The National Health Expenditure Accounts (NHEA) are the official estimates of total health care spending in the United States. Dating back to 1960, the NHEA measures annual U.S. expenditures for health care goods and services, public health activities, government administration, the net cost of health insurance, and investment related to health care. The data are presented by type of service, sources of funding, and type of sponsor.
U.S. health care spending grew 9.7 percent in 2020, reaching $4.1 trillion or $12,530 per person. As a share of the nation's Gross Domestic Product, health spending accounted for 19.7 percent.
For additional information, see below.
Downloads
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Highlights (PDF) -
NHE Tables (ZIP) -
National Health Expenditures by type of service and source of funds, CY 1960-2020 (ZIP) -
NHE Summary, including share of GDP, CY 1960-2020 (ZIP) -
Definitions, Sources, and Methods (PDF) -
Accounting for Federal COVID Expenditures in the National Health Expenditure Accounts (PDF) -
NHE Deflator Methodology (PDF) -
Nation's health dollar: where it came from, where it went (PDF) -
Summary of benchmark changes (2019) (PDF) -
Summary of benchmark changes (2014) (PDF) -
Summary of benchmark changes (2009) (PDF) -
Summary of benchmark changes (2004) (PDF) -
Quick Definitions for National Health Expenditures Accounts (NHEA) Categories (PDF)