Table 2. Total health 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 83.5 $721 $2,700 $627,897 19.4 40.5 20.9 9.8 9.5 Age in years Under 65 243,624 81.8 586 2,127 423,933 20.3 52.8 4.6 12.3 10.0 Under 6 24,126 86.7 267 1,124 23,497 10.3 51.3 *0.3 31.6 6.5 6-17 48,405 80.0 335 1,117 43,241 27.7 49.1 *0.1 16.4 6.7 18-44 109,021 77.7 575 1,905 161,419 19.9 51.6 *3.9 14.2 10.4 45-64 62,072 88.5 1,287 3,562 195,776 20.2 54.7 6.7 7.5 10.9 65 and over 34,782 95.5 2,278 6,140 203,964 17.5 15.0 54.7 4.5 8.3 Sex Male 135,882 78.4 580 2,633 280,592 16.8 40.7 21.4 8.5 12.6 Female 142,524 88.4 871 2,757 347,305 21.5 40.4 20.5 10.8 6.9 Race/ethnicity White and other 209,401 87.4 833 2,832 518,202 20.3 41.7 21.1 7.8 9.0 Black 35,049 73.2 411 2,647 67,926 12.2 33.3 22.1 18.9 13.5 Hispanic 33,955 70.3 386 1,749 41,770 18.9 37.4 16.1 19.3 8.3 Health insurance statusd Under age 65: Any private 182,658 85.9 638 2,042 320,512 21.0 69.8 1.5 1.7 6.0 Public only 28,622 83.3 465 3,170 75,629 9.7 *0.0 19.7 61.8 8.7 Uninsured 32,344 57.3 305 1,500 27,793 40.4 *0.0 *0.0 *0.0 59.6 Age 65 and over: Medicare only 11,515 94.7 2,033 5,206 56,798 22.2 *0.0 62.5 *0.0 15.3 Medicare and private 19,570 95.9 2,362 6,276 117,811 17.0 25.9 51.7 *0.5 4.8 Medicare and other public 3,568 96.4 3,094 8,324 28,624 10.4 *0.0 53.1 29.8 6.7 Poverty statuse Poor 32,053 77.3 524 3,173 78,641 13.9 13.2 26.0 34.3 12.6 Near-poor 12,196 78.1 729 2,967 28,263 17.3 11.3 35.2 27.2 9.0 Low income 37,059 79.1 690 3,134 91,838 17.7 25.4 32.1 14.7 10.1 Middle income 90,343 82.7 664 2,555 190,908 19.0 44.5 20.5 4.4 11.6 High income 106,754 88.2 815 2,529 238,247 22.3 55.6 13.5 *2.1 6.5 Table 2. Total health servicesa�Median and mean expenses per person with expense and distribution of expenses by source of payment: United States, 2000 (continued) 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 83.3 $702 $2,641 $498,915 19.2 40.6 20.4 9.8 9.9 Non-MSA 51,545 84.6 816 2,958 128,982 19.9 40.0 22.9 9.5 7.8 Census region Northeast 52,636 86.5 802 2,716 123,622 19.0 40.9 22.1 10.7 7.2 Midwest 64,536 86.2 737 2,900 161,354 18.5 39.3 22.2 8.6 11.4 South 97,373 81.6 727 2,747 218,206 20.3 39.7 21.2 9.0 9.7 West 63,861 81.3 646 2,402 124,715 19.2 43.0 17.4 11.8 8.7 Perceived health status Excellent 87,890 79.3 416 1,281 89,341 26.3 52.9 7.5 6.7 6.6 Very good 93,499 83.6 650 1,901 148,573 24.4 48.5 12.2 6.2 8.7 Good 67,922 84.5 994 2,856 163,835 19.7 44.7 16.9 9.4 9.4 Fair 20,666 93.3 2,432 6,689 128,956 14.8 29.5 33.6 14.0 8.1 Poor 7,720 97.0 5,129 12,051 90,204 11.5 23.3 36.4 13.8 *14.9 aInpatient hospital and physician services, ambulatory physician and nonphysician services, prescribed medicines, home health services, dental services, and various other medical equipment and services that were purchased or rented during the year are included. Over-the-counter medications, alternative care services, and telephone contacts are excluded. 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. *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.