By NextBestFitState & local government: State & local employer Medicare payroll tax
Amount
$19.9B
per year
Per resident, per year
$58
÷ 341.1M people
Per household, per year
$151
÷ 132.2M households
How it is built
CMS NHE Tables 5-1 to 5-4
Part of: National health expenditures by sponsor
Sources: CMS Office of the Actuary (2025)