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In 2018, the average amount a family of four with large employer health coverage spent on health care (including employee premium contribution and out-of-pocket costs) was 7,726 U.S. dollars. This increased from 4,617 U.S. dollars 10 years ago. This statistic illustrates the average health spending of a family of four with large employer health coverage in the United States from 2003 to 2018.