Table 2.

Health Care Estimated Spending in 2016 for the 100 Most Expensive Health Conditions of the 154 Health Conditions Analyzed

Health
Care
Spending
Rank
(High
to Low)
Health ConditionCategory
Codeb
Health Care Spending,
2016 $Billion
(95% CI)
Estimate, %a
Aggregated Age Group, yType of PayerType of CareGovernment
Administration
and Net Cost
of Insurance
Programs
<2020-64≥65Public
Insurance
Private
Insurance
Out-
of-Pocket
Payments
AmbulatoryInpatientPrescribed
Pharmaceuticals
Nursing
Care
Facility
EDDental
1Low back and neck painA134.5 (122.4-146.9)1.967.930.333.757.29.258.722.43.51.43.9010.0
2Other musculoskeletal disorderscA129.8 (116.3-149.7)3.960.735.436.256.47.564.58.68.75.52.5010.2
3DiabetesB111.2 (105.7-115.9)2.557.440.149.844.26.027.18.646.35.82.1010.1
4Ischemic heart diseaseC89.3 (81.1-95.5)0.442.756.954.042.43.523.849.57.53.85.1010.3
5FallsF87.4 (75-100.1)5.238.456.446.739.713.627.731.11.121.19.709.2
6Urinary diseasesdB86.0 (76.3-95.9)4.148.247.749.245.15.752.014.17.85.111.0010.1
7Skin and subcutaneous diseaseseE85.0 (80.5-90.2)15.255.329.535.058.07.054.112.313.63.85.9010.2
8OsteoarthritisA80.0 (72.2-86.1)050.149.945.449.55.126.749.96.16.60.4010.3
9DementiasH79.2 (67.6-90.8)03.196.956.119.224.62.29.32.477.11.207.8
10HypertensionM79.0 (72.6-86.8)0.748.151.256.936.56.660.15.212.17.15.609.9
11Oral disordersfE76.4 (73.8-79.4)16.358.125.615.145.040.01.41.60.701.088.56.7
12Pregnancy and postpartum caregI71.3 (64.9-77.7)2.797.3020.974.05.142.046.50.300.6010.7
13Depressive disordersG67.5 (62.3-72.7)10.075.514.553.437.78.953.112.521.22.11.409.7
14Sense organ disordershE64.1 (58.1-69.8)7.935.556.746.341.811.974.42.59.61.62.509.5
15Well dentalI60.5 (57.3-63.2)39.844.316.010.754.434.90000092.67.4
16Road injuriesF57.9 (46.7-71.6)8.772.518.836.258.94.911.859.50.20.717.2010.5
17Other neurological diseasesiH52.9 (47.1-58.7)5.262.232.641.750.18.259.37.711.16.35.6010.0
18SepticemiaD52.5 (42.0-62.9)2.553.344.255.040.64.4084.603.12.2010.2
19Other chronic respiratory diseasesjL45.0 (39.4-50.1)22.657.719.726.965.08.172.34.98.00.24.3010.3
20Other digestive diseaseskJ44.4 (40.6-49.5)8.854.037.248.545.36.129.419.919.88.512.3010.1
21Anxiety disordersG42.4 (37.8-47.7)9.775.315.049.641.29.255.77.021.32.53.809.7
22Cerebrovascular diseaseC41.9 (37.7-47.1)1.135.863.156.532.810.74.648.11.032.74.109.4
23Gynecological diseaseslB39.4 (35.3-43.3)2.486.311.218.573.58.051.717.112.20.78.0010.4
24AsthmaL35.5 (32.4-38.2)22.156.821.141.451.57.121.98.648.01.59.9010.1
25COPDL34.3 (31.5-37.3)0.635.863.669.824.26.010.628.828.512.79.709.7
26Rheumatoid arthritisA33.8 (28.9-37.7)17.866.116.136.843.220.06.01.183.80.40.108.7
27Heart failureC33.4 (30.7-36.8)5.134.860.168.023.78.36.951.211.416.54.609.5
28Endocrine, metabolic, blood, and immune disordersmB32.9 (29.9-36.3)10.160.928.936.353.89.932.422.526.45.73.209.9
29CirrhosisN32.5 (27.0-40.4)3.667.928.439.956.23.917.462.92.62.34.3010.5
30Lower respiratory tract infectionsD32.2 (28.7-35.9)17.043.239.856.037.76.412.851.23.99.312.909.9
31Other unintentional injuriesF30.1 (24.3-37.9)8.368.922.827.264.78.063.011.41.42.011.9010.3
32Injuries due to mechanical forcesnF28.7 (23.5-34.4)22.762.614.625.565.39.260.011.01.90.216.7010.1
33Atrial fibrillation and flutterC28.4 (24.6-33.8)025.075.056.436.96.729.429.810.515.35.109.9
34Preterm birth complicationsoD28.2 (21.8-37.6)1000025.970.04.17.581.5000.2010.7
