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. 2018 Mar 22;41(5):917–928. doi: 10.2337/dci18-0007

Table 5.

Annual per capita health care expenditures in the U.S., by diabetes status, 2017 (in actual dollars)

Cost component With diabetes ($) Unadjusted Adjusted for age and sex
Without diabetes ($) Ratio with to without diabetes Without diabetes ($) Ratio with to without diabetes Attributed to diabetes ($)*
Institutional care
 Hospital inpatient 4,966 1,202 4.1 2,147 2.3 2,819
 Nursing/residential facility 991 238 4.2 730 1.4 261
 Hospice 129 73 1.8 126 1.0 3
Outpatient care
 Physician office 2,099 629 3.3 886 2.4 1,213
 Emergency 755 443 1.7 431 1.7 323
 Ambulance services 28 11 2.5 15 1.9 13
 Hospital outpatient and freestanding ambulatory surgical center 850 327 2.6 363 2.3 488
 Home health 586 178 3.3 449 1.3 137
 Podiatry 25 6 4.0 14 1.7 10
Outpatient medications and supplies
 Insulin 606 NA NA NA NA 606
 Diabetes supplies 151 NA NA NA NA 151
 Other antidiabetes agents† 642 NA NA NA NA 641
 Prescription medications 4,741 1,029 4.6 1,858 2.6 2,882
 Other equipment and supplies‡ 185 82 2.2 132 1.4 53
Total* 16,752 4,220 4.0 7,151 2.3 9,601

Data sources: NIS (2014), CMS MDS (2013), NAMCS (2013–2015), NHAMCS (2012–2014), MEPS (2011–2015), NHHCS (2007), NHIS (2014–2016), OptumInsight dNHI (2015), Medicare 5% SAFs (2014), and U.S. Census Bureau (2017). NA, not applicable.

*

Numbers do not necessarily sum to totals because of rounding.

†

Includes 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.