Percent distribution of total expenses by source of payment
Out of pocket
Private insurancea
Medicare
Medicaid
Otherb
Heart conditions
6,336.16
1.2
3.3
3.4
1.2
0.9
Cancer
8,179.71
2.4*
5.9
4.8
1.7*
4.9*
Trauma-related disorders
4,323.90
0.8
3.6
3.9
0.7
3.8
Mental disorders
2,847.49
3.1
2.9
2.5
2.2
3.7*
COPD, asthma
2,405.28
1.2
2.8
3.9
1.6
3.2*
Diabetes mellitus
5,559.56
4.8*
5.0
6.3
2.9
8.5*
Hypertension
1,048.81
1.5
1.9
2.6
1.2
1.1
Normal birth/live born
2,140.21
0.9
4.2
0.1*
3.1
1.2
Cerebrovascular disease
2,577.46
1.1
3.1
4.7
2.0*
3.2*
Osteoarthritis and other non-traumatic joint disorders
1,420.86
1.7
3.6
3.3
1.4
1.9
Pneumonia
5,727.75*
1.5*
6.5
10.8*
2.5*
9.2*
Other circulatory conditions arteries, veins, and lymphatics
2,296.24
1.9
7.2
6.2
1.5
2.5*
Back problems
1,180.98
1.5
3.7
4.0
1.4
2.7
Residual Codes
2,467.99
3.5
5.2
9.1
3.3*
2.2*
Kidney Disease
1,520.00
1.2
6.5
6.6
1.5
0.9
Other CNS disorders
816.81
2.0
4.1
3.7
2.5*
4.0
Skin disorders
779.84
1.4
4.1
3.8
1.0
1.3
Gallbladder, pancreatic, and liver disease
1,461.58
2.1
5.4
6.8
1.7*
1.9*
Disorders of the upper GI
939.83
2.0
4.8
6.3
1.2
2.5*
Female genital disorders, and contraception
975.67
2.7
4.7
2.6*
2.6*
1.4
Systemic lupus and connective tissues disorders
664.59
1.3
3.5
3.0
1.5
2.1
Other endocrine, nutritional & immune disorder
1,089.03
2.3
5.1
6.4
1.6
3.9*
Other eye disorders
1,897.47
5.3
4.9
11.9
4.6*
0.8
Other care and screening
431.17
1.9
2.8
2.3
2.5
1.5
Infectious diseases
649.70
1.5
4.7
4.5
3.0
2.9*
Acute Bronchitis and URI
324.81
1.6
1.8
0.7
1.4
1.0
Other GI
630.49
1.3
5.4
6.2
1.7
0.9
Cataract
521.40
1.3
3.1
3.8
1.6
1.4
Hyperlipidemia
286.95
2.0
2.5
1.3
0.8
0.9
Symptoms
695.96
2.2
7.4
8.3
1.5
1.6*
Other bone and musculoskeletal disease
551.62
3.1
5.2
4.9
5.4*
1.5
Hernias
527.95
1.3
5.4
6.3
1.7
3.8
Non-malignant neoplasm
649.69
3.5*
6.8
2.1
0.7*
3.6*
Hereditary, degenerative and other nervous system disorders
609.89
6.3
5.4
6.1
9.1*
1.0*
Headache
490.52
2.7
6.1
2.5*
2.8
2.0*
Congenital anomalies
794.84
1.8*
10.5
4.7*
8.1*
7.3*
Epilepsy and convulsions
670.58
2.3
4.7
10.6*
8.3
3.6*
Urinary tract infections
441.77
1.9
3.6
5.0
5.5*
4.5*
Other stomach and intestinal disorders
591.18
1.3
8.4
9.2
2.5*
1.1*
Otitis media
549.81
3.5
5.7
0.6*
1.6
1.0
Anemia and other deficiencies
1,740.66*
3.3*
14.6
9.7*
0.5
1.8*
Intestinal infection
418.76
3.7
7.2
9.8*
1.2
1.4
Thyroid disease
241.47
2.5
3.6
4.9
1.2
1.6*
Complications of pregnancy and birth
533.21
1.4*
6.9
0.2*
5.8*
3.1*
Male genital disorders
293.33
2.5
6.6
5.4
0.4*
2.0
Paralysis
870.79*
2.7*
24.1*
8.2*
15.7*
3.5*
Other urinary
291.82
2.0
8.3
6.3
3.1*
5.4*
Glaucoma
217.58
4.6
2.5
4.4
1.8
1.8
Hemorrhagic, coagulation, and disorders of White Blood cells
504.74*
2.8*
13.1*
16.7*
0.9
10.3*
Non-malignant breast disease
234.50
1.5
4.3
1.8
0.8*
2.8*
Disorders of teeth and jaws
341.33
8.1
8.3*
9.1*
16.6*
1.0*
Appendicitis
324.79
11.5*
12.2
3.1*
6.6*
8.4*
Poisoning by medical and non-medical substances
230.55
2.7
9.0
8.6*
4.5*
6.3*
Tonsillitis
261.73
2.0
9.1
0.7*
9.7*
5.1*
Perinatal Conditions
689.71*
1.2*
20.5*
0.2*
0.8*
21.7
Allergic reactions
101.16
2.9
3.5
3.0*
3.8*
0.8
Complications of surgery or device
157.99
3.8*
9.0*
9.6
6.9*
3.6*
Influenza
120.55
5.3
4.2
10.7*
3.5*
3.0*
Coma, brain damage
202.14*
19.8*
9.1*
19.0*
0.2*
16.5*
Disorders of mouth and esophagus
185.49*
7.1*
11.5
3.5*
1.7*
0.3*
CNS infection
43.62*
5.4*
14.7*
10.3*
12.7*
0.8*
a Private insurance includes CHAMPUS and CHAMPVA (Armed-Forces-related coverage).
b Other includes other public programs such as Department of Veterans Affairs (except CHAMPVA); other Federal sources (Indian Health Service, military treatment facilities, and other care provided by the Federal Government); other State and local sources (community and neighborhood clinics, State and local health departments, and State programs other than Medicaid); and other public (Medicaid payments reported for persons who were not enrolled in the Medicaid program at any time during the year). Other also includes Worker's Compensation; other unclassified sources (e.g., automobile, homeowner's, liability, and other miscellaneous or unknown sources); and other private insurance (any type of private insurance payments reported for persons without private health insurance coverage during the year, as defined in MEPS).
* Relative standard error equal to or greater than 30%.
Source: Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey, 1997.
Internet Citation:
Agency for Healthcare Research and Quality.
Percent Distribution of Total Expenses by Source of Payment: United States, 1997. March 3, 2003.
Medical Expenditure Panel Survey Component Data.
540 Gaither Road Rockville, MD 20850