Out-of-pocket health spending by country
United States: 10.9% in 2023, 5th of 38 OECD members (lowest first). 31st of all 193 with data.
Highest: 
Armenia (80.5%, 2023) · Lowest: 
Tuvalu (0.0%, 2023) · 193 countries and territories with data.
Share of current health spending paid directly by patients. Lower where insurance or taxes cover more of the cost.
Ranking
Latest value for each country (within 5 years).
Over time
United States: rank over time
Rank among the countries with data in each year (lowest first).
World ranking (lowest first)
| Rank | Country | Value | Year |
|---|---|---|---|
| 1 | Tuvalu | 0.0% | 2023 |
| 2 |  Nauru | 0.7% | 2023 |
| 3 |  Marshall Islands | 1.1% | 2023 |
| 4 |  Micronesia | 2.6% | 2023 |
| 5 |  Kiribati | 2.9% | 2023 |
| 6 |  Solomon Islands | 3.2% | 2023 |
| 7 |  Rwanda | 4.1% | 2023 |
| 8 |  Botswana | 4.3% | 2023 |
| 9 |  Tonga | 5.9% | 2023 |
| 10 |  Oman | 6.3% | 2023 |
| 11 |  South Africa | 6.7% | 2023 |
| 12 |  Timor-Leste | 7.0% | 2023 |
| 13 |  Brunei | 7.4% | 2023 |
| 14 |  Qatar | 7.4% | 2023 |
| 15 |  Namibia | 7.5% | 2023 |
| 16 |  Fiji | 8.3% | 2023 |
| 17 |  Vanuatu | 8.4% | 2023 |
| 18 |  Monaco | 8.5% | 2023 |
| 19 |  Luxembourg | 8.5% | 2024 |
| 20 |  Papua New Guinea | 8.6% | 2023 |
| 21 |  France | 9.2% | 2024 |
| 22 |  Croatia | 9.4% | 2023 |
| 23 |  United Arab Emirates | 9.7% | 2023 |
| 24 |  Thailand | 9.9% | 2023 |
| 25 |  Kuwait | 10.0% | 2023 |
| 26 |  Zambia | 10.3% | 2023 |
| 27 |  Mozambique | 10.4% | 2023 |
| 28 |  Ireland | 10.6% | 2024 |
| 29 |  Zimbabwe | 10.6% | 2023 |
| 30 |  Germany | 10.7% | 2024 |
| 31 |  United States | 10.9% | 2023 |
| 32 |  Eswatini | 11.0% | 2023 |
| 33 |  Andorra | 11.1% | 2023 |
| 34 |  Slovenia | 11.7% | 2024 |
| 35 |  Netherlands | 11.8% | 2024 |
| 36 |  Malawi | 12.0% | 2023 |
| 37 |  Palau | 12.1% | 2023 |
| 38 |  Japan | 12.2% | 2023 |
| 39 |  New Zealand | 12.7% | 2024 |
| 40 |  San Marino | 13.1% | 2023 |
| 41 |  Lesotho | 13.2% | 2023 |
| 42 |  Sweden | 13.4% | 2024 |
| 43 |  Samoa | 13.4% | 2023 |
| 44 |  Norway | 13.7% | 2023 |
| 45 |  Denmark | 13.9% | 2024 |
| 46 |  Czechia | 14.1% | 2024 |
| 47 |  Finland | 14.1% | 2023 |
| 48 |  Saudi Arabia | 14.1% | 2023 |
| 49 |  United Kingdom | 14.6% | 2024 |
| 50 |  Colombia | 14.7% | 2024 |
| 51 |  Iceland | 14.9% | 2024 |
| 52 |  Canada | 15.3% | 2024 |
| 53 |  Australia | 15.8% | 2023 |
| 54 |  Poland | 16.2% | 2024 |
| 55 |  Austria | 16.5% | 2024 |
| 56 |  Cuba | 16.6% | 2023 |