35HyperlipidemiaM26.4 (24.3-29.4)0.651.048.449.143.87.133.45.945.64.70.5010.0
36Other cardiovascular and circulatory diseasespC26.2 (22.8-29.9)3.946.849.353.142.74.137.342.82.33.93.5010.2
37Inflammatory bowel diseaseJ25.3 (22.3-28.7)8.666.125.334.260.85.015.540.412.92.618.2010.5
38Nonmelanoma skin cancerK21.6 (17.7-27.5)0.540.259.345.148.26.687.81.20.80.10010.1
39Gallbladder and biliary diseasesJ20.6 (18.3-23.2)2.571.426.134.761.04.214.352.90.31.720.2010.6
40Chronic kidney diseasesB19.7 (16.3-22.9)3.045.351.759.437.63.09.272.80.36.31.2010.2
41Well infantI17.4 (13.5-21.9)1000029.567.92.6089.1000010.9
42Attention-deficit/hyperactivity disorderG17.0 (14.4-20.1)58.240.01.934.355.610.139.41.049.600.109.9
43HIV/AIDSD15.7 (12.7-20.0)16.373.410.378.715.36.02.46.780.90.5009.5
44Other infectious diseasesqD14.9 (13.0-16.9)36.844.718.537.255.37.642.827.57.83.78.1010.1
45Congenital anomaliesE14.6 (10.6-18.6)72.920.96.330.065.94.17.780.00.60.40.7010.7
46MigraineH14.3 (11.8-17.0)7.386.16.622.869.47.836.76.232.80.113.7010.4
47Multiple sclerosisH13.9 (12.6-15.6)16.668.315.150.936.213.05.13.976.35.40.109.2
48Bipolar disorderG13.7 (12.4-15.1)11.375.912.873.621.64.715.344.823.54.61.909.8
49SchizophreniaG13.7 (12.5-15.0)3.575.021.591.34.74.08.658.98.514.00.509.5
50Other neoplasmsK13.2 (11.0-15.6)10.655.633.733.960.45.744.042.41.01.70.4010.4
51Iron-deficiency anemiaD12.8 (11.0-16.2)4.643.851.653.340.66.019.345.21.219.35.1010.0
52Upper respiratory tract infectionsD12.6 (11.3-13.9)50.238.910.937.054.38.758.16.33.60.321.7010.0
53Drug use disordersrG12.5 (10.9-14.1)3.385.111.671.420.08.659.026.10.50.84.309.4
54LeukemiaK12.0 (10.7-13.6)22.757.919.428.662.78.711.347.729.81.00010.2
55Non-Hodgkin lymphomaK11.8 (10.4-13.4)15.956.727.322.652.225.114.427.448.11.8008.3
56EndocarditisC11.5 (10.6-37.9)2.243.154.751.745.62.78.078.90.32.30010.4
57Indirect maternal complications due to preexisting conditionD11.0 (8.3-13.5)5.894.2037.756.26.02.172.90.2014.5010.3
58Well personI11.0 (9.3-13.0)31.343.725.134.258.37.588.201.600010.2
59Interpersonal violenceF10.9 (8.2-14.0)9.885.84.424.769.45.95.264.50.20.119.4010.6
60Hemoglobinopathies; hemolytic anemiasB10.7 (9.6-11.9)24.258.717.152.317.630.13.118.470.60.20.407.2
61Colon and rectum cancersK10.5 (9.3-11.6)0.656.742.741.854.43.819.765.90.82.80.3010.5
62Morbid obesityM9.7 (7.2-12.4)1.983.015.132.862.15.28.075.12.14.20.1010.5
63Otitis mediaD9.7 (7.9-12.8)77.515.17.525.665.49.078.31.54.40.15.7010.2
64Inguinal or femoral herniaJ9.5 (7.7-11.5)3.761.934.438.255.76.054.527.61.21.05.3010.3
65AppendicitisJ9.3 (8.0-10.8)27.664.18.223.271.15.63.253.200.232.7010.6
66Paralytic ileus; intestinal obstructionJ9.2 (8.3-11.4)5.745.548.958.038.13.83.073.40.16.17.2010.2
67Acute renal failureB9.1 (7.6-10.7)2.432.365.381.914.73.416.759.10.910.03.609.8
68HepatitisD8.9 (7.9-10.4)24.162.313.550.736.412.93.84.282.50.20.109.3
69EpilepsyH8.6 (7.4-10.0)23.158.518.463.431.55.112.849.214.63.410.109.9
70Alcohol use disordersG8.2 (6.9-9.4)2.679.518.071.922.55.536.546.70.21.35.609.7
71PancreatitisJ7.7 (6.3-9.2)3.373.423.345.448.56.15.275.10.34.15.2010.1
72Trachea, bronchus, and lung cancersK7.3 (6.3-8.4)0.644.255.261.035.23.821.361.72.72.61.6010.1
73Multiple myelomaK7.1 (6.1-8.5)3.457.938.737.352.510.228.920.240.50.6009.8
74Peripheral vascular diseaseC7.0 (6.1-8.0)034.565.562.632.64.711.856.51.120.20.3010.0
