cms/nhe-by-category·Available

National Health Expenditure by Type of Service and Payer (1960-2024)

How much America spends on healthcare, broken down by what we're paying for. Hospital stays, doctor visits, prescriptions, dental work, nursing homes, and everything else that goes into the healthcare budget. You can see year-by-year how spending has grown since 1960 and which parts of healthcare have gotten more expensive. The insurance line shows what insurance companies make from the gap between what they collect in premiums and what they pay out in claims.

Published by CMSView source Source and methodology

Source rows:: 32,240
Coverage:: 1960-01-01T00:00:00Z – 2024-12-31T00:00:00Z

CSV: all rows from “service-totals”.

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Service totals

All-payer spending for each type of service, most recent year first

View defined in OpenData · Source: cms

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CSV: all rows from “service-totals”.

Table filters, sorting and pagination are not included.

Columns

6 columns in this table.

Source and methodology

Publisher

CMS

government

Type: government
Scope: us federal
Updates: scheduled
License: Public Domain

Data source1

Centers for Medicare & Medicaid Services (CMS), Office of the Actuary, National Health Statistics Group - processed by Centers for Medicare and Medicaid Services

Centers for Medicare & Medicaid Services (CMS), Office of the Actuary, National Health Statistics Group Public Domain

How this data is collected

Aggregated from Medicare/Medicaid claims, private insurance data, provider surveys, and government sources.
Values reported in millions of current (nominal) dollars, not inflation-adjusted.
Annual updates; recent years may be revised as actual claims data becomes available.
Published annually, typically with a lag of several months for complete data.

What to watch out for

Values are in current dollars and not adjusted for inflation, limiting year-over-year comparisons.
Net cost of health insurance is a residual calculation and may include estimation error.
Gaps in data sources for some time periods, particularly pre-1990.
Does not include out-of-pocket spending on items like vitamins or alternative medicine.
Recent years may be preliminary and subject to revision.

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Service totals

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