Countries With the Highest Out-of-pocket Health Spending
Every country with a figure for out-of-pocket health spending, ranked from highest to lowest. The top three are Armenia (80.5%), Bangladesh (79.3%) and Turkmenistan (77.4%). The middle country of the 193 has 27.6%.
What this measures
Out-of-pocket expenditure (% of current health expenditure), in % of health spending. Source: World Health Organization Global Health Expenditure Database. For this measure, higher is worse.
The share of a country's health spending paid by patients themselves when they get care. Health spending as a share of GDP is already on the site and shows how much is spent. This shows who pays.
The full ranking
Each country’s latest figure, from 2021–2024. The year beside each value says when it was measured.
| Rank | Country | Out-of-pocket health spending | Year | Region |
|---|---|---|---|---|
| 1 | Armenia | 80.5% | 2023 | Europe & Central Asia |
| 2 | Bangladesh | 79.3% | 2023 | South Asia |
| 3 | Turkmenistan | 77.4% | 2023 | Europe & Central Asia |
| 4 | Afghanistan | 77.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 5 | Syrian Arab Republic | 72.4% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 6 | Nigeria | 71.9% | 2023 | Sub-Saharan Africa |
| 7 | Myanmar | 71.1% | 2023 | East Asia & Pacific |
| 8 | Yemen, Rep. | 69.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 9 | Cameroon | 67.7% | 2023 | Sub-Saharan Africa |
| 10 | Equatorial Guinea | 66% | 2023 | Sub-Saharan Africa |
| 11 | Azerbaijan | 64.6% | 2023 | Europe & Central Asia |
| 12 | Togo | 64.3% | 2023 | Sub-Saharan Africa |
| 13 | Uzbekistan | 64.1% | 2023 | Europe & Central Asia |
| 14 | Liberia | 63.2% | 2023 | Sub-Saharan Africa |
| 15 | Tajikistan | 62.4% | 2023 | Europe & Central Asia |
| 16 | Guinea-Bissau | 61.6% | 2023 | Sub-Saharan Africa |
| 17 | Cambodia | 60.6% | 2023 | East Asia & Pacific |
| 18 | Nepal | 59.4% | 2023 | South Asia |
| 19 | Georgia | 58.8% | 2023 | Europe & Central Asia |
| 20 | Sudan | 57.4% | 2023 | Sub-Saharan Africa |
| 21 | Egypt, Arab Rep. | 57.2% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 22 | Guatemala | 57.2% | 2023 | Latin America & Caribbean |
| 23 | Comoros | 56.6% | 2023 | Sub-Saharan Africa |
| 24 | Sri Lanka | 54.8% | 2023 | South Asia |
| 25 | Sierra Leone | 54.5% | 2023 | Sub-Saharan Africa |
| 26 | Guinea | 54.4% | 2023 | Sub-Saharan Africa |
| 27 | Iraq | 54% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 28 | Honduras | 53.1% | 2023 | Latin America & Caribbean |
| 29 | Pakistan | 52.9% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 30 | Haiti | 52.4% | 2023 | Latin America & Caribbean |
| 31 | Chad | 51.7% | 2023 | Sub-Saharan Africa |
| 32 | Niger | 51.5% | 2023 | Sub-Saharan Africa |
| 33 | Barbados | 49.5% | 2023 | Latin America & Caribbean |
| 34 | Mongolia | 48.8% | 2023 | East Asia & Pacific |
| 35 | Grenada | 48.5% | 2023 | Latin America & Caribbean |
| 36 | Eritrea | 48.4% | 2023 | Sub-Saharan Africa |
| 37 | Albania | 48.3% | 2023 | Europe & Central Asia |
| 38 | Mali | 47.2% | 2023 | Sub-Saharan Africa |
| 39 | Ethiopia | 46.3% | 2023 | Sub-Saharan Africa |
| 40 | Ukraine | 45.3% | 2021 | Europe & Central Asia |
| 41 | Trinidad and Tobago | 45.3% | 2023 | Latin America & Caribbean |
