By NextBestFitNursing facilities & continuing-care communities
Freestanding skilled nursing facilities and continuing care retirement communities.
Amount
$219.9B
per year
Per resident, per year
$645
÷ 341.1M people
Per household, per year
$1,663
÷ 132.2M households
How it is built
Out of pocket $48.7B + Private health insurance $19.3B + Medicare $47.3B + Medicaid $78.9B + Other insurance programs (CHIP, DoD, VA) $7B + Other third-party payers & programs $18.7B
Part of: National health expenditures ($5,278.6B, 2024)
Details
| Out of pocket | $48.7B |
| Private health insurance | $19.3B |
| Medicare | $47.3B |
| Medicaid | $78.9B |
| Other insurance programs (CHIP, DoD, VA) | $7B |
| Other third-party payers & programs | $18.7B |
Sources: CMS Office of the Actuary (2025)