Cost Statistics
National and state cost estimates
- The total costs attributable to arthritis and other rheumatic conditions (AORC) in the United States in 2003 was approximately $128 billion. This equaled 1.2% of the 2003 U.S. gross domestic product.
- $80.8 billion were direct costs (i.e., medical expenditures)
- $47.0 billion were indirect costs (i.e., lost earnings)
- Total costs attributable to AORC, by state, ranged from $226 million in the District of Columbia to $12.1 billion in California.
- National medical costs attributable to AORC grew by 24% between 1997 and 2003. This rise in medical costs resulted from an increase in the number of people with AORC.
- In 2003, costs attributable to AORC represented between 0.3 to 2.6% of each state’s GDP. For example: in 2003, the costs attributable to AORC in West Virginia were $1.2 billion and this represented 2.6% of West Virginia’s GDP.
Study reports
National and state direct and indirect costs are presented in the January 12, 2007 MMWR entitled: National and State Medical Expenditures and Lost Earnings Attributable to Arthritis and Other Rheumatic Conditions — United States, 2003.
A detailed report on the national cost study, including the study methods and comparisons of 1997 and 2003 costs, was published in:
Yelin E, Murphy L, Cisternas M, Foreman A, Pasta D, Helmick C. Medical Care Expenditures and Earnings Losses Among Persons with Arthritis and Other Rheumatic Conditions in 2003, and Comparisons to 1997. Arthritis and Rheumatism 2007;56(5):1397-1407.
State-Specific Gross Domestic Product (GDP)

The table below shows the total costs* (in millions of dollars) attributable to arthritis and other rheumatic conditions for each state in 2003.
Total Costs* (in millions) attributable to Arthritis and Other Rheumatic Conditions, By State, United States, 2003 |
|||||||
| $225 million to $574 million
|
$650 million to $1.6 billion
|
$1.9 billion to $2.9 billion
|
$3.2 billion to $12.1 billion
|
||||
|---|---|---|---|---|---|---|---|
| District of Columbia | 226 | Nebraska | 757 | Colorado | 1,920 | Indiana | 3,181 |
| Wyoming | 243 | New Mexico | 770 | Louisiana | 2,036 | Tennessee | 3,271 |
| Alaska | 275 | Utah | 820 | South Carolina | 2,133 | Virginia | 3,466 |
| North Dakota | 285 | Nevada | 1,022 | Minnesota | 2,172 | New Jersey | 3,544 |
| Vermont | 290 | Kansas | 1,106 | Arizona | 2,343 | Georgia | 3,911 |
| South Dakota | 351 | West Virginia | 1,188 | Kentucky | 2,426 | North Carolina | 4,112 |
| Delaware | 363 | Iowa | 1,250 | Wisconsin | 2,445 | Michigan | 5,557 |
| Hawaii | 375 | Arkansas | 1,441 | Maryland | 2,479 | Ohio | 5,745 |
| Montana | 396 | Connecticut | 1,443 | Alabama | 2,597 | Pennsylvania | 6,578 |
| Rhode Island | 511 | Mississippi | 1,495 | Illinois | 2,670 | Florida | 7,624 |
| Idaho | 564 | Oregon | 1,609 | Massachusetts | 2,734 | Texas | 8,706 |
| New Hampshire | 574 | Oklahoma | 1,628 | Washington | 2,787 | New York | 8,726 |
| Maine | 648 | Missouri | 2,874 | California | 12,137 | ||
* Total costs = medical expenditures + lost earnings
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