Skip to main content
. 2020 Mar 3;323(9):863–884. doi: 10.1001/jama.2020.0734

Table 3. Health Care Estimated Spending in 2016 for the 54 Least Expensive of the 154 Health Conditions Analyzed.

Health
Care
Spending
Rank
(High
to Low)
Health Condition Category
Codeb
Health Care Spending, 2016 $Billion
(95% CI)
Estimate, %a
Aggregated Age Group, y Type of Payer Type of Care Government
Administration
and Net Cost of Insurance Programs
<20 20-64 ≥65 Public
Insurance
Private
Insurance
Out-
of-Pocket Payments
Ambulatory Inpatient Prescribed
Pharmaceuticals
Nursing
Care
Facility
ED Dental
101 Counseling services I 2.0 (1.7-2.4) 13.3 64.7 22.0 37.1 44.1 18.8 41.1 5.9 42.7 1.0 0.5 0 8.8
102 Complications of abortion D 2.0 (1.8-2.2) 4.5 95.5 0 43.3 50.1 6.6 17.9 32.9 0.2 0 38.9 0 10.1
103 Protein-energy malnutrition D 2.0 (1.6-2.4) 15.3 43.5 41.2 50.4 44.6 5.0 36.4 47.7 0 5.7 0 0 10.2
104 Tobacco intervention M 1.9 (1.5-2.3) 2.2 75.6 22.2 48.5 43.5 8.0 22.3 55.5 0.9 2.7 8.8 0 9.9
105 Meningitis D 1.8 (1.5-2.2) 18.4 62.2 19.4 45.3 50.4 4.3 5.8 80.5 0 2.6 0.8 0 10.4
106 Vascular intestinal disorders J 1.8 (1.6-2.0) 1.4 40.6 58.0 57.7 39.6 2.7 1.8 85.8 0 1.9 0.1 0 10.3
107 Liver cancer K 1.7 (1.5-2.1) 4.4 58.3 37.3 36.8 57.7 5.5 19.3 56.2 12.8 1.3 0 0 10.4
108 Other nutritional deficiencies D 1.7 (1.3-2.3) 8.4 46.9 44.7 42.4 47.3 10.4 44.8 26.0 3.7 15.8 0 0 9.7
109 Hypertensive heart disease C 1.6 (1.5-1.9) 8.6 44.2 47.2 48.9 43.9 7.2 11.7 45.3 16.6 10.4 6.0 0 10.0
110 Fire, heat, and hot substances F 1.6 (1.3-1.9) 31.4 50.8 17.8 39.1 49.5 11.4 21.4 54.0 1.1 1.0 12.8 0 9.6
111 Ovarian cancer K 1.6 (1.3-2.0) 0.9 65.7 33.4 37.0 57.7 5.3 30.1 58.1 0 1.4 0 0 10.4
112 Maternal sepsis; other pregnancy-related infectionc D 1.5 (1.3-1.7) 9.6 90.4 0 48.7 47.3 4.0 3.1 61.4 0.1 0 25.1 0 10.3
113 Stomach cancer K 1.5 (1.2-2.0) 0.4 49.2 50.5 49.0 48.6 2.4 1.5 74.1 0 13.7 0.1 0 10.5
114 Maternal hemorrhage D 1.4 (1.1-1.7) 3.9 96.1 0 41.3 54.0 4.7 4.2 74.0 0 0 11.4 0 10.4
115 Malignant skin melanoma K 1.4 (1.3-1.6) 4.4 60.2 35.4 31.3 44.4 24.3 60.7 4.1 26.1 0.8 0 0 8.3
116 Hemolytic disease in fetus/newborn; other neonatal disordersd D 1.4 (0.9-1.9) 100 0 0 34.1 61.7 4.2 4.3 84.4 0 0 0.7 0 10.6
117 Mouth cancer K 1.4 (1.1-1.6) 0.7 61.2 38.1 41.4 54.8 3.8 28.6 59.5 0 1.4 0 0 10.5
118 Other mental and behavioral disorders G 1.3 (1.2-1.5) 24.7 57.0 18.3 51.7 38.0 10.3 40.6 35.2 13.2 0.9 0.5 0 9.5
119 Sepsis; other infectious newborn disorders D 1.3 (0.8-1.7) 100 0 0 33.8 62.0 4.2 1.4 87.4 0 0 0.6 0 10.6
120 Sexually transmitted diseases (HIV excluded) D 1.1 (1.0-1.2) 7.9 85.4 6.8 37.3 52.7 10.0 23.5 43.6 0.5 1.0 21.6 0 9.8
121 Uterine cancer K 1.1 (0.9-1.2) 2.2 65.1 32.7 34.1 63.0 2.9 14.2 73.5 0.1 1.5 0 0 10.7
122 Esophageal cancer K 1.1 (0.9-1.3) 0.4 53.4 46.2 42.6 54.5 2.9 24.7 62.3 0 2.4 0 0 10.6
123 Varicella D 1.0 (0.9-1.1) 14.9 43.9 41.3 50.7 34.3 15.0 37.5 21.5 17.0 3.9 11.1 0 9.0
124 Social services I 1.0 (0.1-1.9) 1.4 93.9 4.7 9.5 56.9 33.6 81.6 9.6 0 1.2 0 0 7.6
125 Thyroid cancer K 0.9 (0.8-1.0) 4.4 72.8 22.8 26.6 64.0 9.3 49.2 37.9 2.4 0.5 0 0 10.1
126 Hodgkin lymphoma K 0.9 (0.6-1.2) 13.8 76.7 9.4 20.8 71.5 7.7 40.3 48.9 0 0.4 0 0 10.4
