What is the Average Medical and Health Insurance Cost in USA?

The USA is famous for having the most expensive healthcare services. Average health consumption per capita is nearly $11,000 which is double of what other countries spend. USA spend nearly 18% of its GDP in health care whereas other countries such as Sweden, France, the U.K, Germany spend nearly 11%.

What does the Average Medical and Healthcare cost in the USA? The average health consumption per person per year is nearly $11,000, making the USA the most expensive place to have healthcare treatment. In the second position is Switzerland who’s average health consumption per year is nearly $8,000.

In the USA, drugs are more expensive than other countries; doctors get paid more than other countries; medical services such as simple diagnosis cost twice as much as other countries.

Comparison Of Medical Cost in the USA

Here’s a comparison of medical cost in the USA with other wealthy countries

Humira – A common medicine for arthritis, and inflammatory bowel disorders.

  • USA – $2,660
  • UK – $1,360
  • Spain – $1,250
  • Switzerland – $820

Harvoni – A treatment for hepatitis C

  • USA – $32,110
  • UK – $22,550
  • Spain – $18,160
  • Switzerland – $16,860

Avastin – A cancer drug

  • USA – $3,930
  • Switzerland – $1,750
  • Spain – $1,530
  • UK – $470

MRI

  • USA – $1110
  • UK – $780
  • Switzerland – $500
  • Australia – $210

Cost of a day in the hospital

  • USA – $5220
  • Switzerland – $4780
  • Australia – $760
  • Spain – $420

Appendix removal

  • USA – $15,930
  • Switzerland – $6,000
  • Australia – $3800
  • Spain – $2000

A normal delivery

  • USA – $10,800
  • Switzerland – $7750
  • Australia – $5310
  • Spain – $1950

A C-section

  • USA – $16,100
  • Switzerland – $9960
  • Australia – $7900
  • Spain – $2350

Cataract surgery

  • USA – $3530
  • UK – $3140
  • Switzerland – $2110
  • Spain – $1710

Bypass surgery

  • USA – $78,310
  • Switzerland – $34,220
  • UK – $24,000
  • Spain – $14,500

Knee replacement

  • USA – $28,180
  • Switzerland – $20,130
  • UK – $18,450
  • Spain – $6680

What is the Cost of Common Medical Procedures in the USA?

Treatment Avg. Cost
Heart Valve Replacement $170,000
Heart Bypass $123,000
Spinal Fusion $110,000
Hip Replacement $40,364
Knee Replacement $35,000
Angioplasty $28,200
Hip Resurfacing $28,000
Gastric Bypass $25,000
Cornea (per eye) $17,500
Gastric Sleeve $16,500
Hysterectomy $15,400
Lap Band $14,000
IVF Treatment $12,400
Rhinoplasty $6,500
Liposuction $5,500
Lasik (both eyes) $4,000
Dental Implant $2,500

What is the Health Consumption Expenditure Per Capita for Top Countries?

  • United States – $10,200+
  • Switzerland – $8,000+
  • Germany – $5,700+
  • Sweden – $5,500+
  • Austria – $5,400+
  • Netherlands – $5,300+
  • France – $4,900+
  • Canada – $4,800+
  • Belgium – $4,700+
  • Japan – $4,700+
  • Australia – $4,500+
  • United Kingdom – $4,200+
  • Italy – $3,500+

What is the Average Monthly Premium Per Person Health Insurance Cost in the USA?

  1. Washington, US – $540
  2. Oregon, US – $460
  3. California, US – $520
  4. Idaho, US – $410
  5. Nevada, US – $440
  6. Montana, US – $550
  7. Wyoming, US – $660
  8. Utah, US – $420
  9. Arizona, US – $450
  10. North Dakota, US – $470
  11. South Dakota, US – $535
  12. Nebraska, US – $480
  13. Colorado, US – $485
  14. New Mexico, US – $490
  15. Kansas, US – $450
  16. Oklahoma, US – $445
  17. Texas, US – $480
  18. Minnesota, US – $475
  19. Iowa, US – $460
  20. Missouri, US – $460
  21. Arkansas, US – $430
  22. Louisiana, US – $575
  23. Wisconsin, US – $525
  24. Illinois, US – $560
  25. Tennessee, US – $435
  26. Mississippi, US – $430
  27. Michigan, US – $465
  28. Indiana, US – $550
  29. Kentucky, US – $435
  30. Alabama, US – $440
  31. Ohio, US – $515
  32. West Virginia, US – $560
  33. Virginia, US – $475
  34. North Carolina, US – $525
  35. South Carolina, US – $520
  36. Georgia, US – $495
  37. Florida, US – $515
  38. Pennsylvania, US – $490
  39. New York, US – $625
  40. Vermont, US – $605
  41. New Hampshire, US – $540
  42. Maine, US – $556
  43. Massachusetts, US – $554
  44. Rhode Island, US – $565
  45. Connecticut, US – $530
  46. New Jersey, US – $590
  47. Delaware, US – $540
  48. Maryland, US – $500
  49. Alaska, US – $780
  50. Hawaii, US – $410

What is the Average Annual Deductible With a Silver Plan?

