Table 3.

Personal Health Care Spending in the United States by Condition for 2013

Ranka	Condition	Assigned Aggregated Condition Category	2013 Spending (Billions of Dollars), $	Annualized Rate of Change, 1996–2013, %	2013 Spending by Type of Care, %					2013 Spending by Age, %
					Ambulatory Care	Inpatient Care	Pharmaceuticals	Emergency Care	Nursing Facility Care	<20 Years	≥65 Years
	All conditions		2100.1	3.5	33.6	33.2	13.7	4.9	9.3	11.1	37.9
1	Diabetes mellitus	Diabetes, urogenital, blood, and endocrine diseases	101.4	6.1	23.5	9.5	57.6	0.4	9.1	1.7	42.8
2	Ischemic heart disease	Cardiovascular diseases	88.1	0.2	23.9	56.5	11.3	0.9	7.3	0.2	61.2
3	Low back and neck pain	Musculoskeletal disorders	87.6	6.5	60.5	28.8	4.1	4.2	2.5	2.0	28.8
4	Treatment of hypertension	Treatment of risk factors	83.9	5.1	45.8	1.3	41.2	1.8	9.9	0.7	53.4
5	Falls	Injuries	76.3	3.0	29.7	34.3	0.6	22.7	12.7	10.3	48.2
6	Depressive disorders	Mental and substance abuse disorders	71.1	3.4	53.1	11.6	32.1	0.5	2.8	7.1	13.3
7	Oral disordersb	Other noncommunicable diseases	66.4	2.9	1.0	1.5	0.4	1.2	0.1	13.1	20.7
8	Sense organ diseasesc	Other noncommunicable diseases	59.0	2.8	85.4	2.3	8.6	2.1	1.6	9.0	54.0
9	Skin and subcutaneous diseasesd	Other noncommunicable diseases	55.7	3.5	52.0	20.7	12.6	6.0	8.6	14.4	29.8
10	Pregnancy and postpartum caree	Well care	55.6	2.9	47.6	50.5	0.6	1.3	0.0	6.4	0.0
11	Urinary diseases and male infertilityf	Diabetes, urogenital, blood, and endocrine diseases	54.9	4.8	37.0	21.9	9.5	13.4	18.3	4.5	51.1
12	COPD (chronic bronchitis, emphysema)	Chronic respiratory diseases	53.8	2.5	19.2	34.8	18.9	6.1	21.1	3.5	64.5
13	Treatment of hyperlipidemia	Treatment of risk factors	51.8	10.3	20.9	0	78.5	0	0.6	0.4	48.8
14	Well dental (general examination and cleaning, x-rays, orthodontia)	Well care	48.7	2.7	0	0	0	0	0	37.4	12.8
15	Osteoarthritis	Musculoskeletal disorders	47.9	5.9	23.5	63.8	5.8	0.1	6.9	0	60.1
16	Other musculoskeletal disordersg	Musculoskeletal disorders	44.9	3.8	49.4	25.4	9.2	5.0	11.0	3.7	40.6
17	Cerebrovascular disease	Cardiovascular diseases	43.8	1.1	5.2	54.0	2.6	1.4	36.7	2.3	70.8
18	Other neurological disordersh	Neurological disorders	43.7	7.3	50.9	12.1	15.8	5.2	16.0	2.5	38.4
19	Other digestive diseasesi	Digestive diseases	38.8	3.3	39.0	36.2	12.5	7.7	4.6	5.2	35.8
20	Lower respiratory tract infections	Communicable, maternal, neonatal, and nutritional disorders	37.1	3.1	12.5	48.6	1.5	6.3	31.1	16.6	56.0
21	Alzheimer disease and other dementias	Neurological disorders	36.7	1.9	1.9	5.1	4.5	0.2	88.4	0	97.4
22	Other chronic respiratory diseasesj	Chronic respiratory diseases	34.7	3.2	68.4	3.1	25.1	2.9	0.5	23.4	12.4
23	Septicemia	Communicable, maternal, neonatal, and nutritional disorders	33.9	8.9	0	96.1	0	0	3.9	2.0	64.9
24	Asthma	Chronic respiratory diseases	32.5	5.4	21.6	13.8	57.5	6.0	1.1	27.8	19.8
25	Exposure to mechanical forcesk	Injuries	30.0	3.5	47.2	7.3	1.0	44.3	0.2	26.2	6.9
26	Anxiety disorders	Mental and substance abuse disorders	29.7	5.0	71.4	3.9	19.7	2.5	2.6	11.3	8.4
27	Heart failure	Cardiovascular diseases	28.5	1.1	4.2	71.0	0.7	0.6	23.7	1.2	76.7
28	Well newborn	Well care	27.9	3.8	0	100.0	0	0	0	100.0	0
