Table 6. Emergency room 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 11.6 $315 $594 $19,248 12.2 46.1 17.9 8.4 15.3 Age in years Under 65 243,624 10.9 312 557 14,781 14.6 55.1 3.0 10.4 16.9 Under 6 24,126 13.3 245 454 1,461 12.0 57.2 *0.4 22.9 *7.5 6-17 48,405 9.8 253 425 2,019 9.2 53.2 *0.4 15.1 *22.1 18-44 109,021 10.9 348 582 6,894 17.5 53.6 *1.2 10.4 17.3 45-64 62,072 10.8 383 654 4,407 13.3 57.7 7.8 4.0 17.2 65 and over 34,782 16.8 341 764 4,467 4.6 16.4 67.3 2.1 *9.7 Sex Male 135,882 10.9 306 618 9,193 12.1 43.1 15.3 7.0 22.5 Female 142,524 12.3 328 574 10,056 12.4 48.9 20.3 9.8 8.6 Race/ethnicity White and other 209,401 11.7 333 602 14,777 12.0 48.5 18.8 6.5 14.1 Black 35,049 13.0 296 575 2,608 9.4 37.4 16.5 13.0 23.7 Hispanic 33,955 9.7 260 566 1,863 18.0 39.6 *12.7 17.3 12.3 Health insurance statusd Under age 65: Any private 182,658 10.4 336 574 10,956 11.7 74.4 0.9 *2.4 10.7 Public only 28,622 17.7 218 432 2,185 5.5 *0.0 16.0 58.0 20.5 Uninsured 32,344 7.4 349 681 1,640 45.8 *0.0 *0.0 *0.0 54.2 Age 65 and over: Medicare only 11,515 15.2 349 815 1,423 5.6 *0.0 75.2 *0.0 *19.2 Medicare and private 19,570 16.2 328 733 2,329 5.0 31.4 60.0 *0.5 *3.1 Medicare and other public 3,568 25.6 — — — — — — — — Poverty statuse Poor 32,053 14.8 245 566 2,686 9.7 *15.0 21.2 32.0 22.1 Near-poor 12,196 14.4 320 568 999 *8.3 24.8 30.5 15.8 *20.5 Low income 37,059 14.1 301 642 3,356 15.7 26.6 23.1 8.3 26.2 Middle income 90,343 11.8 349 594 6,351 13.9 50.0 19.1 3.3 13.7 High income 106,754 9.3 344 588 5,856 10.3 71.0 10.0 *2.1 6.6 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 11.3 $318 $613 $15,695 11.7 47.3 17.9 8.0 15.1 Non-MSA 51,545 13.2 300 523 3,553 14.7 41.0 18.1 10.3 16.0 Census region Northeast 52,636 12.2 285 504 3,246 9.5 47.6 21.2 9.7 12.0 Midwest 64,536 12.7 361 710 5,816 10.0 45.7 16.7 9.0 *18.6 South 97,373 11.9 301 562 6,519 16.4 43.8 17.1 7.3 15.4 West 63,861 9.7 317 595 3,668 10.8 49.7 18.5 8.5 12.5 Perceived health status Excellent 87,890 8.9 290 526 4,123 11.3 58.8 4.2 9.1 16.5 Very good 93,499 9.5 300 588 5,222 13.3 50.0 7.9 7.3 21.4 Good 67,922 12.6 349 586 4,997 13.9 48.5 19.5 8.4 9.7 Fair 20,666 20.7 341 656 2,806 11.1 34.0 38.1 8.5 8.3 Poor 7,720 34.4 373 733 1,945 9.3 23.0 39.4 10.6 17.8 aExpenses for visits to medical providers seen in emergency rooms (except visits resulting in an overnight hospital stay) 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); Workers’ 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.