Table 2.
Health Care Estimated Spending in 2016 for the 100 Most Expensive Health Conditions of the 154 Health Conditions Analyzed
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.
Health
Care
Spending
Rank
(High
to Low)Health Condition Category
CodebHealth 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
InsurancePrivate
InsuranceOut-
of-Pocket
PaymentsAmbulatory Inpatient Prescribed
PharmaceuticalsNursing
Care
FacilityED Dental 1 Low back and neck pain A 134.5 (122.4-146.9) 1.9 67.9 30.3 33.7 57.2 9.2 58.7 22.4 3.5 1.4 3.9 0 10.0 2 Other musculoskeletal disordersc A 129.8 (116.3-149.7) 3.9 60.7 35.4 36.2 56.4 7.5 64.5 8.6 8.7 5.5 2.5 0 10.2 3 Diabetes B 111.2 (105.7-115.9) 2.5 57.4 40.1 49.8 44.2 6.0 27.1 8.6 46.3 5.8 2.1 0 10.1 4 Ischemic heart disease C 89.3 (81.1-95.5) 0.4 42.7 56.9 54.0 42.4 3.5 23.8 49.5 7.5 3.8 5.1 0 10.3 5 Falls F 87.4 (75-100.1) 5.2 38.4 56.4 46.7 39.7 13.6 27.7 31.1 1.1 21.1 9.7 0 9.2 6 Urinary diseasesd B 86.0 (76.3-95.9) 4.1 48.2 47.7 49.2 45.1 5.7 52.0 14.1 7.8 5.1 11.0 0 10.1 7 Skin and subcutaneous diseasese E 85.0 (80.5-90.2) 15.2 55.3 29.5 35.0 58.0 7.0 54.1 12.3 13.6 3.8 5.9 0 10.2 8 Osteoarthritis A 80.0 (72.2-86.1) 0 50.1 49.9 45.4 49.5 5.1 26.7 49.9 6.1 6.6 0.4 0 10.3 9 Dementias H 79.2 (67.6-90.8) 0 3.1 96.9 56.1 19.2 24.6 2.2 9.3 2.4 77.1 1.2 0 7.8 10 Hypertension M 79.0 (72.6-86.8) 0.7 48.1 51.2 56.9 36.5 6.6 60.1 5.2 12.1 7.1 5.6 0 9.9 11 Oral disordersf E 76.4 (73.8-79.4) 16.3 58.1 25.6 15.1 45.0 40.0 1.4 1.6 0.7 0 1.0 88.5 6.7 12 Pregnancy and postpartum careg I 71.3 (64.9-77.7) 2.7 97.3 0 20.9 74.0 5.1 42.0 46.5 0.3 0 0.6 0 10.7 13 Depressive disorders G 67.5 (62.3-72.7) 10.0 75.5 14.5 53.4 37.7 8.9 53.1 12.5 21.2 2.1 1.4 0 9.7 14 Sense organ disordersh E 64.1 (58.1-69.8) 7.9 35.5 56.7 46.3 41.8 11.9 74.4 2.5 9.6 1.6 2.5 0 9.5 15 Well dental I 60.5 (57.3-63.2) 39.8 44.3 16.0 10.7 54.4 34.9 0 0 0 0 0 92.6 7.4 16 Road injuries F 57.9 (46.7-71.6) 8.7 72.5 18.8 36.2 58.9 4.9 11.8 59.5 0.2 0.7 17.2 0 10.5 17 Other neurological diseasesi H 52.9 (47.1-58.7) 5.2 62.2 32.6 41.7 50.1 8.2 