Countries Where Patients Pay Least Out of Pocket 2023

Source: World Bank

Countries Where Patients Pay Least Out of Pocket 2023

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Key Findings

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Tuvalu records the lowest in Out-of-Pocket Health Spending (% of Health Costs) at 0.04 in 2023.

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Average Out-of-Pocket Health Spending (% of Health Costs) in 2023: 5.50 · median: 6.50.

About This Dataset

Countries Where Patients Pay Least Out of Pocket 2023

The twenty countries with the lowest out-of-pocket health spending (% of health costs) in 2023, from World Bank figures for the 170 countries that reported that year. Tuvalu records the lowest figure at 0.04, with Nauru (0.73) and Marshall Islands (1.05) next. The share of total health spending that patients pay directly at the point of care. A high share means the cost falls on households rather than on insurance or the state, and it usually goes with low total spending.

Analysis

Tuvalu (0.04), Nauru (0.73) and Marshall Islands (1.05) record the three lowest figures. Across the twenty shown, values run from 0.04 up to 9.38, a spread of 9.34. Nauru, the next country up, records 18.25 times the figure for Tuvalu. No other country in the table is within double the lowest figure of 0.04. The chart shows the twenty lowest of 170 reporting countries, so it describes the bottom of the distribution rather than the world average. Countries recorded as zero are left out: the World Bank writes zero where a country did not report.

Data Insights Below

Data Insights

Numbers, trends & sources behind this chart

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Data Points

20 categories · 1 year

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Top Value

0.04

Tuvalu

Out-of-Pocket Health Spending (% of Health Costs) · 2023

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Metrics

Out-of-Pocket Health Spending (% of Health Costs)

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Period

2023

Single year snapshot

Methodology & source

Data source: World Bank
Coverage: 20 entities · 2023 · 20 observations
Measure: Out-of-Pocket Health Spending (% of Health Costs)
Last updated: 6 September 2026
Compiled by: The ANYSTAT team, from the source above

How the figures are calculated

Values use the measure and unit named on this page. Consult the dataset description and cited source for coverage, definitions and any unit conversions. Displayed values may be rounded for readability.
Entities are ranked lowest-first, because on this measure a lower number is the better result.

Rankings & Full Data

20 records · Out-of-Pocket Health Spending (% of Health Costs) · ranked by 2023

✓ 20 sourced

#	Category	2023
🥇	Tuvalu	0.04
🥈	Nauru	0.73
🥉	Marshall Islands	1.05
4	Micronesia	2.58
5	Kiribati	2.91
6	Solomon Islands	3.16
7	Rwanda	4.10
8	Botswana	4.26
9	Tonga	5.86
10	Oman	6.31
11	South Africa	6.69
12	Timor-Leste	6.99
13	Brunei	7.41
14	Qatar	7.43
15	Namibia	7.49
16	Fiji	8.31
17	Vanuatu	8.38
18	Monaco	8.45
19	Papua New Guinea	8.55
20	Croatia	9.38

Data Sources & References

All external sources cited in this dataset

1 https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS Visit ↗

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APA

ANYSTAT. (2026). Countries Where Patients Pay Least Out of Pocket 2023 [Data set]. Data: World Bank. https://anystat.ai/stats/1513/countries-where-patients-pay-least-out-of-pocket-2023-1788724518

MLA

"Countries Where Patients Pay Least Out of Pocket 2023." ANYSTAT, 6 Sep. 2026, https://anystat.ai/stats/1513/countries-where-patients-pay-least-out-of-pocket-2023-1788724518.

Link for your website

<a href="https://anystat.ai/stats/1513/countries-where-patients-pay-least-out-of-pocket-2023-1788724518">Countries Where Patients Pay Least Out of Pocket 2023</a> (ANYSTAT)

Countries Where Patients Pay Least Out of Pocket 2023