127 Cervical cancer K 0.8 (0.7-1.0) 3.0 83.8 13.2 35.8 56.2 8.0 54.1 34.1 1.0 0.6 0.1 0 10.1
128 Encephalitis D 0.8 (0.7-0.9) 14.5 48.5 37.0 58.1 37.5 4.4 0.7 84.3 0 4.9 0 0 10.1
129 Other transport injuriese F 0.8 (0.6-1.0) 30.7 60.4 8.8 26.9 66.2 6.9 33.3 21.2 0.4 0.6 34.1 0 10.4
130 Larynx cancer K 0.8 (0.6-1.0) 0.5 55.6 43.9 40.3 56.4 3.3 38.7 48.2 0 2.5 0 0 10.6
131 Other pharynx cancer K 0.7 (0.5-0.8) 0.7 75.0 24.3 27.4 68.4 4.2 52.7 35.0 0 0.9 0.7 0 10.7
132 Conduct disorder G 0.6 (0.5-0.8) 75.2 24.8 0 77.8 18.8 3.4 59.6 22.7 4.6 0 3.2 0 9.9
133 Neglected tropical diseases; malariaf D 0.6 (0.5-0.7) 19.1 58.7 22.2 22.5 61.5 16.0 47.6 32.8 6.6 1.7 1.9 0 9.4
134 Idiopathic intellectual disability G 0.5 (0.4-0.7) 18.3 54.4 27.4 82.8 8.3 8.9 34.8 17.1 0.1 38.8 0 0 9.1
135 Eating disorders G 0.5 (0.4-0.6) 57.4 42.6 0 53.4 39.3 7.3 28.5 60.2 1.2 0.1 0.1 0 9.9
136 Tuberculosis D 0.5 (0.4-0.6) 14.9 58.0 27.2 53.4 33.2 13.4 39.2 47.7 0.5 3.6 0 0 9.1
137 Tension-type headache H 0.4 (0.3-0.5) 14.3 69.1 16.6 25.0 57.5 17.5 76.0 1.1 11.9 0.2 1.6 0 9.2
138 Testicular cancer K 0.4 (0.3-0.7) 4.8 90.2 5.0 10.4 82.0 7.6 60.3 28.8 0 0.2 0 0 10.6
139 Gallbladder and biliary tract cancer K 0.4 (0.3-0.4) 0 47.6 52.4 49.2 48.7 2.1 0 88.2 0 1.2 0 0 10.5
140 Organ donation (harvesting) I 0.3 (0.2-0.3) 4.1 92.5 3.4 52.8 42.6 4.6 0 89.7 0 0 0.1 0 10.2
141 Pneumoconiosis L 0.2 (0.1-0.3) 1.7 20.3 78.0 63.6 32.0 4.4 76.4 12.3 0.2 1.0 0 0 10.0
142 Drowning F 0.1 (0.1-0.1) 44.6 40.1 15.3 49.2 45.9 4.9 12.8 74.0 0.1 0.1 2.8 0 10.2
143 Nasopharynx cancer K 0.1 (0-0.1) 19.7 62.3 18.1 25.7 71.7 2.6 2.3 83.5 0 1.0 2.4 0 10.9
144 Acute glomerulonephritis B 0 (0-0) 16.6 49.7 33.6 47.2 50.0 2.8 0 85.7 0 0.7 3.0 0 10.5
145 Whooping cough D 0 (0-0) 84.6 15.4 0 60.2 37.1 2.7 0 82.6 0 0 7.2 0 10.3
146 Collective violence; legal intervention F 0 (0-0) 26.3 54.8 18.9 39.0 55.9 5.1 11.9 52.1 0.7 1.2 23.6 0 10.4
147 Exposure to forces of natureg F 0 (0-0) 24.9 51.6 23.5 40.7 54.8 4.5 17.4 71.7 0.1 0.2 0.1 0 10.4
148 Intestinal infectious diseasesh D 0 (0-0) 40.1 53.8 6.0 47.1 47.6 5.3 0 86.9 0 2.8 0 0 10.2
149 Iodine deficiency D 0 (0-0) 1.9 13.0 85.0 49.4 20.8 29.8 3.0 1.5 60.1 28.1 0 0 7.3
150 Tetanus D 0 (0-0) 17.5 61.8 20.7 46.9 46.5 6.6 5.9 77.2 0.5 6.3 0.1 0 10.1
151 Vitamin A deficiency D 0 (0-0) 7.6 10.6 81.8 61.0 27.3 11.7 0 0.7 0 81.6 8.5 0 9.2
152 Leprosy D 0 (0-0) 14.7 12.5 72.8 70.1 13.9 16.0 0 2.3 0 88.9 0.3 0 8.5
153 Diphtheria D 0 (0-0) 43.5 56.5 0 43.2 52.8 3.9 0 31.2 0 1.5 56.9 0 10.4
154 Measles D 0 (0-0) 29.5 70.5 0 69.9 22.7 7.5 0 26.8 13.1 50.5 0.1 0 9.5

Abbreviation: ED, emergency department.

a

The 95% CIs appear in eTable 12.1 in the Supplement.

b

The corresponding aggregated health category descriptions appear in Table 1.

c

Includes major puerperal infection.

d

Includes jaundice and hemolytic disease.

e

Includes injuries from riding animals and those occurring in vehicles other than automobiles (such as buses, planes, and trains).

f

Includes Lyme disease, rabies, cysticercosis, and dengue.

g

Includes injuries for excessive cold or heat, hurricanes, tornados, and earthquakes.

h

Includes Escherichia coli, giardiasis, and typhoid fever.