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Table 2

Health care expenditures in the U.S., by diabetes status and type of service, 2017 (in millions of dollars)

Cost componentPopulation with diabetesPopulation without diabetesTotal*
Attributed to diabetesTotal incurred by people with diabetes
Dollars% of U.S. totalDollars% of U.S. total
Institutional care       
 Hospital inpatient 69,661 14 122,729 25 362,855 485,584 
 Nursing/residential facility 6,439 24,484 25 71,934 96,419 
 Hospice 64 0.3 3,180 13 21,933 25,114 
Outpatient care       
 Physician office 29,990 12 51,882 21 190,024 241,906 
 Emergency department 7,990 18,651 12 133,894 152,545 
 Ambulance services 332 700 17 3,356 4,056 
 Hospital outpatient 12,049 10 21,012 18 98,872 119,884 
 Home health 3,388 14,479 21 53,824 68,303 
 Podiatry 252 10 607 25 1,835 2,442 
Outpatient medications and supplies       
 Insulin 14,981 100 14,981 100 14,981 
 Diabetes supplies 3,723 100 3,723 100 3,723 
 Other antidiabetes agents 15,855 100 15,855 100 15,855 
 Prescription medications 71,235 17 117,160 27 310,697 427,856 
 Other equipment and supplies 1,310 4,564 16 24,796 29,360 
Total 237,269 14 414,427 24 1,277,908 1,692,335 
Cost componentPopulation with diabetesPopulation without diabetesTotal*
Attributed to diabetesTotal incurred by people with diabetes
Dollars% of U.S. totalDollars% of U.S. total
Institutional care       
 Hospital inpatient 69,661 14 122,729 25 362,855 485,584 
 Nursing/residential facility 6,439 24,484 25 71,934 96,419 
 Hospice 64 0.3 3,180 13 21,933 25,114 
Outpatient care       
 Physician office 29,990 12 51,882 21 190,024 241,906 
 Emergency department 7,990 18,651 12 133,894 152,545 
 Ambulance services 332 700 17 3,356 4,056 
 Hospital outpatient 12,049 10 21,012 18 98,872 119,884 
 Home health 3,388 14,479 21 53,824 68,303 
 Podiatry 252 10 607 25 1,835 2,442 
Outpatient medications and supplies       
 Insulin 14,981 100 14,981 100 14,981 
 Diabetes supplies 3,723 100 3,723 100 3,723 
 Other antidiabetes agents 15,855 100 15,855 100 15,855 
 Prescription medications 71,235 17 117,160 27 310,697 427,856 
 Other equipment and supplies 1,310 4,564 16 24,796 29,360 
Total 237,269 14 414,427 24 1,277,908 1,692,335 

Data sources: NIS (2014), CMS MDS (2013), NAMCS (2013–2015), NHAMCS (2012–2014), MEPS (2011–2015), NHHCS (2007), NHIS (2014–2016), OptumInsight dNHI (2015), and Medicare 5% SAFs (2014).

*

Numbers do not necessarily sum to totals because of rounding.

Includes oral medications and noninsulin injectable antidiabetes agents such as exenatide and pramlintide.

Includes but is not limited to eyewear, orthopedic items, hearing devices, prosthesis, bathroom aids, medical equipment, and disposable supplies.

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