59.3 7.7 11.1 6.3 5.6 0 10.0 18 Septicemia D 52.5 (42.0-62.9) 2.5 53.3 44.2 55.0 40.6 4.4 0 84.6 0 3.1 2.2 0 10.2 19 Other chronic respiratory diseasesj L 45.0 (39.4-50.1) 22.6 57.7 19.7 26.9 65.0 8.1 72.3 4.9 8.0 0.2 4.3 0 10.3 20 Other digestive diseasesk J 44.4 (40.6-49.5) 8.8 54.0 37.2 48.5 45.3 6.1 29.4 19.9 19.8 8.5 12.3 0 10.1 21 Anxiety disorders G 42.4 (37.8-47.7) 9.7 75.3 15.0 49.6 41.2 9.2 55.7 7.0 21.3 2.5 3.8 0 9.7 22 Cerebrovascular disease C 41.9 (37.7-47.1) 1.1 35.8 63.1 56.5 32.8 10.7 4.6 48.1 1.0 32.7 4.1 0 9.4 23 Gynecological diseasesl B 39.4 (35.3-43.3) 2.4 86.3 11.2 18.5 73.5 8.0 51.7 17.1 12.2 0.7 8.0 0 10.4 24 Asthma L 35.5 (32.4-38.2) 22.1 56.8 21.1 41.4 51.5 7.1 21.9 8.6 48.0 1.5 9.9 0 10.1 25 COPD L 34.3 (31.5-37.3) 0.6 35.8 63.6 69.8 24.2 6.0 10.6 28.8 28.5 12.7 9.7 0 9.7 26 Rheumatoid arthritis A 33.8 (28.9-37.7) 17.8 66.1 16.1 36.8 43.2 20.0 6.0 1.1 83.8 0.4 0.1 0 8.7 27 Heart failure C 33.4 (30.7-36.8) 5.1 34.8 60.1 68.0 23.7 8.3 6.9 51.2 11.4 16.5 4.6 0 9.5 28 Endocrine, metabolic, blood, and immune disordersm B 32.9 (29.9-36.3) 10.1 60.9 28.9 36.3 53.8 9.9 32.4 22.5 26.4 5.7 3.2 0 9.9 29 Cirrhosis N 32.5 (27.0-40.4) 3.6 67.9 28.4 39.9 56.2 3.9 17.4 62.9 2.6 2.3 4.3 0 10.5 30 Lower respiratory tract infections D 32.2 (28.7-35.9) 17.0 43.2 39.8 56.0 37.7 6.4 12.8 51.2 3.9 9.3 12.9 0 9.9 31 Other unintentional injuries F 30.1 (24.3-37.9) 8.3 68.9 22.8 27.2 64.7 8.0 63.0 11.4 1.4 2.0 11.9 0 10.3 32 Injuries due to mechanical forcesn F 28.7 (23.5-34.4) 22.7 62.6 14.6 25.5 65.3 9.2 60.0 11.0 1.9 0.2 16.7 0 10.1 33 Atrial fibrillation and flutter C 28.4 (24.6-33.8) 0 25.0 75.0 56.4 36.9 6.7 29.4 29.8 10.5 15.3 5.1 0 9.9 34 Preterm birth complicationso D 28.2 (21.8-37.6) 100 0 0 25.9 70.0 4.1 7.5 81.5 0 0 0.2 0 10.7 35 Hyperlipidemia M 26.4 (24.3-29.4) 0.6 51.0 48.4 49.1 43.8 7.1 33.4 5.9 45.6 4.7 0.5 0 10.0 36 Other cardiovascular and circulatory diseasesp C 26.2 (22.8-29.9) 3.9 46.8 49.3 53.1 42.7 4.1 37.3 42.8 2.3 3.9 3.5 0 10.2 37 Inflammatory bowel disease J 25.3 (22.3-28.7) 8.6 66.1 25.3 34.2 60.8 5.0 