| 42 | Mauritius | 45.2% | 2023 | Sub-Saharan Africa |
| 43 | Central African Republic | 45% | 2023 | Sub-Saharan Africa |
| 44 | Algeria | 45% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 45 | Lao PDR | 44.8% | 2023 | East Asia & Pacific |
| 46 | Philippines | 44.4% | 2023 | East Asia & Pacific |
| 47 | Senegal | 44.3% | 2023 | Sub-Saharan Africa |
| 48 | India | 43.9% | 2023 | South Asia |
| 49 | Burkina Faso | 43.8% | 2023 | Sub-Saharan Africa |
| 50 | Mauritania | 43.8% | 2023 | Sub-Saharan Africa |
| 51 | Iran, Islamic Rep. | 43.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 52 | Benin | 42.4% | 2023 | Sub-Saharan Africa |
| 53 | Kyrgyz Republic | 42.3% | 2023 | Europe & Central Asia |
| 54 | West Bank and Gaza | 42.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 55 | St. Kitts and Nevis | 41.8% | 2023 | Latin America & Caribbean |
| 56 | Mexico | 41.2% | 2023 | Latin America & Caribbean |
| 57 | Panama | 40.5% | 2023 | Latin America & Caribbean |
| 58 | North Macedonia | 39.6% | 2023 | Europe & Central Asia |
| 59 | Viet Nam | 39.2% | 2023 | East Asia & Pacific |
| 60 | Chile | 39.1% | 2024 | Latin America & Caribbean |
| 61 | Congo, Dem. Rep. | 38% | 2023 | Sub-Saharan Africa |
| 62 | Tunisia | 37.9% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 63 | Nicaragua | 37.6% | 2023 | Latin America & Caribbean |
| 64 | Morocco | 37.3% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 65 | St. Lucia | 37.1% | 2023 | Latin America & Caribbean |
| 66 | Malaysia | 37.1% | 2023 | East Asia & Pacific |
| 67 | Paraguay | 36.3% | 2023 | Latin America & Caribbean |
| 68 | Bulgaria | 35.5% | 2023 | Europe & Central Asia |
| 69 | Latvia | 35.1% | 2023 | Europe & Central Asia |
| 70 | Jordan | 34.5% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 71 | Greece | 34.3% | 2023 | Europe & Central Asia |
| 72 | Gambia, The | 33.8% | 2023 | Sub-Saharan Africa |
| 73 | Korea, Rep. | 33.7% | 2024 | East Asia & Pacific |
| 74 | Angola | 32.5% | 2023 | Sub-Saharan Africa |
| 75 | El Salvador | 32.5% | 2023 | Latin America & Caribbean |
| 76 | China | 32.2% | 2023 | East Asia & Pacific |
| 77 | Uganda | 32.2% | 2023 | Sub-Saharan Africa |
| 78 | Serbia | 32.1% | 2023 | Europe & Central Asia |
| 79 | Cote d'Ivoire | 32% | 2023 | Sub-Saharan Africa |
| 80 | Lithuania | 31.4% | 2024 | Europe & Central Asia |
| 81 | Indonesia | 31.1% | 2023 | East Asia & Pacific |
| 82 | Bosnia and Herzegovina | 31% | 2023 | Europe & Central Asia |
| 83 | Malta | 30.9% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 84 | Ecuador | 30.9% | 2023 | Latin America & Caribbean |
| 85 | Somalia, Fed. Rep. | 30.8% | 2023 | Sub-Saharan Africa |
| 86 | Lebanon | 29.7% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 87 | Venezuela, RB | 29.7% | 2023 | Latin America & Caribbean |
| 88 | Dominica | 29.3% | 2023 | Latin America & Caribbean |
| 89 | Djibouti | 28.8% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 90 | Bahrain | 28.7% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 91 | Belarus | 28.5% | 2023 | Europe & Central Asia |
| 92 | Russian Federation | 28.4% | 2023 | Europe & Central Asia |
| 93 | Portugal | 28.2% | 2024 | Europe & Central Asia |
| 94 | Congo, Rep. | 28% | 2023 | Sub-Saharan Africa |
