Table 5. Hospital outpatient servicesa—Median and mean expenses per person with expense and distribution of expenses by source of payment: United States, 2000 Expense per person Percent distribution of total expenses by source with an expense of payment Percent Total Population Population with expenses Out of Private characteristic (in thousands) expense Median Mean (in millions) pocket insuranceb Medicare Medicaid Otherc Total 278,406 13.1 $555 $1,501 $54,880 7.5 52.9 22.2 5.0 12.4 Age in years Under 65 243,624 11.0 528 1,376 36,767 8.6 68.0 *5.3 6.3 11.8 Under 6 24,126 6.3 325 962 1,465 4.8 71.1 *1.6 *17.2 *5.3 6-17 48,405 5.3 353 1,175 3,012 6.8 64.8 *0.2 *17.5 10.8 18-44 109,021 9.7 535 1,364 14,431 10.3 65.2 *3.7 5.1 15.6 45-64 62,072 19.4 605 1,480 17,860 7.8 70.5 7.7 4.6 9.5 65 and over 34,782 28.3 615 1,841 18,113 5.4 22.2 56.5 *2.4 *13.5 Sex Male 135,882 10.2 683 1,781 24,716 8.0 51.4 21.3 4.5 14.8 Female 142,524 15.9 462 1,329 30,163 7.2 54.1 22.9 5.4 10.4 Race/ethnicity White and other 209,401 14.8 577 1,506 46,613 7.5 55.0 23.1 2.7 11.7 Black 35,049 8.9 383 1,468 4,558 *10.7 41.3 17.4 15.7 14.9 Hispanic 33,955 7.4 527 1,482 3,709 4.3 40.5 *16.8 21.1 17.3 Health insurance statusd Under age 65: Any private 182,658 12.0 570 1,391 30,505 8.6 81.9 1.2 1.0 7.4 Public only 28,622 11.1 337 1,364 4,330 *3.1 *0.0 36.7 46.9 13.3 Uninsured 32,344 5.0 *380 1,190 1,932 21.1 *0.0 *0.0 *0.0 78.9 Age 65 and over: Medicare only 11,515 22.5 549 2,012 5,215 *2.9 *0.0 62.7 *0.0 *34.4 Medicare and private 19,570 32.5 704 1,824 11,613 5.3 34.7 54.8 *0.6 *4.7 Medicare and other public 3,568 24.5 — — — — — — — — Poverty statuse Poor 32,053 10.0 377 1,215 3,882 7.4 20.8 26.2 29.9 15.8 Near-poor 12,196 13.3 *295 *1,441 *2,334 *3.7 *9.8 58.5 *15.3 *12.6 Low income 37,059 12.7 585 1,654 7,785 7.6 37.5 30.3 8.6 16.1 Middle income 90,343 12.8 590 1,601 18,538 6.3 51.6 21.4 2.2 18.5 High income 106,754 14.5 581 1,444 22,340 9.0 69.3 15.5 *0.8 5.4 Expense per person Percent distribution of total expenses by source with an expense of payment Percent Total Population Population with expenses Out of Private characteristic (in thousands) expense Median Mean (in millions) pocket insuranceb Medicare Medicaid Otherc Metropolitan statistical area (MSA) MSA 226,861 12.6 $563 $1,457 $41,592 7.6 53.4 20.8 4.8 13.4 Non-MSA 51,545 15.6 532 1,656 13,288 7.4 51.2 26.5 5.8 9.1 Census region Northeast 52,636 16.4 528 1,325 11,415 3.7 55.1 29.1 4.4 *7.7 Midwest 64,536 16.0 482 1,594 16,504 8.1 51.5 22.6 2.5 *15.3 South 97,373 11.5 658 1,495 16,743 7.8 54.7 18.2 6.0 13.2 West 63,861 10.0 547 1,596 10,217 10.4 49.5 20.3 8.2 11.6 Perceived health status Excellent 87,890 7.4 362 1,031 6,721 7.0 68.7 10.4 2.9 10.9 Very good 93,499 12.1 480 1,291 14,652 10.6 59.3 13.8 4.7 11.6 Good 67,922 16.1 600 1,500 16,430 5.3 52.4 21.3 5.5 *15.5 Fair 20,666 25.8 709 1,879 10,001 5.2 43.4 32.4 7.1 11.8 Poor 7,720 30.8 1,098 2,933 6,981 *9.9 38.8 38.8 3.6 9.0 aExpenses for visits to medical providers seen in hospital outpatient departments are included. bPrivate insurance includes TRICARE (Armed-Forces-related coverage). cOther includes payments from the Department of Veterans Affairs (except TRICARE); other Federal sources (Indian Health Service, military treatment facilities, and other care provided by the Federal Government); various State and local sources (community and neighborhood clinics, State and local health departments, and State programs other than Medicaid); Worker’s Compensation; various unclassified sources (e.g., automobile, homeowner’s, or other liability insurance, and other miscellaneous or unknown sources); Medicaid payments reported for persons who were not reported as enrolled in the Medicaid program at any time during the year; and private insurance payments reported for persons without any reported private health insurance coverage during the year. dUninsured refers to persons uninsured during the entire year. Public and private health insurance categories refer to individuals with public or private insurance at any time during the period; individuals with both public and private insurance and those with TRICARE (Armed-Forces-related coverage) are classified as having private insurance. ePoor—persons in families with income less than 100 percent of the poverty line, including those whose losses exceeded their earnings, resulting in negative income; near-poor—persons in families with income from 100 percent to less than 125 percent of the poverty line; low income—persons in families with income from 125 percent to less than 200 percent of the poverty line; middle income—persons in families with income from 200 percent to less than 400 percent of the poverty line; high income—persons in families with income at or over 400 percent of the poverty line. —Less than 100 sample cases. *Relative standard error equal to or greater than 30 percent. Note: Restricted to civilian noninstitutionalized population. Percents may not add to 100 because of rounding. Source: Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey, 2000.