29	Atrial fibrillation and flutter	Cardiovascular diseases	27.7	4.6	32.3	41.0	5.9	11.2	9.6	0	67.3
30	Other cardiovascular and circulatory diseasesl	Cardiovascular diseases	26.0	2.4	24.6	62.4	4.4	1.3	7.3	1.1	60.6
31	Other unintentional injuries (overexertion, other accidents)	Injuries	25.6	5.8	65.6	14.7	0.9	18.5	0.4	8.6	11.2
32	Attention-deficit/hyperactivity disorder	Mental and substance abuse disorders	23.2	5.9	62.6	0.6	36.8	0	0	88.7	0.6
33	Road injuries (auto, cycle, motorcycle, and pedestrian)	Injuries	20.0	2.1	12.6	67.3	0.2	18.0	1.8	15.2	13.8
34	Gynecological diseasesm	Diabetes, urogenital, blood, and endocrine diseases	19.8	1.4	68.3	19.6	4.0	7.0	1.1	2.9	8.8
35	Endocrine, metabolic, blood, and immune disordersn	Diabetes, urogenital, blood, and endocrine diseases	19.6	5.4	36.1	33.1	24.4	1.0	5.4	9.6	35.3
36	Colon and rectum cancers	Neoplasms	18.5	2.0	41.7	52.0	0.7	0.6	5.0	0.4	54.5
37	Schizophrenia	Mental and substance abuse disorders	17.6	2.0	10.1	54.3	1.6	0.5	33.6	1.6	30.6
38	Well person	Well care	15.4	1.7	98.0	0	2.0	0	0	55.5	9.0
39	Gallbladder and biliary diseases	Digestive diseases	15.2	2.7	20.6	71.9	0.1	4.2	3.2	2.4	36.0
40	Upper respiratory tract infections	Communicable, maternal, neonatal, and nutritional disorders	14.7	1.3	69.2	5.1	3.3	19.6	2.8	57.1	6.0
41	Chronic kidney diseases	Diabetes, urogenital, blood, and endocrine diseases	13.5	4.0	18.1	68.0	3.3	0	10.7	2.0	52.5
42	Drug use disorderso	Mental and substance abuse disorders	13.5	3.1	56.4	32.6	0.3	2.7	8.0	5.0	19.7
43	Bipolar disorder	Mental and substance abuse disorders	13.1	4.0	29.6	60.7	5.7	0.1	3.9	13.6	9.0
44	Trachea, bronchus, and lung cancers	Neoplasms	13.1	2.0	48.6	46.0	0.9	0.5	4.1	0.4	54.5
45	Acute renal failure	Diabetes, urogenital, blood, and endocrine diseases	12.7	8.0	27.0	63.8	0.4	0	8.8	3.7	62.1
46	Breast cancer	Neoplasms	12.1	1.0	71.1	23.5	2.7	0	2.7	0.2	30.5
47	Other infectious diseasesp	Communicable, maternal, neonatal, and nutritional disorders	12.1	2.8	52.5	13.0	6.6	14.0	13.9	48.4	16.1
48	Other neoplasms	Neoplasms	11.6	5.5	28.9	69.0	0.4	0	1.8	11.5	35.9
49	Interstitial lung disease and pulmonary sarcoidosis	Chronic respiratory diseases	10.9	9.2	0	99.2	0	0	0.8	0.8	55.3
50	Congenital anomalies	Other noncommunicable diseases	10.7	4.4	23.6	72.6	0.1	0	3.6	69.6	8.4
51	Aortic aneurysm	Cardiovascular diseases	9.5	3.0	17.2	60.9	3.0	12.4	6.5	1.5	54.5
52	Pancreatitis	Digestive diseases	9.5	1.9	0.4	78.4	0.6	3.3	17.3	4.3	48.7
53	Alcohol use disorders (alcohol dependence and harmful use)	Mental and substance abuse disorders	9.3	2.0	43.3	38.6	0	14.0	4.2	2.6	7.9
54	Diarrheal diseases	Communicable, maternal, neonatal, and nutritional disorders	9.2	4.1	24.2	50.5	4.3	11.4	9.6	18.9	44.8
55	Otitis media	Communicable, maternal, neonatal, and nutritional disorders	8.8	−0.1	82.6	1.4	5.9	10.1	0.1	83.2	2.3
56	Nonmelanoma skin cancer	Neoplasms	8.2	7.1	96.8	2.5	0.3	0	0.5	0	73.6
57	Paralytic ileus and intestinal obstruction	Digestive diseases	8.0	3.3	0.4	91.9	0	0	7.6	3.3	60.0
58	Appendicitis	Digestive diseases	7.8	3.4	0.3	95.6	0	0	4.1	19.8	20.0
59	Migraine	Neurological disorders	7.3	5.1	35.0	9.9	39.3	15.8	0	4.8	2.9
