Story at a glance The findings come even as the number of Americans with health insurance increases. Out-of-pocket costs are typically paid in the form of deductibles or copays, or for services not covered by insurance. The steep rise seen in 2021 follows a decrease in out-of-pocket spending in 2020 during the COVID-19 pandemic. U.S. spending on health care grew by 2.7 percent to reach a total of $4.3 trillion in 2021, or around $12,900 per person, according to new figures from the Centers for Medicare & Medicaid Services (CMS). Although this growth was slower than the increase of 10.3 percent in 2020, out-of-pocket health care spending accounted for 1
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