| 57 |  São Tomé and Príncipe | 16.7% | 2023 |
| 58 |  Uruguay | 17.1% | 2023 |
| 59 |  Gabon | 17.3% | 2023 |
| 60 |  Cyprus | 17.9% | 2023 |
| 61 |  Maldives | 18.0% | 2023 |
| 62 |  Türkiye | 19.0% | 2023 |
| 63 |  Libya | 19.2% | 2023 |
| 64 |  Suriname | 19.7% | 2023 |
| 65 |  Liechtenstein | 19.7% | 2023 |
| 66 |  Slovakia | 20.2% | 2023 |
| 67 |  Jamaica | 20.2% | 2023 |
| 68 |  Israel | 20.5% | 2023 |
| 69 |  Antigua and Barbuda | 20.8% | 2023 |
| 70 |  Spain | 20.9% | 2023 |
| 71 |  Estonia | 21.4% | 2024 |
| 72 |  Belgium | 21.5% | 2023 |
| 73 |  Switzerland | 22.0% | 2023 |
| 74 |  Italy | 22.3% | 2024 |
| 75 |  Romania | 23.0% | 2023 |
| 76 |  Hungary | 23.1% | 2023 |
| 77 |  Costa Rica | 24.1% | 2023 |
| 78 |  Kenya | 24.2% | 2023 |
| 79 |  Argentina | 24.5% | 2023 |
| 80 |  Burundi | 24.5% | 2023 |
| 81 |  Dominican Republic | 25.1% | 2023 |
| 82 |  Singapore | 25.4% | 2023 |
| 83 |  Bhutan | 25.5% | 2023 |
| 84 |  Cabo Verde | 25.7% | 2023 |
| 85 |  Brazil | 26.2% | 2023 |
| 86 |  Guyana | 26.3% | 2023 |
| 87 |  Montenegro | 26.3% | 2023 |
| 88 |  St. Vincent and the Grenadines | 26.6% | 2023 |
| 89 |  Ghana | 26.7% | 2023 |
| 90 |  Belize | 26.8% | 2023 |
| 91 |  Peru | 27.0% | 2023 |
| 92 |  South Sudan | 27.1% | 2023 |
| 93 |  Bolivia | 27.3% | 2023 |
| 94 |  Madagascar | 27.4% | 2023 |
| 95 |  Moldova | 27.5% | 2023 |
| 96 |  Bahamas | 27.5% | 2023 |
| 97 |  Kazakhstan | 27.6% | 2023 |
| 98 |  Tanzania | 27.9% | 2023 |
| 99 |  Seychelles | 28.0% | 2023 |
| 100 |  Republic of the Congo | 28.0% | 2023 |
| 101 |  Portugal | 28.2% | 2024 |
| 102 |  Russia | 28.4% | 2023 |
| 103 |  Belarus | 28.5% | 2023 |
| 104 |  Bahrain | 28.7% | 2023 |
| 105 |  Djibouti | 28.8% | 2023 |
| 106 |  Dominica | 29.3% | 2023 |
| 107 |  Venezuela | 29.7% | 2023 |
| 108 |  Lebanon | 29.7% | 2023 |
| 109 |  Somalia | 30.8% | 2023 |
| 110 |  Ecuador | 30.9% | 2023 |
| 111 |  Malta | 30.9% | 2023 |
| 112 |  Bosnia and Herzegovina | 31.0% | 2023 |
| 113 |  Indonesia | 31.1% | 2023 |
| 114 |  Lithuania | 31.4% | 2024 |
| 115 |  Côte d'Ivoire | 32.0% | 2023 |
| 116 |  Serbia | 32.1% | 2023 |
| 117 |  Uganda | 32.2% | 2023 |
| 118 |  China | 32.2% | 2023 |
| 119 |  El Salvador | 32.5% | 2023 |
| 120 |  Angola | 32.5% | 2023 |
| 121 |  South Korea | 33.7% | 2024 |
| 122 |  Gambia | 33.8% | 2023 |
| 123 |  Greece | 34.3% | 2023 |
| 124 |  Jordan | 34.5% | 2023 |
| 125 |  Latvia | 35.1% | 2023 |
| 126 |  Bulgaria | 35.5% | 2023 |
| 127 |  Paraguay | 36.3% | 2023 |