60	Inflammatory bowel disease	Digestive diseases	6.8	3.3	17.9	53.8	5.5	16.3	6.5	13.3	26.7
61	Peptic ulcer disease	Digestive diseases	6.7	1.7	2.7	74.3	0.4	8.9	13.7	2.0	55.6
62	Iron-deficiency anemia	Communicable, maternal, neonatal, and nutritional disorders	6.5	8.1	28.4	46.3	1.9	0.3	23.1	2.4	67.0
63	Peripartum death due to complications of a preexisting medical condition	Communicable, maternal, neonatal, and nutritional disorders	6.4	6.8	8.1	87.7	0.4	3.8	0	10.0	0
64	Brain and nervous system cancers	Neoplasms	5.7	3.2	24.4	65.4	1.7	0	8.5	9.6	26.9
65	Uterine cancer	Neoplasms	5.6	1.2	25.1	71.6	0.6	1.3	1.4	0.2	16.2
66	Prostate cancer	Neoplasms	5.4	0.8	55.2	35.9	2.7	0.5	5.7	0.1	66.4
67	Other maternal disorders (second-degree and third-degree vaginal tears)	Communicable, maternal, neonatal, and nutritional disorders	5.2	0.7	4.7	92.4	0.2	2.7	0	9.3	0
68	Interpersonal violence (rape and assault)	Injuries	5.2	3.5	5.0	65.6	0.1	29.3	0.1	16.2	2.3
69	Other mental and behavioral disorders (insomnia)	Mental and substance abuse disorders	5.1	2.2	71.9	9.8	17.3	0	1.0	22.0	18.6
70	Neglected tropical diseases and malariaq	Communicable, maternal, neonatal, and nutritional disorders	5.1	9.9	1.0	88.7	0.5	0	9.8	4.9	42.2
71	Family planning	Well care	5.1	5.7	24.4	0.3	75.3	0	0	4.5	1.3
72	Obesity (treatment of morbid obesity, including bariatric surgery)	Treatment of risk factors	5.0	9.9	18.8	74.6	4.3	0	2.3	2.0	7.4
73	Preterm birth complicationsr	Communicable, maternal, neonatal, and nutritional disorders	4.9	3.1	6.0	93.8	0.1	0.2	0	100.0	0
74	Parkinson disease	Neurological disorders	4.9	0.3	6.8	37.3	5.4	0	50.5	0	84.1
75	HIV/AIDS	Communicable, maternal, neonatal, and nutritional disorders	4.8	2.4	12.6	74.4	6.8	0	6.2	2.8	13.1
76	Multiple sclerosis	Neurological disorders	4.4	2.0	11.0	46.1	13.1	0	29.8	2.8	40.8
77	Epilepsy	Neurological disorders	4.3	8.5	7.2	79.0	5.8	0.8	7.3	20.9	22.7
78	Cirrhosis of the liver	Cirrhosis	4.2	5.1	7.8	88.5	0	0	3.6	1.3	19.6
79	Stomach cancer	Neoplasms	3.9	2.3	20.6	60.9	0.2	0.2	18.1	0.3	69.7
80	Leukemia	Neoplasms	3.9	2.5	2.3	94.8	0	0	2.9	18.1	28.5
81	Gastritis and duodenitis	Digestive diseases	3.4	2.2	12.2	54.6	3.0	19.4	10.7	6.0	40.2
82	Hypertensive disorders of pregnancy	Communicable, maternal, neonatal, and nutritional disorders	3.0	6.4	1.2	98.8	0	0	0	9.1	0
83	Kidney cancer	Neoplasms	3.0	4.3	30.6	67.7	0.1	0	1.6	3.4	43.0
84	Autistic spectrum disorders	Mental and substance abuse disorders	3.0	17.6	95.6	2.1	2.4	0	0	97.3	0.2
85	Non-Hodgkin lymphoma	Neoplasms	2.9	2.2	20.1	76.5	0	0	3.5	2.8	52.9
86	Self-harm	Injuries	2.8	5.1	0	97.7	0	2.0	0.3	8.6	7.1
87	Bladder cancer	Neoplasms	2.8	2.7	50.7	45.6	0.1	0	3.5	0.1	74.0
88	Pancreatic cancer	Neoplasms	2.7	2.5	28.0	65.2	1.6	2.2	3.1	0.7	53.0
89	Hemoglobinopathies and hemolytic anemias	Diabetes, urogenital, blood, and endocrine diseases	2.6	4.3	1.2	97.3	0	0	1.6	19.9	19.4
90	Peripheral vascular disease	Cardiovascular diseases	2.5	1.8	38.0	37.1	1.2	0.3	23.4	0	68.3
91	Liver cancer	Neoplasms	2.4	6.1	6.6	61.1	3.5	12.5	16.3	12.2	48.3
92	Rheumatoid arthritis	Musculoskeletal disorders	2.4	−0.7	33.6	21.2	29.3	0	15.9	2.8	38.3