  1. Washington, US – $5760
  2. Oregon, US – $2810
  3. California, US – $4130
  4. Idaho, US – $3660
  5. Nevada, US – $5510
  6. Montana, US – $3660
  7. Wyoming, US – $3750
  8. Utah, US – $2950
  9. Arizona, US – $5600
  10. North Dakota, US – $3760
  11. South Dakota, US – $3760
  12. Nebraska, US – $3500
  13. Colorado, US – $3630
  14. New Mexico, US – $3200
  15. Kansas, US – $3500
  16. Oklahoma, US – $1860
  17. Texas, US – $4470
  18. Minnesota, US – $3070
  19. Iowa, US – $3500
  20. Missouri, US – $5180
  21. Arkansas, US – $4780
  22. Louisiana, US – $2920
  23. Wisconsin, US – $4060
  24. Illinois, US – $5320
  25. Tennessee, US – $3930
  26. Mississippi, US – $4700
  27. Michigan, US – $3210
  28. Indiana, US – $6760
  29. Kentucky, US – $5020
  30. Alabama, US – $3600
  31. Ohio, US – $6620
  32. West Virginia, US – $4920
  33. Virginia, US – $4610
  34. North Carolina, US – $5500
  35. South Carolina, US – $5610
  36. Georgia, US – $6180
  37. Florida, US – $6910
  38. Pennsylvania, US – $1730
  39. New York, US – $2170
  40. Vermont, US – $2220
  41. New Hampshire, US – $6160
  42. Maine, US – $3000
  43. Massachusetts, US – $2125
  44. Rhode Island, US – $3775
  45. Connecticut, US – $3810
  46. New Jersey, US – $2070
  47. Delaware, US – $4710
  48. Maryland, US – $3435
  49. Alaska, US – $3750
  50. Hawaii, US – $2750

What is the Monthly & Annual Health Insurance Cost by Metal Levels for Age Group 21?

  • Bronze – $201 per month, $2411 per annum. Plan pays 60% of your medical expense.
  • Silver – $247 per month, $2961 per annum. Plan pays 70% of your medical expense.
  • Gold – $291 per month, $3487 per annum. Plan pays 80% of your medical expense.
  • Platinum – $363 per month, $4360 per annum. Plan pays 90% of your medical expense.

A health insurance plan may increase along with age scale. The Bronze plan covers the least expensive and has the highest deductibles, copays, and coinsurance. The platinum plan will cover almost 90% of your medical expense. Older consumers will have a higher premium cost as set by federal guidelines.

What is the Monthly & Annual Health Insurance Cost Based on Plan Type for Age Group 21?

  • Health maintenance organizations (HMOs) – $230 per month, $2764 per annum
  • Point of service plans (POS) – $244 per month, $2928 per annum
  • Preferred provider organizations (PPOs) – $251 per month, $3019 per annum
  • Exclusive provider organization plans (EPO) – $254 per month, $3056 per annum

Factors that Determine the Cost of Health Insurance

For a health insurance plan, the cost of coverage is determined by the laws set by the state. States can limit or expand the degree of the coverage. For example, in California and NYC insurance cost doesn’t differ for tobacco use.

  • Location – Where you live will largely determine the cost set by health insurance companies. You state and your county will also affect the cost of health insurance. Residents of a particular country may pay lower rates for the same policy than residents of another county.
  • Age – According to federal law, the healthcare cost covered is set based on their age. As individuals get older, their insurance rates also increase. Up to the age of 14, the insurance cost is a flat rate but premium increase annually after age 15.
  • Tobacco Use – People who smoke typically pay 50% higher than others for the usual health insurance. The maximum rate varies and is determined by the state.
  • Family members – The total cost of health insurance is also determined based on the number of family members covered. A larger family will pay a higher premium than an individual.

Conclusion

In comparison, health insurance cost is one third higher than in other countries. That said, the USA does provide world-class healthcare with the best treatment. The country also focuses on research and development and has always been a major contributor to the healthcare industry. The cost mentioned above is the average cost of insurance and medical treatment, where the real cost may vary depending on the state.

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