Table 3

Health care expenditures attributed to diabetes in the U.S., by age-group and type of service, 2017 (in millions of dollars, with percentages in parentheses)

Cost componentAge (years)
<65 (N = 13.7 million)≥65 (N = 11.0 million)Total* (N = 24.7 million)
Institutional care
 Hospital inpatient24,835 (36)44,826 (64)69,661
 Nursing/residential facility2,568 (40)3,871 (60)6,439
 Hospice6 (9)58 (91)64
Outpatient care
 Physician office9,591 (32)20,399 (68)29,990
 Emergency department4,258 (53)3,732 (47)7,990
 Ambulance services105 (32)227 (68)332
 Hospital outpatient5,322 (44)6,728 (56)12,049
 Home health2,588 (76)801 (24)3,388
 Podiatry94 (37)158 (63)252
Outpatient medications and supplies
 Insulin8,850 (59)6,132 (41)14,981
 Diabetes supplies2,272 (61)1,452 (39)3,723
 Other antidiabetes agents8,456 (53)7,399 (47)15,855
 Prescription medications21,702 (30)49,534 (70)71,235
 Other equipment and supplies783 (60)527 (40)1,310
Total*91,428 (39)145,841 (61)237,269
Average cost per person with diabetes (actual dollars)6,67513,2399,601
  • Data sources: NIS (2014), CMS MDS (2013), NAMCS (2013–2015), NHAMCS (2012–2014), MEPS (2011–2015), NHHCS (2007), NHIS (2014–2016), OptumInsight dNHI (2015), and Medicare 5% SAFs (2014).

  • * Numbers do not necessarily sum to totals because of rounding.

  • Includes oral medications and noninsulin injectable antidiabetes agents.

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