93	Counselling services (medical consultation)	Well care	2.1	3.8	84.9	0.7	9.7	0	4.7	9.8	12.6
94	Animal contact (snake and dog)	Injuries	2.1	3.8	40.6	15.0	2.1	42.0	0.3	28.1	9.0
95	Sexually transmitted diseases excluding HIV	Communicable, maternal, neonatal, and nutritional disorders	2.1	0.9	8.2	72.4	0.9	7.3	11.2	6.8	30.6
96	Cervical cancer	Neoplasms	2.1	−0.6	39.8	40.9	0.3	0.1	18.9	0.7	23.2
97	Obstructed labor	Communicable, maternal, neonatal, and nutritional disorders	2.1	3.9	0.2	93.2	0.1	0	6.5	3.6	43.3
98	Complications of abortion (miscarriage included)	Communicable, maternal, neonatal, and nutritional disorders	2.0	3.8	30.8	43.6	0.4	25.3	0	5.7	0
99	Rheumatic heart disease	Cardiovascular diseases	1.9	0.3	0	97.2	0	0	2.8	0.6	71.3
100	Cardiomyopathy and myocarditis	Cardiovascular diseases	1.8	2.9	4.1	89.1	0.6	0	6.2	5.2	29.3
101	Inguinal or femoral hernia	Digestive diseases	1.8	2.1	15.7	80.9	0	0	3.4	2.5	57.1
102	Ovarian cancer	Neoplasms	1.5	1.5	26.2	69.8	0.3	0	3.6	0.7	37.9
103	Fire, heat, and hot substances (including burns)	Injuries	1.4	0.2	3.7	83.7	0.1	9.9	2.7	22.0	19.8
104	Collective violence and legal intervention	Injuries	1.3	2.2	0	99.6	0	0.4	0	13.9	16.1
105	Vascular intestinal disorders	Digestive diseases	1.3	2.4	0	95.8	0	0	4.2	0.9	63.5
106	Malignant skin melanoma	Neoplasms	1.3	2.5	71.6	26.5	0.3	0.0	1.6	1.0	29.6
107	Foreign body (eye and airway obstruction)	Injuries	1.2	2.1	21.1	40.3	0.4	37.6	0.7	26.7	16.8
108	Gallbladder and biliary tract cancer	Neoplasms	1.2	1.6	25.9	67.0	1.4	3.3	2.5	0.5	59.7
109	Mouth cancer	Neoplasms	1.2	1.2	30.4	65.3	0.2	0	4.0	0.7	40.4
110	Other pharynx cancer	Neoplasms	1.2	3.8	28.1	24.5	1.6	44.0	1.8	5.0	20.6
111	Maternal hemorrhage (antepartum and postpartum hemorrhage)	Communicable, maternal, neonatal, and nutritional disorders	1.1	4.2	1.8	73.3	0	24.9	0.0	6.8	0
112	Varicella	Communicable, maternal, neonatal, and nutritional disorders	1.0	2.9	36.1	30.9	10.0	1.4	21.6	6.4	58.7
113	Meningitis	Communicable, maternal, neonatal, and nutritional disorders	0.9	0.8	2.2	95.1	0.1	0	2.5	24.9	20.0
114	Multiple myeloma	Neoplasms	0.9	2.9	0	94.9	0	0	5.1	0	45.3
115	Other nutritional deficiencies	Communicable, maternal, neonatal, and nutritional disorders	0.9	2.0	28.0	12.8	15.0	0	44.2	10.5	53.7
116	Poisonings	Injuries	0.9	2.7	0.5	84.1	0	9.7	5.7	12.2	34.5
117	Eating disorders (anorexia, bulimia)	Mental and substance abuse disorders	0.9	0.4	2.7	85.7	0.2	10.9	0.5	35.2	0
118	Mesothelioma	Neoplasms	0.9	2.9	11.2	74.8	0.2	0.9	12.9	0.6	54.1
119	Conduct disorder	Mental and substance abuse disorders	0.8	0.9	66.6	32.8	0.6	0	0	95.7	0
120	Nasopharynx cancer	Neoplasms	0.8	3.9	43.7	21.9	5.5	26.2	2.6	10.0	22.6
121	Other transport injuriess	Injuries	0.8	1.8	26.8	62.2	0.3	8.5	2.3	22.3	10.7
122	Larynx cancer	Neoplasms	0.8	1.5	20.1	71.1	0.1	0	8.6	0.5	52.1
123	Gout	Musculoskeletal disorders	0.7	4.3	25.2	27.1	27.7	12.3	7.7	0.9	43.6
124	Donor (organ donation)	Well care	0.7	9.6	0	99.9	0	0	0.1	2.9	1.5
125	Idiopathic intellectual disability	Mental and substance abuse disorders	0.7	−1.2	2.5	0.6	0.6	0	96.4	8.0	52.2
126	Esophageal cancer	Neoplasms	0.7	1.3	0	91.5	0	2.6	5.9	0.9	51.3
127	Endocarditis	Cardiovascular diseases	0.6	−0.4	0	89.4	0	0	10.7	2.8	40.9