75Brain and nervous system cancersK6.8 (6.0-7.6)14.163.722.228.365.36.47.267.112.32.40.6010.4
76Diarrheal diseasesD6.6 (6.1-7.2)16.247.036.848.045.56.520.151.71.84.911.4010.1
77Prostate cancerK5.9 (5.4-6.6)1.148.150.841.352.06.839.537.98.43.90.1010.1
78Cardiomyopathy; myocarditisC5.9 (4.5-6.9)5.751.842.547.446.36.342.834.98.91.41.9010.1
79Aortic aneurysmC5.6 (5.1-6.2)1.340.558.262.535.32.37.580.201.80.2010.3
80Hypertensive disorders of pregnancyD5.5 (4.8-6.3)5.194.9041.454.04.62.886.7000.1010.4
81PoisoningsF5.3 (4.5-6.4)10.770.618.745.549.25.35.468.50.80.414.7010.2
82Other maternal disordersD5.1 (4.0-6.0)5.095.0028.167.94.01.376.70.1011.2010.7
83Breast cancerK4.5 (3.6-5.5)0.568.630.934.057.98.131.048.92.85.12.1010.1
84Peptic ulcer diseaseJ4.5 (3.9-5.7)1.653.145.353.042.84.26.671.23.15.23.7010.2
85Parkinson diseaseH4.5 (3.9-5.2)015.384.769.518.511.914.310.012.753.90.109.0
86Obstructed laborD4.4 (3.8-5.1)3.696.4042.952.94.2089.6000010.4
87Rheumatic heart diseaseC4.3 (1.9-5.6)4.020.575.565.831.92.39.678.400.81.0010.2
88Family planningI3.6 (3.0-4.4)4.695.00.411.084.14.912.80.376.000010.9
89Kidney cancerK3.4 (2.9-3.9)9.955.234.949.432.018.518.945.526.20.8008.6
90Gastritis; duodenitisJ3.3 (3.0-3.5)7.361.431.363.629.66.912.140.83.33.231.009.7
91Animal contactF3.2 (2.4-4.4)24.351.024.737.354.08.856.26.82.60.124.3010.0
92GoutA2.8 (1.7-5.7)0.136.563.448.137.714.218.614.827.223.86.509.1
93Autistic spectrum disordersG2.7 (2.0-3.3)72.926.11.157.735.46.981.76.71.70009.8
94Bladder cancerK2.6 (2.3-2.9)0.430.369.260.035.94.146.037.80.94.40.8010.1
95Pancreatic cancerK2.5 (2.2-2.8)2.054.044.047.844.87.511.757.319.21.8009.9
96Foreign bodyF2.5 (2.2-2.8)39.045.015.942.350.37.426.334.92.40.326.1010.1
97Self-harmF2.4 (1.7-3.2)9.481.88.840.653.75.80.878.400.210.4010.3
98Neonatal encephalopathy (birth asphyxia; trauma)D2.4 (1.8-3.3)1000034.361.44.38.081.5000010.6
99Other neonatal disordersD2.2 (1.5-3.0)1000035.160.44.59.679.5000.4010.5
100Interstitial lung disease; pulmonary sarcoidosisL2.1 (1.8-2.5)1.551.647.057.438.44.224.462.80.22.40.1010.1

Abbreviations: COPD, chronic obstructive pulmonary disease; 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 disorders of the joints, muscular, and connective tissue, including myalgia and osteoporosis.

d   Includes urinary tract infection and cyst of kidney.

e   Includes cellulitis, sebaceous cyst, acne, and eczema.

f   Includes oral surgery and dental caries, including fillings, crowns, extractions, and dentures.

g   Includes vaginal and cesarean delivery.

h   Includes cataracts, vision correction, adult hearing loss, and macular degeneration.

i   Includes pain syndromes and muscular dystrophy.

j   Includes sleep apnea, allergic rhinitis, and chronic sinusitis.

k   Includes disease of the esophagus and diverticulitis of the colon.

l   Includes menopausal and postmenopausal disorders and endometriosis.

m   Includes other diseases of the thyroid and von Willebrand disease.

n   Includes injuries due to falling objects, being struck by an object, cuts, or being crushed.

o   Includes respiratory diseases and extreme neonatal immaturity.

p   Includes paroxysmal tachycardia and unspecified dysrhythmias.

q   Includes viral and chlamydial infections and streptococcal infection.

r   Includes cocaine, opioid, amphetamine, and cannabis dependence.