Five states within the West region , 4 states within the South area , Kansas, and New Jersey had the fewest racial and ethnic disparities general . Hospital care accounted for probably the most expenditures in all insurance classes. Out-of-pocket payments accounted for 3% of hospital, 7% of physician, 10% of residence health, 23% of nursing home, 37% of dental, and 13% of prescription drug expenditures . Medicaid accounted for 17% of hospital, 11% of doctor, 33% of house health, 27% of nursing home, 9% of dental, and 10% of prescription drug expenditures .