Percent distribution of total expenses by source of payment
Median
Mean
Out of pocket
Private insurancea
Medicare
Medicaid
Otherb
Total
293,527
84.7
1,092
3,879
963,882
19.0
42.8
20.9
10.6
6.7
Age in years
Under 65
256,485
82.9
847
3,028
643,567
19.5
55.8
4.2
13.1
7.3
Under 6
23,307
90.0
383
1,285
26,938
10.5
57.9
0.3
27.0
4.4
6-17
49,817
83.9
449
1,357
56,741
25.6
48.0
0.1*
20.6
5.7
18-44
111,437
77.0
811
2,631
225,675
19.4
53.3
2.9
17.3
7.1
45-64
71,924
88.9
2,051
5,224
334,214
19.3
58.7
6.1
8.0
7.9
65 and over
37,042
97.1
4,070
8,906
320,315
17.8
16.7
54.5
5.5
5.5
Sex
Male
143,869
79.8
872
3,554
407,946
17.8
43.0
21.7
8.2
9.4
Female
149,658
89.3
1,299
4,158
555,936
19.8
42.7
20.4
12.4
4.7
Race/ethnicity
Hispanic or Latino
42,212
70.5
501
2,276
67,745
17.9
30.4
13.8
29.8
8.2
Black-single race/not Hispanic
35,548
77.0
707
3,217
88,036
14.6
32.7
21.9
21.4
9.4
White, other, 2 or more races/not Hispanic
203,470
89.1
1,339
4,356
789,832
19.4
44.9
21.7
7.7
6.3
Asian/Pacific Islander-single race/not Hispanic
12,297
81.6
559
1,822
18,268
23.8
50.8
10.4
11.6
3.4
Health insurance statusc
<65, Any private
182,648
87.9
986
3,165
508,316
19.5
70.7
1.7
3.7*
4.4
<65, Public only
37,808
84.5
573
3,261
104,153
11.4
0.0*
17.7
63.0
7.9
<65, Uninsured
36,030
55.5
386
1,557
31,098
48.0
0.0*
0.0*
0.0*
52.0
65+, Medicare only
10,713
95.8
3,365
7,587
77,840
24.5
0.0*
63.4
0.0*
12.1
65+, Medicare and private
21,794
98.0
4,304
9,228
197,011
17.2
27.2
52.2
0.5*
3.0
65+, Medicare and other public
4,354
97.2
4,591
10,646
45,065
8.7
0.0*
49.4
37.0
4.9
65+, Missing
--
--
--
--
--
--
--
--
--
--
Poverty statusd
Negative or Poor
37,707
77.4
805
4,478
130,763
12.5
17.2
20.2
41.3
8.8
Near-poor
12,964
78.0
952
4,225
42,705
17.7
14.3
33.5
25.6
8.9
Low income
41,000
80.7
909
4,109
135,910
16.8
26.9
33.4
15.1
7.9
Middle income
93,355
83.5
985
3,551
276,814
19.7
45.3
23.4
4.6
6.9
High income
108,500
90.5
1,323
3,848
377,689
21.6
58.9
13.4
1.0
5.1
Metropolitan statistical area (MSA)
MSA
242,678
84.4
1,070
3,798
778,108
19.2
44.1
19.9
10.3
6.5
Non-MSA
50,849
85.7
1,178
4,261
185,774
18.1
37.6
24.9
11.9
7.4
Census Region
Northeast
54,843
87.5
1,159
4,198
201,409
16.1
44.8
20.4
13.0
5.8
Midwest
65,264
87.9
1,164
4,064
233,084
17.4
47.4
21.8
6.7
6.7
South
105,721
82.7
1,079
3,654
319,369
21.5
38.5
22.8
9.9
7.4
West
67,698
82.4
1,006
3,766
210,020
19.7
42.5
17.6
13.8
6.5
Perceived Health Status
Excellent
91,005
81.3
573
1,770
131,063
25.9
53.4
8.2
6.8
5.8
Very Good
94,018
84.1
974
2,804
221,720
22.2
49.1
13.9
9.5*
5.2
Good
76,102
85.6
1,536
4,173
271,919
19.4
44.6
18.5
9.5
8.0
Fair
23,250
92.4
3,655
9,130
196,233
15.3
35.2
31.7
10.8
6.9
Poor
8,679
96.2
8,319
16,460
137,426
11.9
30.8
33.4
16.9
7.0
Missing
--
--
--
--
--
--
--
--
--
--
Standard Errors for Table 1: Total Health Services-Median and Mean Expenses per Person With Expense and
Distribution of Expenses by Source of Payment: United States, 2004
Population Characteristic
Population (in thousands)
Percent with expense
Per person with an expense
Total Expenses (in millions)
Percent distribution of total expenses by source of payment
Median
Mean
Out of pocket
Private insurancea
Medicare
Medicaid
Otherb
Total
0.4
25
101
30,401
0.4
1.1
0.9
1.0
0.4
Age in years
Under 65
0.4
19
96
24,147
0.6
1.4
0.5
1.4
0.5
Under 6
0.6
17
127
2,786
1.1
4.5
0.1
3.7
0.9
6-17
0.7
16
62
3,089
1.3
2.1
0.0*
2.6
1.2
18-44
0.5
21
145
13,294
1.0
2.5
0.6
3.5
0.7
45-64
0.5
67
222
