What people pay—and what healthcare systems cost
2023 comparable data · WHO Global Health Expenditure Database via World Bank WDI · retrieved October 15, 2026.
Coverage of the research
217 countries and economies, including the United States, are listed below; 191 have 2023 spending values. Missing values remain visible. Use this global spending comparison to explore different systems. Coverage, taxes and insurance rules vary by country. Low spending may reflect low prices, lower wages, unmet need, or limited coverage. Benefits and access differ.
U.S. reference, same source and year
Direct out-of-pocket: $123/month. Total system spending: $1,123/month. These exclude different items: out-of-pocket excludes premiums and taxes. For a consistent comparison, all countries below use the same 2023 source. The homepage’s CMS figures use a different national-expenditure measure.
What universal coverage looks like for households
- England: NHS services generally free at use, with statutory exceptions. General taxation helps fund the system; there is no standard monthly NHS premium representing the entire personal tax contribution. Dental, optical and prescription charges can apply.
- Canada: tax-funded universal system covering medically necessary hospital and physician care; this is not universal zero-cost coverage of every dental, drug, and long-term-care expense.
- Germany: statutory insurance funded largely through income-linked contributions, shared by employees and employers, with fund-specific additional contributions and public funding. This is not a flat per-person division of national spending.
- Netherlands: standard insurance has a nominal premium plus an income-related contribution. Under-18s do not pay the standard premium. Deductibles and assistance rules also matter.
For the full household picture, look at taxes and premiums alongside direct care payments. The out-of-pocket column captures only direct payments; allocating general taxes to healthcare requires additional assumptions.
Global monthly comparison
Click a column heading to sort; click again to reverse. Missing values stay at the bottom. The United States is highlighted.
Showing 217 countries and economies · Total system / month: descending.
| United States U.S. | $123 | $1,123 | $1,123 | $606 |
| Switzerland | $216 | $982 | $883 | $325 |
| Liechtenstein | $189 | $958 | $816 | $661 |
| Norway | $95 | $691 | $794 | $595 |
| Monaco | $56 | $667 | $816 | $571 |
| Luxembourg | $55 | $626 | $694 | $542 |
| Iceland | $86 | $589 | $552 | $492 |
| Australia | $92 | $582 | $641 | $428 |
| Ireland | $65 | $573 | $689 | $439 |
| Denmark | $76 | $543 | $591 | $452 |
| Germany | $59 | $533 | $692 | $422 |
| Netherlands | $64 | $531 | $644 | $363 |
| Austria | $86 | $522 | $657 | $400 |
| Sweden | $67 | $517 | $626 | $445 |
| Canada | $78 | $516 | $613 | $362 |
| Belgium | $106 | $494 | $624 | $364 |
| Finland | $65 | $460 | $536 | $373 |
| United Kingdom | $66 | $451 | $530 | $368 |
| France | $40 | $429 | $560 | $291 |
| New Zealand | $52 | $416 | $461 | $324 |
| Israel | $67 | $327 | $336 | $214 |
| San Marino | $43 | $327 | $436 | $284 |
| Singapore | $83 | $327 | $546 | $191 |
| Japan | $37 | $303 | $447 | $257 |
| Malta | $93 | $302 | $476 | $199 |
| Andorra | $33 | $300 | $460 | $213 |
| Italy | $65 | $274 | $405 | $200 |
| Spain | $54 | $259 | $411 | $189 |
| Korea, Rep. | $81 | $254 | $400 | $149 |
| Slovenia | $31 | $253 | $412 | $185 |
| Cyprus | $43 | $242 | $378 | $186 |
| Portugal | $67 | $230 | $390 | $141 |
| Czechia | $32 | $223 | $375 | $188 |
| United Arab Emirates | $19 | $200 | $311 | $134 |
| Naoero | $1 | $191 | $206 | $160 |
| Bahamas, The | $52 | $189 | $193 | $95 |
| Estonia | $42 | $188 | $292 | $143 |
| Uruguay | $30 | $173 | $261 | $125 |
| Lithuania | $53 | $170 | $318 | $111 |
| Greece | $56 | $164 | $288 | $83 |
| Saudi Arabia | $21 | $152 | $290 | $118 |
| Slovak Republic | $30 | $151 | $269 | $119 |