| 128 |  Malaysia | 37.1% | 2023 |
| 129 |  St. Lucia | 37.1% | 2023 |
| 130 |  Morocco | 37.3% | 2023 |
| 131 |  Nicaragua | 37.6% | 2023 |
| 132 |  Tunisia | 37.9% | 2023 |
| 133 |  DR Congo | 38.0% | 2023 |
| 134 |  Chile | 39.1% | 2024 |
| 135 |  Vietnam | 39.2% | 2023 |
| 136 |  North Macedonia | 39.6% | 2023 |
| 137 |  Panama | 40.5% | 2023 |
| 138 |  Mexico | 41.2% | 2023 |
| 139 |  St. Kitts and Nevis | 41.8% | 2023 |
| 140 |  West Bank and Gaza | 42.1% | 2023 |
| 141 |  Kyrgyzstan | 42.3% | 2023 |
| 142 |  Benin | 42.4% | 2023 |
| 143 |  Iran | 43.1% | 2023 |
| 144 |  Mauritania | 43.8% | 2023 |
| 145 |  Burkina Faso | 43.8% | 2023 |
| 146 |  India | 43.9% | 2023 |
| 147 |  Senegal | 44.3% | 2023 |
| 148 |  Philippines | 44.4% | 2023 |
| 149 |  Laos | 44.8% | 2023 |
| 150 |  Algeria | 45.0% | 2023 |
| 151 |  Central African Republic | 45.0% | 2023 |
| 152 |  Mauritius | 45.2% | 2023 |
| 153 |  Trinidad and Tobago | 45.3% | 2023 |
| 154 |  Ukraine | 45.3% | 2021 |
| 155 |  Ethiopia | 46.3% | 2023 |
| 156 |  Mali | 47.2% | 2023 |
| 157 |  Albania | 48.3% | 2023 |
| 158 |  Eritrea | 48.4% | 2023 |
| 159 |  Grenada | 48.5% | 2023 |
| 160 |  Mongolia | 48.8% | 2023 |
| 161 |  Barbados | 49.5% | 2023 |
| 162 |  Niger | 51.5% | 2023 |
| 163 |  Chad | 51.7% | 2023 |
| 164 |  Haiti | 52.4% | 2023 |
| 165 |  Pakistan | 52.9% | 2023 |
| 166 |  Honduras | 53.1% | 2023 |
| 167 |  Iraq | 54.0% | 2023 |
| 168 |  Guinea | 54.4% | 2023 |
| 169 |  Sierra Leone | 54.5% | 2023 |
| 170 |  Sri Lanka | 54.8% | 2023 |
| 171 |  Comoros | 56.6% | 2023 |
| 172 |  Guatemala | 57.2% | 2023 |
| 173 |  Egypt | 57.2% | 2023 |
| 174 |  Sudan | 57.4% | 2023 |
| 175 |  Georgia | 58.8% | 2023 |
| 176 |  Nepal | 59.4% | 2023 |
| 177 |  Cambodia | 60.6% | 2023 |
| 178 |  Guinea-Bissau | 61.6% | 2023 |
| 179 |  Tajikistan | 62.4% | 2023 |
| 180 |  Liberia | 63.2% | 2023 |
| 181 |  Uzbekistan | 64.1% | 2023 |
| 182 |  Togo | 64.3% | 2023 |
| 183 |  Azerbaijan | 64.6% | 2023 |
| 184 |  Equatorial Guinea | 66.0% | 2023 |
| 185 |  Cameroon | 67.7% | 2023 |
| 186 |  Yemen | 69.1% | 2023 |
| 187 |  Myanmar | 71.1% | 2023 |
| 188 |  Nigeria | 71.9% | 2023 |
| 189 |  Syria | 72.4% | 2023 |
| 190 |  Afghanistan | 77.1% | 2023 |
| 191 |  Turkmenistan | 77.4% | 2023 |
| 192 |  Bangladesh | 79.3% | 2023 |
| 193 | Armenia | 80.5% | 2023 |
Source: World Bank, World Development Indicators (SH.XPD.OOPC.CH.ZS). License: CC BY 4.0. Data retrieved: 2026-11-02.
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