Out-of-pocket healthcare payments in the United States have risen dramatically over the past five decades, reaching an average of U.S. dollars per capita in 2023. This significant increase reflects the growing financial burden placed on individuals for their medical care, particularly in areas such as prescription drug costs.
Historical trends and recent changes
The per capita out-of-pocket health care expenditure has shown a consistent upward trend since 1970, when they stood at just U.S. dollars. This growth has been particularly steep recently, with a notable jump from *U.S. dollars in 2020 to U.S. dollars in 2021.
Impact on overall health care spending
Despite the rising per capita costs, out-of-pocket payments as a share of total U.S. personal healthcare expenditures have slightly decreased. In 2023, OOP spending accounted for approximately **** percent of national personal health care expenditures. This suggests that while individuals are paying more in absolute terms, other sources of health care funding are growing at an even faster rate. The total out-of-pocket healthcare expenditure in the United States reached a staggering billion U.S. dollars in 2023, underscoring the massive scale of personal healthcare spending in the country.
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Peter G. Peterson Foundation, & KFF. (August 10, 2025). Per capita out-of-pocket healthcare payments in the United States from 1970 to 2023 (in U.S. dollars) [Graph]. In ÌÇÐÄÆÆ½â°æ. Retrieved August 05, 2026, from /statistics/484578/us-per-capita-out-of-pocket-health-care-payments-since-1960/
Peter G. Peterson Foundation, und KFF. "Per capita out-of-pocket healthcare payments in the United States from 1970 to 2023 (in U.S. dollars)." Chart. August 10, 2025. ÌÇÐÄÆÆ½â°æ. Accessed August 05, 2026. /statistics/484578/us-per-capita-out-of-pocket-health-care-payments-since-1960/
Peter G. Peterson Foundation, KFF. (2025). Per capita out-of-pocket healthcare payments in the United States from 1970 to 2023 (in U.S. dollars). ÌÇÐÄÆÆ½â°æ. ÌÇÐÄÆÆ½â°æ Inc.. Accessed: August 05, 2026. /statistics/484578/us-per-capita-out-of-pocket-health-care-payments-since-1960/
Peter G. Peterson Foundation, and KFF. "Per Capita Out-of-pocket Healthcare Payments in The United States from 1970 to 2023 (in U.S. Dollars)." ÌÇÐÄÆÆ½â°æ, ÌÇÐÄÆÆ½â°æ Inc., 10 Aug 2025, /statistics/484578/us-per-capita-out-of-pocket-health-care-payments-since-1960/
Peter G. Peterson Foundation & KFF, Per capita out-of-pocket healthcare payments in the United States from 1970 to 2023 (in U.S. dollars) ÌÇÐÄÆÆ½â°æ, /statistics/484578/us-per-capita-out-of-pocket-health-care-payments-since-1960/ (last visited August 05, 2026)
Per capita out-of-pocket healthcare payments in the United States from 1970 to 2023 (in U.S. dollars) [Graph], Peter G. Peterson Foundation, & KFF, August 10, 2025. [Online]. Available: /statistics/484578/us-per-capita-out-of-pocket-health-care-payments-since-1960/