| Qatar | $11 | $150 | $242 | $125 |
| Chile | $50 | $145 | $278 | $75 |
| Tuvalu | $0 | $144 | $139 | $105 |
| Palau | $17 | $140 | $155 | $85 |
| Kuwait | $14 | $140 | $214 | $124 |
| Latvia | $48 | $137 | $253 | $82 |
| Poland | $21 | $131 | $278 | $101 |
| Panama | $53 | $130 | $277 | $66 |
| Croatia | $12 | $129 | $269 | $108 |
| Argentina | $30 | $121 | $257 | $73 |
| Hungary | $27 | $118 | $240 | $87 |
| St. Kitts and Nevis | $45 | $108 | $161 | $59 |
| Barbados | $53 | $107 | $96 | $45 |
| Trinidad and Tobago | $48 | $106 | $187 | $51 |
| Bulgaria | $37 | $105 | $247 | $66 |
| Bahrain | $28 | $98 | $213 | $58 |
| Costa Rica | $23 | $97 | $161 | $65 |
| Maldives | $17 | $97 | $191 | $76 |
| Montenegro | $25 | $96 | $242 | $66 |
| Romania | $20 | $88 | $218 | $66 |
| Brazil | $22 | $84 | $173 | $37 |
| Russian Federation | $24 | $84 | $267 | $59 |
| Serbia | $26 | $82 | $192 | $54 |
| Marshall Islands | $1 | $75 | $73 | $56 |
| Antigua and Barbuda | $15 | $70 | $103 | $41 |
| Bosnia and Herzegovina | $20 | $64 | $166 | $43 |
| Armenia | $51 | $64 | $169 | $10 |
| Seychelles | $18 | $64 | $117 | $45 |
| China | $20 | $64 | $124 | $36 |
| Mexico | $26 | $63 | $114 | $31 |
| Brunei Darussalam | $5 | $61 | $158 | $57 |
| Oman | $4 | $61 | $120 | $52 |
| St. Lucia | $20 | $53 | $102 | $27 |
| North Macedonia | $21 | $53 | $151 | $31 |
| Mauritius | $23 | $51 | $130 | $23 |
| Albania | $24 | $49 | $122 | $24 |
| Turkmenistan | $37 | $48 | $105 | $8 |
| Colombia | $7 | $48 | $142 | $33 |
| Belarus | $13 | $47 | $183 | $31 |
| Georgia | $27 | $46 | $140 | $16 |
| Turkiye | $9 | $46 | $147 | $35 |
| South Africa | $3 | $45 | $113 | $28 |
| Paraguay | $16 | $44 | $122 | $24 |
| Grenada | $21 | $44 | $73 | $20 |
| Jamaica | $9 | $43 | $72 | $28 |
| Ecuador | $13 | $42 | $103 | $26 |
| Micronesia, Fed. Sts. | $1 | $42 | $40 | $6 |
| Guyana | $11 | $42 | $111 | $30 |
| El Salvador | $14 | $42 | $98 | $25 |
| Dominica | $12 | $41 | $81 | $28 |
| Kazakhstan | $11 | $41 | $122 | $27 |
| Botswana | $2 | $41 | $109 | $31 |
| Dominican Republic | $10 | $41 | $97 | $26 |
| Libya | $8 | $39 | $88 | $31 |
| St. Vincent and the Grenadines | $10 | $39 | $76 | $27 |
| Moldova | $10 | $38 | $98 | $26 |
| Malaysia | $14 | $38 | $120 | $19 |
| Peru | $10 | $37 | $80 | $24 |
| Namibia | $2 | $33 | $89 | $19 |
| Guatemala | $19 | $33 | $78 | $12 |
| Mongolia | $15 | $30 | $92 | $13 |
| Tonga | $2 | $30 | $43 | $14 |
| West Bank and Gaza | $12 | $29 | $50 | $12 |
| Jordan | $10 | $29 | $66 | $13 |
| Iraq | $15 | $28 | $70 | $13 |
| Thailand | $3 | $27 | $89 | $21 |
| Tunisia | $10 | $26 | $93 | $14 |
| Belize | $7 | $26 | $48 | $17 |
| Azerbaijan | $16 | $25 | $83 | $8 |
| Suriname | $5 | $25 | $95 | $15 |
| Eswatini | $3 | $25 | $77 | $11 |
| Samoa | $3 | $24 | $40 | $17 |
| Cabo Verde | $6 | $24 | $51 | $14 |
| Iran, Islamic Rep. | $10 | $22 | $89 | $10 |
| Lebanon | $6 | $22 | $54 | $8 |
| Bolivia | $6 | $21 | $63 | $14 |
| Gabon | $4 | $21 | $56 | $14 |
| Honduras | $11 | $21 | $46 | $7 |
| Kiribati | $1 | $20 | $33 | $16 |
| Equatorial Guinea | $13 | $19 | $51 | $6 |
| Algeria | $9 | $19 | $61 | $10 |
| Morocco | $7 | $19 | $51 | $11 |
| Nicaragua | $7 | $18 | $57 | $10 |
| Fiji | $1 | $18 | $46 | $13 |
| Viet Nam | $6 | $16 | $57 | $7 |
| Philippines | $7 | $16 | $47 | $7 |
| Uzbekistan | $10 | $16 | $62 | $6 |
| Venezuela, RB | $5 | $15 | $9 | $5 |
| Sao Tome and Principe | $2 | $14 | $30 | $5 |
| Bhutan | $3 | $14 | $56 | $9 |
| Timor-Leste | $1 | $12 | $38 | $9 |
| Vanuatu | $1 | $12 | $12 | $7 |
| Egypt, Arab Rep. | $7 | $12 | $75 | $4 |
| Sri Lanka | $6 | $11 | $42 | $4 |
| Indonesia | $3 | $11 | $35 | $6 |
| Lesotho | $1 | $10 | $32 | $5 |
| Cambodia | $6 | $10 | $29 | $3 |
| Solomon Islands | $0 | $9 | $13 | $6 |
| Liberia | $5 | $9 | $19 | $1 |
| Comoros | $5 | $9 | $21 | $1 |
| Kyrgyz Republic | $3 | $8 | $29 | $4 |
| Mauritania | $3 | $8 | $25 | $3 |
| Cote d'Ivoire | $2 | $7 | $21 | $3 |
