medical Portion of Property and Casualty Insurance
2013	41%	36%	15%	7%	-	-
2014	39%	28%	16%	7%	6%	4%
2015	38%	28%	16%	7%	7%	4%
2016	38%	28%	17%	7%	6%	4%
2017	37%	28%	17%	8%	6%	4%
2018	36%	27%	16%	9%	7%	4%
2019	38%	27%	16%	9%	7%	3%
2020	36%	27%	17%	10%	7%	4%
2021	38%	26%	17%	9%	7%	3%

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Release date

August 2023

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Region

United States

Survey time period

2013 to 2021

Supplementary notes

Health spending refers to national health expenditures. Not shown: other private revenues, which includes philanthropy, privately funded structures and equipment, and investment income. Medicaid buy-in premiums for Medicare are reflected under Medicaid. Figures may not add due to rounding.
2013-2019 values were quoted from previous editions of "California Health Care Almanac - Health Care Costs 101". * Includes premiums paid by individuals for marketplace plans, Medigap, and other directly purchased health insurance, such as coverage purchased off-exchange.

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