Table 128Expenses for health care and prescribed medicine, by selected population characteristics: United States, selected years 1987–2004
[Data are based on household interviews of a sample of the noninstitutionalized population and a sample of medical providers]
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Total expenses 1
Population in millions 2 Percent of persons with expense Mean annual expense per person with expense 3
Characteristic 1997 2000 2004 1987 1997 2000 2004 1987 1997 2000 2004
All ages271.3278.4293.584.584.183.584.7$2,597$2,853$2,962$3,879
Under 65 years:
  Under 6 years23.824.123.388.988.086.790.01,7181,0101,2331,285
  6–17 years48.148.449.880.281.780.083.91,1321,1331,2251,357
  18–44 years108.9109.0111.481.578.377.777.01,7781,9612,0902,631
  45–64 years56.362.171.987.089.288.588.93,4423,7973,9075,224
Hispanic origin and race4
 Hispanic or Latino29.432.039.971.069.569.069.31,6131,8011,5901,903
 Not Hispanic or Latino:
  Black or African American31.332.132.572.272.171.375.22,4461,7352,4782,635
Insurance status5
 Any private insurance174.0181.6180.186.586.585.987.91,9392,2042,2223,154
 Public insurance only29.829.740.382.483.383.684.83,2532,6293,5423,307
 Uninsured all year33.332.336.061.861.157.355.51,2641,2921,6451,557
65 years and over:
Hispanic origin and race4
 Hispanic or Latino1.71.92.382.594.292.591.76,1097,3246,0447,209
 Not Hispanic or Latino:
  Black or African American2.,7326,8936,4788,035
Insurance status6
 Medicare only8.812.011.285.992.194.896.05,0536,4485,7837,651
 Medicare and private insurance21.719.220.495.497.096.098.06,3476,8266,9079,299
 Medicare and other public coverage3.,8579,8659,24210,329
Prescribed medicine expenses
Percent of persons with expense Mean annual out-of-pocket expense per person with out-of-pocket expense 3,7
Characteristic 1987 1997 2000 2004 1987 1997 2000 2004
All ages57.362.162.362.7$153$238$301$437
Under 65 years:
  Under 6 years61.861.356.954.440414158
  6–17 years44.348.246.246.075647798
  18–44 years51.355.956.055.088144166227
  45–64 years65.371.873.374.1215313411539
Hispanic origin and race4
 Hispanic or Latino41.647.745.043.681112160182
 Not Hispanic or Latino:
  Black or African American44.150.047.650.6100135180269
Insurance status5
 Any private insurance56.561.661.662.9116160188275
 Public insurance only56.562.062.460.078166313352
 Uninsured all year35.140.237.635.1125242362465
65 years and over:
Hispanic origin and race4
 Hispanic or Latino74.787.583.986.6465464576759
 Not Hispanic or Latino:
  Black or African American79.585.385.390.6276472584943
Insurance status6
 Medicare only70.682.187.789.73896578161,381
 Medicare and private insurance83.488.189.093.3366577632940
 Medicare and other public coverage88.285.088.593.7133318541636

* Estimates are considered unreliable. Data not shown are based on fewer than 100 sample cases. Data preceded by an asterisk have a relative standard error equal to or greater than 30%.


Includes expenses for inpatient hospital and physician services, ambulatory physician and nonphysician services, prescribed medicines, home health services, dental services, and other medical equipment, supplies, and services that were purchased or rented during the year. Excludes expenses for over-the-counter medications, alternative care services, phone contacts with health providers, and premiums for health insurance.


Includes persons in the civilian noninstitutionalized population for all or part of the year. Expenditures for persons in this population for only part of the year are restricted to those incurred during periods of eligibility (e.g., expenses incurred during periods of institutionalization and military service are not included in estimates).


Estimates of expenses have been updated to 2004 dollars using the Consumer Price Index (all items) and differ from the previous edition of Health, United States. See Appendix II, Consumer Price Index (CPI).


Persons of Hispanic origin may be of any race. Starting with 2002 data, MEPS respondents were allowed to report multiple races and these persons are included in the Other category. As a result, there is a slight increase in percentage of persons classified in the Other category in 2002 compared with prior years. Other includes Asian and American Indian race in addition to multiple race.


Any private insurance includes individuals with insurance that provided coverage for hospital and physician care at any time during the year, other than Medicare, Medicaid, or other public coverage for hospital or physician services. Public insurance only includes individuals who were not covered by private insurance at any time during the year but were covered by Medicare, Medicaid, other public coverage for hospital or physician services, and/or CHAMPUS/CHAMPVA (TRICARE) at any point during the year. Individuals with Indian Health Service coverage only are considered uninsured. Uninsured includes persons not covered by either private or public insurance throughout the entire year or period of eligibility for the survey.


Populations do not add to total because uninsured persons and persons with unknown insurance status were excluded.


Includes expenses for all prescribed medications that were purchased or refilled during the survey year.

NOTES: 1987 estimates are based on National Medical Expenditure Survey (NMES) while estimates for other years are based on Medical Expenditure Panel Survey (MEPS). Because expenditures in NMES were based primarily on charges while those for MEPS were based on payments, NMES data were adjusted to be more comparable to MEPS using estimated charge to payment ratios for 1987. Overall, this resulted in about an 11% reduction from the unadjusted 1987 NMES expenditure estimates. See Zuvekas S, Cohen S. A guide to comparing health care expenditures in the 1996 MEPS to the 1987 NMES. Inquiry 2002;39(1):76–86. See Appendix I, Medical Expenditure Panel Survey (MEPS). Data for additional years are available. See Appendix III.

SOURCE: Agency for Healthcare Research and Quality, Center for Cost and Financing Studies. 1987 National Medical Expenditure Survey and 1996–2004 Medical Expenditure Panel Surveys.

From: Trend Tables

Cover of Health, United States, 2007
Health, United States, 2007: With Chartbook on Trends in the Health of Americans.
National Center for Health Statistics (US) .
Hyattsville (MD): National Center for Health Statistics (US); 2007 Nov.

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