US Out Of Pocket Healthcare Expenditure Market: By Service Type (Elective Surgeries, Prescription Drugs, Office-Based Procedures, Hospital Stays, Dental, and Others), By Expenditure Type (Direct Payments, Co-Payments, and Premium Fees)), By End Users (Disabled Persons, Medicaid recipients, Obese Persons, Senior Citizens, The Mentally Ill, Uninsured or Underinsured, and Others), and Country    

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US Out Of Pocket Healthcare Expenditure Market size was valued at USD x billion in 2023 and is poised to grow at a CAGR of x% from 2024-2030. The owing to the expansion of health insurance coverage.  This report studies U.S. out-of-pocket healthcare expenditure dynamics elaborately to identify the current trends & drivers, future opportunities, and possible challenges to the key stakeholders operating in the market.  Healthcare consumers in U.S. are spending their major chunk of out-of-pocket healthcare expenditure on pharmaceuticals as co-pays and dental services as physician fees and elective surgeries. For instance in 2015, according to U.S. Centers for Medicare & Medicaid Services, Out-of-pocket spending for dental services (which accounted for 40 percent of dental spending) increased 1.8 percent in 2015 after increasing 0.8 percent in 2014. The spending on prescription drugs is mainly attributed to an increase in spending on new medicines & generics and growth in prices of existing brands.

U S Out Of Pocket Healthcare Expenditure Market Dynamics

The increasing out-of-pocket healthcare expenditure has created the ample growth opportunities for healthcare service providers in the country. For instance, in 2015, Out-of-pocket spending grew 2.6% to $338.1 Bn, slightly faster than the growth of 1.4% in 2014. Consumers with better healthcare plans and higher premiums continue to receive quality healthcare services and people with less comprehensive plans do not receive the same. Consumers often pay healthcare expenses through cash or check, credit cards, flexible spending accounts, health savings accounts, healthcare financing programs, loans and lines of credit. Moreover, cash or check, credit cards are common means of paying healthcare expenditure in U.S.

U S Out Of Pocket Healthcare Expenditure Market Segmentation

By Service Type
  • Elective Surgeries
  • Prescription Drugs
  • Office-Based Procedures
  • Hospital Stays
  • Dental
  • Others
By Expenditure Type
  • Direct Payments
  • Co-Payments
  • Premium Fees
By End User
  • Disabled Persons
  • Medicaid recipients
  • Obese Persons
  • Senior Citizens
  • The Mentally Ill
  • Uninsured or Underinsured
  • Others

Frequently Asked Questions

2021 is the base year and 2028 is the forecast year.

The report covers the five regions and 15+ countries market data: North America (United States, Canada), Europe (Germany, France, Italy, Spain, and United Kingdom (UK), Asia Pacific (China, India, Japan, Australia & New Zealand), Latin America (Brazil, Mexico, Argentina) and Middle East and Africa (Saudi Arabia, United Arab Emirates, South Africa).

In our report, we provide 12-15 market players’ information into the report. However, based on the client’s request we will provide additional country and regional market players information as well.