128	Thyroid cancer	Neoplasms	0.6	3.1	15.9	81.1	0.9	0	2.2	1.2	36.1
129	Hypertensive heart disease	Cardiovascular diseases	0.5	−5.8	0	89.0	0	0	11.0	0.1	65.3
130	Other neonatal disorders (feeding problems, temperature regulation)	Communicable, maternal, neonatal, and nutritional disorders	0.4	6.5	4.5	89.4	0.1	6.0	0	100.0	0
131	Protein-energy malnutrition (nutritional marasmus)	Communicable, maternal, neonatal, and nutritional disorders	0.4	0.2	0	54.5	0	0	45.2	13.3	53.4
132	Neonatal encephalopathy (birth asphyxia and birth trauma)	Communicable, maternal, neonatal, and nutritional disorders	0.4	3.1	0.1	100.0	0	0	0	100.0	0
133	Hemolytic disease in fetus and newborn and other neonatal jaundicet	Communicable, maternal, neonatal, and nutritional disorders	0.3	2.6	6.0	93.0	0	1.0	0	100.0	0
134	Encephalitis	Communicable, maternal, neonatal, and nutritional disorders	0.3	6.3	0	94.7	0	0	5.3	14.7	26.1
135	Tuberculosis	Communicable, maternal, neonatal, and nutritional disorders	0.3	−0.5	2.1	84.1	0	0	13.8	10.1	27.6
136	Whooping cough	Communicable, maternal, neonatal, and nutritional disorders	0.3	2.7	2.6	96.6	0.5	0	0.4	31.1	0
137	Hepatitis	Communicable, maternal, neonatal, and nutritional disorders	0.3	3.2	36.2	62.7	0	0	1.1	1.3	16.7
138	Sepsis and other infectious disorders of the newborn baby	Communicable, maternal, neonatal, and nutritional disorders	0.2	4.2	0	100.0	0	0	0	100.0	0
139	Hodgkin lymphoma	Neoplasms	0.2	1.1	0	97.6	0	0	2.4	12.9	14.4
140	Pneumoconiosis	Chronic respiratory diseases	0.2	3.2	0	98.0	0	0	2.0	0.1	72.3
141	Exposure to forces of natureu	Injuries	0.2	5.3	0.3	96.3	0	1.3	2.1	4.8	39.4
142	Drowning	Injuries	0.1	−0.3	10.9	85.6	0	3.5	0	28.9	45.3
143	Iodine deficiency (iodine hypothyroidism)	Communicable, maternal, neonatal, and nutritional disorders	0.1	−0.8	0	11.3	16.2	0	72.5	14.6	51.8
144	Tobacco (tobacco use disorder, cessation)	Treatment of risk factors	0.1	5.3	12.1	85.3	0	0.1	2.5	3.7	18.5
145	Maternal sepsis and other pregnancy related infectionv	Communicable, maternal, neonatal, and nutritional disorders	0.1	4.4	0	99.9	0	0	0.1	14.0	0
146	Tension-type headache	Neurological disorders	0.1	5.4	25.8	73.5	0	0	0.7	3.6	17.8
147	Testicular cancer	Neoplasms	0.1	2.8	19.2	77.9	0	2.1	0.7	9.0	3.3
148	Intestinal infectious diseasesw	Communicable, maternal, neonatal, and nutritional disorders	<0.1	0.8	0	90.0	0	0	10.1	25.8	26.1
149	Vitamin A deficiency	Communicable, maternal, neonatal, and nutritional disorders	<0.1	14.7	0	100.0	0	0	0	100.0	0
150	Social services (services for family members)	Well care	<0.1	−0.2	75.0	16.4	0	0	8.6	11.8	30.7
151	Diphtheria	Communicable, maternal, neonatal, and nutritional disorders	<0.1	−0.1	53.5	29.3	15.5	0	1.7	57.9	0
152	Acute glomerulonephritis	Diabetes, urogenital, blood, and endocrine diseases	<0.1	1.8	0	93.5	0	0	6.5	30.5	36.0
153	Measles	Communicable, maternal, neonatal, and nutritional disorders	<0.1	−1.6	1.5	90.0	2.7	0	5.8	5.2	0
154	Leprosy	Communicable, maternal, neonatal, and nutritional disorders	<0.1	1.0	0	3.6	1.2	0	95.2	1.4	91.3
155	Tetanus	Communicable, maternal, neonatal, and nutritional disorders	<0.1	−1.3	0	82.5	0	0	17.5	36.4	20.3