15.5 40.4 12.9 2.6 18.2 0 10.5 38 Nonmelanoma skin cancer K 21.6 (17.7-27.5) 0.5 40.2 59.3 45.1 48.2 6.6 87.8 1.2 0.8 0.1 0 0 10.1 39 Gallbladder and biliary diseases J 20.6 (18.3-23.2) 2.5 71.4 26.1 34.7 61.0 4.2 14.3 52.9 0.3 1.7 20.2 0 10.6 40 Chronic kidney diseases B 19.7 (16.3-22.9) 3.0 45.3 51.7 59.4 37.6 3.0 9.2 72.8 0.3 6.3 1.2 0 10.2 41 Well infant I 17.4 (13.5-21.9) 100 0 0 29.5 67.9 2.6 0 89.1 0 0 0 0 10.9 42 Attention-deficit/hyperactivity disorder G 17.0 (14.4-20.1) 58.2 40.0 1.9 34.3 55.6 10.1 39.4 1.0 49.6 0 0.1 0 9.9 43 HIV/AIDS D 15.7 (12.7-20.0) 16.3 73.4 10.3 78.7 15.3 6.0 2.4 6.7 80.9 0.5 0 0 9.5 44 Other infectious diseasesq D 14.9 (13.0-16.9) 36.8 44.7 18.5 37.2 55.3 7.6 42.8 27.5 7.8 3.7 8.1 0 10.1 45 Congenital anomalies E 14.6 (10.6-18.6) 72.9 20.9 6.3 30.0 65.9 4.1 7.7 80.0 0.6 0.4 0.7 0 10.7 46 Migraine H 14.3 (11.8-17.0) 7.3 86.1 6.6 22.8 69.4 7.8 36.7 6.2 32.8 0.1 13.7 0 10.4 47 Multiple sclerosis H 13.9 (12.6-15.6) 16.6 68.3 15.1 50.9 36.2 13.0 5.1 3.9 76.3 5.4 0.1 0 9.2 48 Bipolar disorder G 13.7 (12.4-15.1) 11.3 75.9 12.8 73.6 21.6 4.7 15.3 44.8 23.5 4.6 1.9 0 9.8 49 Schizophrenia G 13.7 (12.5-15.0) 3.5 75.0 21.5 91.3 4.7 4.0 8.6 58.9 8.5 14.0 0.5 0 9.5 50 Other neoplasms K 13.2 (11.0-15.6) 10.6 55.6 33.7 33.9 60.4 5.7 44.0 42.4 1.0 1.7 0.4 0 10.4 51 Iron-deficiency anemia D 12.8 (11.0-16.2) 4.6 43.8 51.6 53.3 40.6 6.0 19.3 45.2 1.2 19.3 5.1 0 10.0 52 Upper respiratory tract infections D 12.6 (11.3-13.9) 50.2 38.9 10.9 37.0 54.3 8.7 58.1 6.3 3.6 0.3 21.7 0 10.0 53 Drug use disordersr G 12.5 (10.9-14.1) 3.3 85.1 11.6 71.4 20.0 8.6 59.0 26.1 0.5 0.8 4.3 0 9.4 54 Leukemia K 12.0 (10.7-13.6) 22.7 57.9 19.4 28.6 62.7 8.7 11.3 47.7 29.8 1.0 0 0 10.2 55 Non-Hodgkin lymphoma K 11.8 (10.4-13.4) 15.9 56.7 27.3 22.6 52.2 25.1 14.4 27.4 48.1 1.8 0 0 8.3 56 Endocarditis C 11.5 (10.6-37.9) 2.2 43.1 54.7 51.7 45.6 2.7 8.0 78.9 0.3 2.3 0 0 10.4 57 Indirect maternal complications due to preexisting condition D 11.0 (8.3-13.5) 5.8 94.2 0 37.7 56.2 6.0 2.1 72.9 0.2 0 14.5 0 10.3 58 Well person I 11.0 (9.3-13.0) 31.3 43.7 