Key Features of the Reports

  • The report provides granular level information about the market size, regional market share, historic market (2019-2023), and forecast (2024-2030)
  • The report covers in-detail insights about the competitor's overview, company share analysis, key market developments, and their key strategies
  • The report outlines drivers, restraints, unmet needs, and trends that are currently affecting the market
  • The report tracks recent innovations, key developments, and start-up details that are actively working in the market
  • The report provides a plethora of information about market entry strategies, regulatory framework, and reimbursement scenario
1.Executive Summary
2. US Out Of Pocket Healthcare Expenditure Market Introduction 
2.1. US Out Of Pocket Healthcare Expenditure Market  - Taxonomy
2.2. US Out Of Pocket Healthcare Expenditure Market  - Definitions
2.2.1.Service Type
2.2.2.Expenditure Type
2.2.3.End User
3. US Out Of Pocket Healthcare Expenditure Market Dynamics
3.1. Drivers
3.2. Restraints
3.3. Opportunities/Unmet Needs of the Market
3.4. Trends
3.5. Product Landscape
3.6. New Product Launches
3.7. Impact of COVID 19 on Market
4. US Out Of Pocket Healthcare Expenditure Market Analysis, 2019 - 2023 and Forecast 2024 - 2030
4.1.  Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
4.2.  Year-Over-Year (Y-o-Y) Growth Analysis (%) 
4.3.  Market Opportunity Analysis 
5. US Out Of Pocket Healthcare Expenditure Market  By Service Type, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
5.1. Elective Surgeries
5.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.1.3. Market Opportunity Analysis 
5.2. Prescription Drugs
5.2.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.2.3. Market Opportunity Analysis 
5.3. Office-Based Procedures
5.3.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.3.3. Market Opportunity Analysis 
5.4. Hospital Stays
5.4.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.4.3. Market Opportunity Analysis 
5.5. Dental
5.5.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.5.3. Market Opportunity Analysis 
5.6. Others
5.6.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
5.6.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
5.6.3. Market Opportunity Analysis 
6. US Out Of Pocket Healthcare Expenditure Market  By Expenditure Type, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
6.1. Direct Payments
6.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
6.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.1.3. Market Opportunity Analysis 
6.2. Co-Payments
6.2.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
6.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.2.3. Market Opportunity Analysis 
6.3. Premium Fees
6.3.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
6.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
6.3.3. Market Opportunity Analysis 
7. US Out Of Pocket Healthcare Expenditure Market  By End User, 2019 - 2023 and Forecast 2024 - 2030 (Sales Value USD Million)
7.1. Disabled Persons
7.1.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.1.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.1.3. Market Opportunity Analysis 
7.2. Medicaid recipients
7.2.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.2.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.2.3. Market Opportunity Analysis 
7.3. Obese Persons
7.3.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.3.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.3.3. Market Opportunity Analysis 
7.4. Senior Citizens
7.4.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.4.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.4.3. Market Opportunity Analysis 
7.5. The Mentally Ill
7.5.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.5.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.5.3. Market Opportunity Analysis 
7.6. Uninsured or Underinsured
7.6.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.6.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.6.3. Market Opportunity Analysis 
7.7. Others
7.7.1. Market Analysis, 2019 - 2023 and Forecast, 2024 - 2030, (Sales Value USD Million)
7.7.2. Year-Over-Year (Y-o-Y) Growth Analysis (%) and Market Share Analysis (%) 
7.7.3. Market Opportunity Analysis 
8. Competition Landscape
8.1.  Market Player Profiles (Introduction, Brand/Product Sales, Financial Analysis, Product Offerings, Key Developments, Collaborations, M & A, Strategies, and SWOT Analysis) 
8.2.1.Ajeva,
8.2.2.Aurora Quick Care,
8.2.3.CareCredit,
8.2.4.CareSpot,
8.2.5.ClearBalance,
8.2.6.ClearGage,
8.2.7.Concentra,
8.2.8.Denefits,
8.2.9.E-Financing Solutions,
8.2.10.FastMed,
8.2.11.Lending Club Patient Solutions,
8.2.12. LendingUSA,
8.2.8.MinuteClinic,
8.2.14.NextCare,
8.2.15.PatientFi,
8.2.16.Prosper Healthcare Lending,
8.2.17.RediClinic,
8.2.18.Reliance Medical Financial,
9. Research Methodology 
10. Appendix and Abbreviations 
  • Ajeva,
  • Aurora Quick Care,
  • CareCredit,
  • CareSpot,
  • ClearBalance,
  • ClearGage,
  • Concentra,
  • Denefits,
  • E-Financing Solutions,
  • FastMed,
  • Lending Club Patient Solutions,
  •  LendingUSA,
  • MinuteClinic,
  • NextCare,
  • PatientFi,
  • Prosper Healthcare Lending,
  • RediClinic,
  • Reliance Medical Financial,
  • SimpleSelect Patient Finance,
  • Wells Fargo

Adjacent Markets