| Papua New Guinea | $1 | $7 | $11 | $5 |
| Tajikistan | $4 | $7 | $30 | $2 |
| Kenya | $2 | $7 | $23 | $3 |
| India | $3 | $7 | $29 | $3 |
| Nepal | $4 | $7 | $28 | $2 |
| Guinea-Bissau | $4 | $7 | $21 | $1 |
| Zambia | $1 | $7 | $20 | $3 |
| Cameroon | $4 | $7 | $21 | $1 |
| Djibouti | $2 | $6 | $13 | $3 |
| Angola | $2 | $6 | $21 | $3 |
| Congo, Rep. | $2 | $6 | $17 | $2 |
| Senegal | $3 | $6 | $17 | $2 |
| South Sudan | $2 | $6 | $13 | $0 |
| Burkina Faso | $3 | $6 | $19 | $2 |
| Ghana | $2 | $6 | $20 | $4 |
| Nigeria | $4 | $6 | $22 | $1 |
| Zimbabwe | $1 | $5 | $9 | $2 |
| Togo | $3 | $5 | $15 | $1 |
| Guinea | $3 | $5 | $14 | $1 |
| Afghanistan | $4 | $5 | $27 | $0 |
| Myanmar | $3 | $5 | $24 | $1 |
| Haiti | $2 | $5 | $9 | $0 |
| Central African Republic | $2 | $4 | $11 | $1 |
| Bangladesh | $4 | $4 | $17 | $1 |
| Mozambique | $0 | $4 | $12 | $1 |
| Rwanda | $0 | $4 | $15 | $2 |
| Yemen, Rep. | $3 | $4 | $14 | $0 |
| Chad | $2 | $4 | $11 | $1 |
| Benin | $2 | $4 | $11 | $1 |
| Uganda | $1 | $4 | $12 | $1 |
| Malawi | $0 | $3 | $10 | $0 |
| Tanzania | $1 | $3 | $10 | $1 |
| Sierra Leone | $2 | $3 | $13 | $0 |
| Ethiopia | $1 | $3 | $7 | $1 |
| Mali | $1 | $3 | $9 | $1 |
| Syrian Arab Republic | $2 | $3 | $10 | $0 |
| Pakistan | $1 | $3 | $13 | $1 |
| Eritrea | $1 | $2 | $7 | $1 |
| Burundi | $1 | $2 | $8 | $0 |
| Lao PDR | $1 | $2 | $10 | $1 |
| Niger | $1 | $2 | $6 | $1 |
| Gambia, The | $1 | $2 | $8 | $1 |
| Congo, Dem. Rep. | $1 | $2 | $5 | $0 |
| Somalia, Fed. Rep. | $1 | $2 | $4 | $0 |
| Sudan | $1 | $2 | $2 | $0 |
| Madagascar | $0 | $1 | $5 | $0 |
| American Samoa | Not available | Not available | Not available | Not available |
| Aruba | Not available | Not available | Not available | Not available |
| Bermuda | Not available | Not available | Not available | Not available |
| British Virgin Islands | Not available | Not available | Not available | Not available |
| Cayman Islands | Not available | Not available | Not available | Not available |
| Channel Islands | Not available | Not available | Not available | Not available |
| Cuba | Not available | Not available | $215 | Not available |
| Curacao | Not available | Not available | Not available | Not available |
| Faroe Islands | Not available | Not available | Not available | Not available |
| French Polynesia | Not available | Not available | Not available | Not available |
| Gibraltar | Not available | Not available | Not available | Not available |
| Greenland | Not available | Not available | Not available | Not available |
| Guam | Not available | Not available | Not available | Not available |
| Hong Kong SAR, China | Not available | Not available | Not available | Not available |
| Isle of Man | Not available | Not available | Not available | Not available |
| Korea, Dem. People's Rep. | Not available | Not available | Not available | Not available |
| Kosovo | Not available | Not available | Not available | Not available |
| Macao SAR, China | Not available | Not available | Not available | Not available |
| New Caledonia | Not available | Not available | Not available | Not available |
| Northern Mariana Islands | Not available | Not available | Not available | Not available |
| Puerto Rico (US) | Not available | Not available | Not available | Not available |
| Sint Maarten (Dutch part) | Not available | Not available | Not available | Not available |
| St. Martin (French part) | Not available | Not available | Not available | Not available |
| Turks and Caicos Islands | Not available | Not available | Not available | Not available |
| Ukraine | Not available | Not available | Not available | Not available |
| Virgin Islands (U.S.) | Not available | Not available | Not available | Not available |
Explore the sources. Check the math.
Every displayed monthly value equals the source annual per-capita value divided by 12, rounded only for display. Unavailable data is labeled clearly rather than shown as zero.