| 95 | Seychelles | 28% | 2023 | Sub-Saharan Africa |
| 96 | Tanzania | 27.9% | 2023 | Sub-Saharan Africa |
| 97 | Kazakhstan | 27.6% | 2023 | Europe & Central Asia |
| 98 | Bahamas, The | 27.5% | 2023 | Latin America & Caribbean |
| 99 | Moldova | 27.5% | 2023 | Europe & Central Asia |
| 100 | Madagascar | 27.4% | 2023 | Sub-Saharan Africa |
| 101 | Bolivia | 27.3% | 2023 | Latin America & Caribbean |
| 102 | South Sudan | 27.1% | 2023 | Sub-Saharan Africa |
| 103 | Peru | 27% | 2023 | Latin America & Caribbean |
| 104 | Belize | 26.8% | 2023 | Latin America & Caribbean |
| 105 | Ghana | 26.7% | 2023 | Sub-Saharan Africa |
| 106 | St. Vincent and the Grenadines | 26.6% | 2023 | Latin America & Caribbean |
| 107 | Montenegro | 26.3% | 2023 | Europe & Central Asia |
| 108 | Guyana | 26.3% | 2023 | Latin America & Caribbean |
| 109 | Brazil | 26.2% | 2023 | Latin America & Caribbean |
| 110 | Cabo Verde | 25.7% | 2023 | Sub-Saharan Africa |
| 111 | Bhutan | 25.5% | 2023 | South Asia |
| 112 | Singapore | 25.4% | 2023 | East Asia & Pacific |
| 113 | Dominican Republic | 25.1% | 2023 | Latin America & Caribbean |
| 114 | Burundi | 24.5% | 2023 | Sub-Saharan Africa |
| 115 | Argentina | 24.5% | 2023 | Latin America & Caribbean |
| 116 | Kenya | 24.2% | 2023 | Sub-Saharan Africa |
| 117 | Costa Rica | 24.1% | 2023 | Latin America & Caribbean |
| 118 | Hungary | 23.1% | 2023 | Europe & Central Asia |
| 119 | Romania | 23% | 2023 | Europe & Central Asia |
| 120 | Italy | 22.3% | 2024 | Europe & Central Asia |
| 121 | Switzerland | 22% | 2023 | Europe & Central Asia |
| 122 | Belgium | 21.5% | 2023 | Europe & Central Asia |
| 123 | Estonia | 21.4% | 2024 | Europe & Central Asia |
| 124 | Spain | 20.9% | 2023 | Europe & Central Asia |
| 125 | Antigua and Barbuda | 20.8% | 2023 | Latin America & Caribbean |
| 126 | Israel | 20.5% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 127 | Jamaica | 20.2% | 2023 | Latin America & Caribbean |
| 128 | Slovak Republic | 20.2% | 2023 | Europe & Central Asia |
| 129 | Liechtenstein | 19.7% | 2023 | Europe & Central Asia |
| 130 | Suriname | 19.7% | 2023 | Latin America & Caribbean |
| 131 | Libya | 19.2% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 132 | Turkiye | 19% | 2023 | Europe & Central Asia |
| 133 | Maldives | 18% | 2023 | South Asia |
| 134 | Cyprus | 17.9% | 2023 | Europe & Central Asia |
| 135 | Gabon | 17.3% | 2023 | Sub-Saharan Africa |
| 136 | Uruguay | 17.1% | 2023 | Latin America & Caribbean |
| 137 | Sao Tome and Principe | 16.7% | 2023 | Sub-Saharan Africa |
| 138 | Cuba | 16.6% | 2023 | Latin America & Caribbean |
| 139 | Austria | 16.5% | 2024 | Europe & Central Asia |
| 140 | Poland | 16.2% | 2024 | Europe & Central Asia |
| 141 | Australia | 15.8% | 2023 | East Asia & Pacific |
| 142 | Canada | 15.3% | 2024 | North America |
| 143 | Iceland | 14.9% | 2024 | Europe & Central Asia |
| 144 | Colombia | 14.7% | 2024 | Latin America & Caribbean |
| 145 | United Kingdom | 14.6% | 2024 | Europe & Central Asia |
| 146 | Saudi Arabia | 14.1% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 147 | Finland | 14.1% | 2023 | Europe & Central Asia |
| 148 | Czechia | 14.1% | 2024 | Europe & Central Asia |
| 149 | Denmark | 13.9% | 2024 | Europe & Central Asia |
