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Out-of-pocket spending as a share of final household consumption (%), 2023: 2.5%
Composition of out-of-pocket spending on health, by type of service (%), 2023
– Medical goods (including pharmaceuticals and therapeutic appliances): 56%
– Outpatient: 30%
– Dental: 8%
– Inpatient: 6%
– Long-term care: 0%
– Other (includes preventive care, administrative services, and services unknown): 0%
Health expenditure as a share of Gross Domestic Product (% of GDP) (OECD estimate for 2024), 2024
– Government/compulsory: 4.80%
– Voluntary/out-of-pocket: 1.99%
– Total: 6.78%
Health expenditure per capita (USD PPP) (OECD estimate), 2024:
– Government/compulsory: $1,368.71
– Voluntary/out-of-pocket: $566.71
– Total: $1,935.41
Comparative price levels in the health sector, 2023 (OECD average = 100): 99.3
Health expenditure by type of financing (%), 2023
– Government schemes: 2.8%
– Compulsory health insurance: 68.0%
– Voluntary health insurance: 4.5%
– Out-of-pocket: 24.1%
– Other (refers to financing by NGOs, employers, non-resident schemes, and unknown schemes): 0.6%
Health expenditure from public sources as a share of total health expenditure (%), 2023
– Government transfers: 3.6%
– Social insurance contributions: 63.5%
Health expenditure by type of service (%), 2023
– Inpatient care¹: 37.8%
– Outpatient care²: 38.9%
– Long-term care: 0.5%
– Medical goods³: 14.0%
– Collective services: 8.7%
<sup>1. Curative-rehabilitative care in inpatient and day care settings.
2. Includes home care and ancillary services.
3. Medical goods financed by government and compulsory schemes are included under inpatient or outpatient care.</sup>
Health expenditure by provider (%), 2023
– Hospitals: 48.7%
– LTC facilities: 0.4%
– Ambulatory providers: 27.0%
– Retailers: 13.2%
– Other (includes ancillary service providers (e.g. patient transport and laboratories); health system administration, public health and prevention agencies; households in cases where they provide paid long-term care (LTC); and atypical providers, where healthcare is a secondary economic activity): 10.7%

Source: OECD (2025), Health at a Glance 2025: OECD Indicators, OECD Publishing, Paris, doi.org/10.1787/8f9e3f98-en.

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Population with household expenditures on health > 10% of total household expenditure or income (%), 2015-2021: 7.41%
Population with household expenditures on health > 25% of total household expenditure or income (%), 2015-2021: 1.13%
Domestic general government health expenditure (GGHE-D) as percentage of general government expenditure (GGE) (%), 2022: 25.82%

Source: World health statistics 2025: monitoring health for the SDGs, Sustainable Development Goals. Tables of health statistics by country and area, WHO region and globally. Geneva: World Health Organization; 2025. Licence: CC BY-NC-SA 3.0 IGO.

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Current health expenditure (CHE) per capita in US$, 2022: $978.84

Source: Global Health Observatory. Current health expenditure (CHE) per capita in US$. Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Out-of-pocket expenditure (OOP) per capita in US$, 2022: $219.60

Source: Global Health Observatory. Out-of-pocket expenditure (OOP) per capita in US$. Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%), 2022: 22.44%

Source: Global Health Observatory. Out-of-pocket expenditure as percentage of current health expenditure (CHE) (%). Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Domestic private health expenditure (PVT-D) as percentage of current health expenditure (CHE) (%), 2022: 31.01%

Source: Global Health Observatory. Domestic private health expenditure (PVT-D) as percentage of current health expenditure (CHE) (%). Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Domestic private health expenditure (PVT-D) per capita in US$, 2022: $303.57

Source: Global Health Observatory. Domestic private health expenditure (PVT-D) per capita in US$. Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Domestic general government health expenditure (GGHE-D) as percentage of current health expenditure (CHE) (%), 2022: 68.96%

Source: Global Health Observatory. Domestic general government health expenditure (GGHE-D) as percentage of current health expenditure (CHE) (%). Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Domestic general government health expenditure (GGHE-D) as percentage of gross domestic product (GDP) (%), 2022: 4.95%

Source: Global Health Observatory. Domestic general government health expenditure (GGHE-D) as percentage of gross domestic product (GDP) (%). Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Domestic general government health expenditure (GGHE-D) per capita in US$, 2022: $674.98

Source: Global Health Observatory. Domestic general government health expenditure (GGHE-D) per capita in US$. Geneva: World Health Organization. Last accessed Jan. 23, 2025.

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Total Health Spending, USD PPP Per Capita (2020): $1,622.4

(Note: “Health spending measures the final consumption of health care goods and services (i.e. current health expenditure) including personal health care (curative care, rehabilitative care, long-term care, ancillary services and medical goods) and collective services (prevention and public health services as well as health administration), but excluding spending on investments. Health care is financed through a mix of financing arrangements including government spending and compulsory health insurance (“Government/compulsory”) as well as voluntary health insurance and private funds such as households’ out-of-pocket payments, NGOs and private corporations (“Voluntary”). This indicator is presented as a total and by type of financing (“Government/compulsory”, “Voluntary”, “Out-of-pocket”) and is measured as a share of GDP, as a share of total health spending and in USD per capita (using economy-wide PPPs).”

Source: OECD (2022), Health spending (indicator). doi: 10.1787/8643de7e-en (Accessed on 29 July 2022).

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“Costa Rica’s total health care expenditure went up from 6.5% of GDP in 1995 to 9.3% of GDP in 2014. As a percentage of GDP Costa Rica, thus, spends slightly more on health than the average of 8.9% of GDP among OECD economies. In 2014, public spending in Costa Rica corresponded to 73% of total health spending, which is equal to the OECD average (OECD, 2016). With OOP levels being 25%, only 2% of the total health expenditure in Costa Rica is paid through private insurance schemes, as compared to the OECD averages of 19% and 6% respectively (see Figure 1.11). Out-of-pocket spending is discussed in more detail in Chapter 2.

“Total health expenditure in Costa Rica was USD PPP 1 3804 per capita in 2013, which is 2.5 times less than the OECD average of USD PPP 3 453 per capita (OECD, 2016; see Figure 1.12). Differences in local prices are likely to explain much of this difference. Nevertheless, the fact that health indicators and health insurance coverage are as good as those of many OECD countries spending much higher per capita sums, suggests relatively good value for the money achieved by Costa Rica’s health system.

“Notably, Costa Rica has chosen to invest in prevention and public health services. From 2002 to 2006, the expenditure in prevention and public health services in Costa Rica was between 6-7% of total expenditure on health, as compared to only 2-3% in comparable OECD countries such as Chile and Mexico (WHO, 2016b). In the long run, this focus on prevention and public health is likely to be cost-effective and bring about important public health benefits.”

Source: OECD (2017), OECD Reviews of Health Systems: Costa Rica 2017, OECD Publishing, Paris. http://dx.doi.org/10.1787/9789264281653-en.

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World Health Systems Facts is a project of the Real Reporting Foundation. We provide reliable statistics and other data from authoritative sources regarding health systems and policies in the US and sixteen other nations.

Page last updated May 7, 2026 by Doug McVay, Editor.