25.1 34.2 58.3 7.5 88.2 0 1.6 0 0 0 10.2 59 Interpersonal violence F 10.9 (8.2-14.0) 9.8 85.8 4.4 24.7 69.4 5.9 5.2 64.5 0.2 0.1 19.4 0 10.6 60 Hemoglobinopathies; hemolytic anemias B 10.7 (9.6-11.9) 24.2 58.7 17.1 52.3 17.6 30.1 3.1 18.4 70.6 0.2 0.4 0 7.2 61 Colon and rectum cancers K 10.5 (9.3-11.6) 0.6 56.7 42.7 41.8 54.4 3.8 19.7 65.9 0.8 2.8 0.3 0 10.5 62 Morbid obesity M 9.7 (7.2-12.4) 1.9 83.0 15.1 32.8 62.1 5.2 8.0 75.1 2.1 4.2 0.1 0 10.5 63 Otitis media D 9.7 (7.9-12.8) 77.5 15.1 7.5 25.6 65.4 9.0 78.3 1.5 4.4 0.1 5.7 0 10.2 64 Inguinal or femoral hernia J 9.5 (7.7-11.5) 3.7 61.9 34.4 38.2 55.7 6.0 54.5 27.6 1.2 1.0 5.3 0 10.3 65 Appendicitis J 9.3 (8.0-10.8) 27.6 64.1 8.2 23.2 71.1 5.6 3.2 53.2 0 0.2 32.7 0 10.6 66 Paralytic ileus; intestinal obstruction J 9.2 (8.3-11.4) 5.7 45.5 48.9 58.0 38.1 3.8 3.0 73.4 0.1 6.1 7.2 0 10.2 67 Acute renal failure B 9.1 (7.6-10.7) 2.4 32.3 65.3 81.9 14.7 3.4 16.7 59.1 0.9 10.0 3.6 0 9.8 68 Hepatitis D 8.9 (7.9-10.4) 24.1 62.3 13.5 50.7 36.4 12.9 3.8 4.2 82.5 0.2 0.1 0 9.3 69 Epilepsy H 8.6 (7.4-10.0) 23.1 58.5 18.4 63.4 31.5 5.1 12.8 49.2 14.6 3.4 10.1 0 9.9 70 Alcohol use disorders G 8.2 (6.9-9.4) 2.6 79.5 18.0 71.9 22.5 5.5 36.5 46.7 0.2 1.3 5.6 0 9.7 71 Pancreatitis J 7.7 (6.3-9.2) 3.3 73.4 23.3 45.4 48.5 6.1 5.2 75.1 0.3 4.1 5.2 0 10.1 72 Trachea, bronchus, and lung cancers K 7.3 (6.3-8.4) 0.6 44.2 55.2 61.0 35.2 3.8 21.3 61.7 2.7 2.6 1.6 0 10.1 73 Multiple myeloma K 7.1 (6.1-8.5) 3.4 57.9 38.7 37.3 52.5 10.2 28.9 20.2 40.5 0.6 0 0 9.8 74 Peripheral vascular disease C 7.0 (6.1-8.0) 0 34.5 65.5 62.6 32.6 4.7 11.8 56.5 1.1 20.2 0.3 0 10.0 75 Brain and nervous system cancers K 6.8 (6.0-7.6) 14.1 63.7 22.2 28.3 65.3 6.4 7.2 67.1 12.3 2.4 0.6 0 10.4 76 Diarrheal diseases D 6.6 (6.1-7.2) 16.2 47.0 36.8 48.0 45.5 6.5 20.1 51.7 1.8 4.9 11.4 0 10.1 77 Prostate cancer K 5.9 (5.4-6.6) 1.1 48.1 50.8 41.3 52.0 6.8 39.5 37.9 8.4 3.9 0.1 0 10.1 78 Cardiomyopathy; myocarditis C 5.9 (4.5-6.9) 5.7 51.8 42.5 47.4 46.3 6.3 42.8 34.9 8.9 1.4 1.9 0 10.1 79 Aortic aneurysm C 5.6 (5.1-6.2) 1.3 40.5 58.2 62.5 