| 150 | Norway | 13.7% | 2023 | Europe & Central Asia |
| 151 | Samoa | 13.4% | 2023 | East Asia & Pacific |
| 152 | Sweden | 13.4% | 2024 | Europe & Central Asia |
| 153 | Lesotho | 13.2% | 2023 | Sub-Saharan Africa |
| 154 | San Marino | 13.1% | 2023 | Europe & Central Asia |
| 155 | New Zealand | 12.7% | 2024 | East Asia & Pacific |
| 156 | Japan | 12.2% | 2023 | East Asia & Pacific |
| 157 | Palau | 12.1% | 2023 | East Asia & Pacific |
| 158 | Malawi | 12% | 2023 | Sub-Saharan Africa |
| 159 | Netherlands | 11.8% | 2024 | Europe & Central Asia |
| 160 | Slovenia | 11.7% | 2024 | Europe & Central Asia |
| 161 | Andorra | 11.1% | 2023 | Europe & Central Asia |
| 162 | Eswatini | 11% | 2023 | Sub-Saharan Africa |
| 163 | United States | 10.9% | 2023 | North America |
| 164 | Germany | 10.7% | 2024 | Europe & Central Asia |
| 165 | Zimbabwe | 10.6% | 2023 | Sub-Saharan Africa |
| 166 | Ireland | 10.6% | 2024 | Europe & Central Asia |
| 167 | Mozambique | 10.4% | 2023 | Sub-Saharan Africa |
| 168 | Zambia | 10.3% | 2023 | Sub-Saharan Africa |
| 169 | Kuwait | 10% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 170 | Thailand | 9.93% | 2023 | East Asia & Pacific |
| 171 | United Arab Emirates | 9.67% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 172 | Croatia | 9.38% | 2023 | Europe & Central Asia |
| 173 | France | 9.23% | 2024 | Europe & Central Asia |
| 174 | Papua New Guinea | 8.55% | 2023 | East Asia & Pacific |
| 175 | Luxembourg | 8.5% | 2024 | Europe & Central Asia |
| 176 | Monaco | 8.45% | 2023 | Europe & Central Asia |
| 177 | Vanuatu | 8.38% | 2023 | East Asia & Pacific |
| 178 | Fiji | 8.31% | 2023 | East Asia & Pacific |
| 179 | Namibia | 7.49% | 2023 | Sub-Saharan Africa |
| 180 | Qatar | 7.43% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 181 | Brunei Darussalam | 7.41% | 2023 | East Asia & Pacific |
| 182 | Timor-Leste | 6.99% | 2023 | East Asia & Pacific |
| 183 | South Africa | 6.69% | 2023 | Sub-Saharan Africa |
| 184 | Oman | 6.31% | 2023 | Middle East, North Africa, Afghanistan & Pakistan |
| 185 | Tonga | 5.86% | 2023 | East Asia & Pacific |
| 186 | Botswana | 4.26% | 2023 | Sub-Saharan Africa |
| 187 | Rwanda | 4.1% | 2023 | Sub-Saharan Africa |
| 188 | Solomon Islands | 3.16% | 2023 | East Asia & Pacific |
| 189 | Kiribati | 2.91% | 2023 | East Asia & Pacific |
| 190 | Micronesia, Fed. Sts. | 2.58% | 2023 | East Asia & Pacific |
| 191 | Marshall Islands | 1.05% | 2023 | East Asia & Pacific |
| 192 | Naoero | 0.732% | 2023 | East Asia & Pacific |
| 193 | Tuvalu | 0.0446% | 2023 | East Asia & Pacific |
More on out-of-pocket health spending
- Countries With the Lowest Out-of-pocket Health Spending
- Out-of-pocket health spending by country: trend over time and what it goes with
Related rankings
- Countries With the Highest Life Expectancy
- Countries With the Highest Infant Mortality
- Countries With the Highest Under-5 Mortality
- Countries With the Highest Health Spending
- Countries With the Highest Suicide Rates
- Countries With the Highest Hospital Beds
- Countries With the Highest Basic Water Access
- Countries With the Highest Basic Sanitation
A ranking describes countries, not the people in them, and a high or low place does not by itself say why. All country rankings.