Abbreviations: COPD, chronic obstructive pulmonary disease.

^aRanked from largest spending to smallest spending. Reported in 2015 US dollars. eTables 9.1 and 9.2 in the Supplement include all conditions, all types of care, and uncertainty intervals for all estimates.

^bOral surgery and dental caries, including fillings, crowns, extraction, and dentures.

^cCataracts, vision correction, adult hearing loss, and macular degeneration.

^dCellulitis, sebaceous cyst, acne, and eczema.

^eNormal pregnancy, including cesarean delivery.

^fUrinary tract infection and cyst of kidney.

^gDisorders of joints, muscular, and connective tissue.

^hPain syndromes and muscular dystrophy.

ⁱDiseases of the esophagus and diverticulitis of the colon.

^jSleep apnea, allergic rhinitis, and chronic sinusitis.

^kFalling object, striking other object, cuts, and being crushed.

^lParoxysmal tachycardia, and unspecified dysrhythmias.

^mMenopausal and postmenopausal disorders and endometriosis.

ⁿOther diseases of thyroid and von Willebrand disease.

^oCocaine, opioid, and amphetamines and cannabis dependence.

^pViral and chlamydial infection and streptococcal infection.

^qLyme disease, rabies, cysticercosis, and dengue.

^rRespiratory distress and extreme neonatal immaturity.

^sRiding animals and vehicles other than automobiles (buses, planes, trains).

^tJaundice and hemolytic disease.

^uExcessive cold or heat, hurricanes, tornados, and earthquakes.

^vMajor puerperal infection.

^wEscherichia coli, giardiasis, and typhoid fever.