35.3 2.3 7.5 80.2 0 1.8 0.2 0 10.3 80 Hypertensive disorders of pregnancy D 5.5 (4.8-6.3) 5.1 94.9 0 41.4 54.0 4.6 2.8 86.7 0 0 0.1 0 10.4 81 Poisonings F 5.3 (4.5-6.4) 10.7 70.6 18.7 45.5 49.2 5.3 5.4 68.5 0.8 0.4 14.7 0 10.2 82 Other maternal disorders D 5.1 (4.0-6.0) 5.0 95.0 0 28.1 67.9 4.0 1.3 76.7 0.1 0 11.2 0 10.7 83 Breast cancer K 4.5 (3.6-5.5) 0.5 68.6 30.9 34.0 57.9 8.1 31.0 48.9 2.8 5.1 2.1 0 10.1 84 Peptic ulcer disease J 4.5 (3.9-5.7) 1.6 53.1 45.3 53.0 42.8 4.2 6.6 71.2 3.1 5.2 3.7 0 10.2 85 Parkinson disease H 4.5 (3.9-5.2) 0 15.3 84.7 69.5 18.5 11.9 14.3 10.0 12.7 53.9 0.1 0 9.0 86 Obstructed labor D 4.4 (3.8-5.1) 3.6 96.4 0 42.9 52.9 4.2 0 89.6 0 0 0 0 10.4 87 Rheumatic heart disease C 4.3 (1.9-5.6) 4.0 20.5 75.5 65.8 31.9 2.3 9.6 78.4 0 0.8 1.0 0 10.2 88 Family planning I 3.6 (3.0-4.4) 4.6 95.0 0.4 11.0 84.1 4.9 12.8 0.3 76.0 0 0 0 10.9 89 Kidney cancer K 3.4 (2.9-3.9) 9.9 55.2 34.9 49.4 32.0 18.5 18.9 45.5 26.2 0.8 0 0 8.6 90 Gastritis; duodenitis J 3.3 (3.0-3.5) 7.3 61.4 31.3 63.6 29.6 6.9 12.1 40.8 3.3 3.2 31.0 0 9.7 91 Animal contact F 3.2 (2.4-4.4) 24.3 51.0 24.7 37.3 54.0 8.8 56.2 6.8 2.6 0.1 24.3 0 10.0 92 Gout A 2.8 (1.7-5.7) 0.1 36.5 63.4 48.1 37.7 14.2 18.6 14.8 27.2 23.8 6.5 0 9.1 93 Autistic spectrum disorders G 2.7 (2.0-3.3) 72.9 26.1 1.1 57.7 35.4 6.9 81.7 6.7 1.7 0 0 0 9.8 94 Bladder cancer K 2.6 (2.3-2.9) 0.4 30.3 69.2 60.0 35.9 4.1 46.0 37.8 0.9 4.4 0.8 0 10.1 95 Pancreatic cancer K 2.5 (2.2-2.8) 2.0 54.0 44.0 47.8 44.8 7.5 11.7 57.3 19.2 1.8 0 0 9.9 96 Foreign body F 2.5 (2.2-2.8) 39.0 45.0 15.9 42.3 50.3 7.4 26.3 34.9 2.4 0.3 26.1 0 10.1 97 Self-harm F 2.4 (1.7-3.2) 9.4 81.8 8.8 40.6 53.7 5.8 0.8 78.4 0 0.2 10.4 0 10.3 98 Neonatal encephalopathy (birth asphyxia; trauma) D 2.4 (1.8-3.3) 100 0 0 34.3 61.4 4.3 8.0 81.5 0 0 0 0 10.6 99 Other neonatal disorders D 2.2 (1.5-3.0) 100 0 0 35.1 60.4 4.5 9.6 79.5 0 0 0.4 0 10.5 100 Interstitial lung disease; pulmonary sarcoidosis L 2.1 (1.8-2.5) 1.5 51.6 47.0 57.4 38.4 4.2 24.4 62.8 0.2 2.4 0.1 0 10.1 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.