15,647
0.9
2.0
0.8
0.9
0.7
65 and over
0.3
141
312
15,351
0.7
0.9
1.3
0.7
0.4
Sex
Male
0.5
27
141
18,388
0.7
1.9
1.3
0.8
0.7
Female
0.3
35
129
19,787
0.5
1.3
1.3
1.6
0.4
Race/ethnicity
Hispanic or Latino
0.9
22
119
4,832
1.1
2.3
1.4
3.1
0.9
Black-single race/not Hispanic
0.9
36
162
5,897
0.7
1.9
2.1
2.3
1.2
White, other, 2 or more races/not Hispanic
0.3
34
137
29,019
0.5
1.3
1.1
1.2
0.4
Asian/Pacific Islander-single race/not Hispanic
1.5
43
179
2,269
1.7
3.7
3.0
2.1
0.7
Health insurance statusc
<65, Any private
4,544
0.4
21
123
22,568
0.7
1.5
0.4
1.8*
0.4
<65, Public only
1,527
0.6
21
151
5,580
1.0
0.0*
1.9
2.4
1.0
<65, Uninsured
1,364
1.0
21
119
2,817
2.8
0.0*
0.0*
0.0*
2.8
65+, Medicare only
516
0.7
201
414
5,591
1.4
0.0*
1.8
0.0*
0.9
65+, Medicare and private
884
0.4
183
451
12,966
0.9
1.4
2.0
0.2*
0.3
65+, Medicare and other public
260
0.9
474
829
4,391
1.5
0.0*
3.1
3.2
1.1
65+, Missing
--
--
--
--
--
--
--
--
--
--
Poverty statusd
Negative or Poor
0.8
49
396
13,189
1.2
2.8
2.5
4.5
1.3
Near-poor
1.3
87
306
3,587
1.4
1.9
3.5
3.3
1.7
Low income
0.9
65
197
7,833
0.8
2.0
2.1
1.7
0.8
Middle income
0.6
32
158
14,256
0.7
1.7
2.2
0.6
0.5
High income
0.4
35
146
17,762
0.8
1.7
1.3
0.2
0.6
Metropolitan statistical area (MSA)
MSA
0.4
27
116
29,288
0.5
1.3
1.1
1.2
0.4
Non-MSA
1.0
52
190
16,367
0.6
1.9
1.8
1.3
0.7
Census Region
Northeast
0.6
60
233
13,069
1.0
3.3
2.0
1.4
0.7
Midwest
0.7
60
215
15,091
0.8
2.2
2.6
0.8
0.7
South
0.6
38
120
12,645
0.6
1.2
1.1
0.8
0.7
West
0.8
41
259
18,755
1.1
2.5
1.7
4.0
0.7
Perceived Health Status
Excellent
2,710
0.6
15
63
5,715
1.0
1.6
1.2
0.7
0.6
Very Good
2,445
0.5
34
131
11,624
1.0
2.4
1.2
3.8*
0.5
Good
2,040
0.6
50
135
10,595
0.6
1.6
1.3
0.7
0.7
Fair
735
0.7
191
635
15,410
1.2
3.9
3.2
1.3
0.9
Poor
406
0.7
570
1,010
10,909
0.9
3.0
2.7
2.0
1.1
Missing
--
--
--
--
--
--
--
--
--
--
a Private insurance includes Tricare (Armed-Forces-related coverage).
b Other includes other public programs such as Department of Veterans Affairs (except Tricare); 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).
c Uninsured refers to persons uninsured during the entire year. Public and private health insurance categories refer to individuals with public or private insurance at any time during the period; individuals with both public and private insurance and those with Tricare (Armed-Forces-related coverage) are classified as having insurance.
d Poor refers to incomes below the Federal poverty line; near poor, over the poverty line through 125 percent of the poverty line; low income, over 125 percent through 200 percent of the poverty line; middle income, over 200 percent to 400 percent of the poverty line; and high income, over 400 percent of the poverty line.
Standard error approximately zero because of poststratification to Census Bureau population control tables.
-- Less than 100 sample cases.
* 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, 2004.
Note to User:
Because the table customization tool is a general purpose analytical tool, AHRQ cannot certify the quality of your analysis. You should review your results for adequate cell sizes, statistical significance, and overall reasonableness.
Internet Citation:
Agency for Healthcare Research and Quality.
Total Health Services-Mean and Median Expenses per Person With Expense and Distribution of Expenses by Source of Payment: United States, 2004.
Medical Expenditure Panel Survey Component Data.