# Out-of-pocket spending — TLS
> Latest: 6.99% (2023). Change: +1.5 pp vs 2022.
- Unit: %
- Frequency: Annual · Coverage: 2003–2023
- Data updated: 2026-10-08
- Source: World Bank — SH.XPD.OOPC.CH.ZS — https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS
- License: CC BY 4.0
- Interactive chart: https://econdash.org/chart/out-of-pocket-spending/TLS
## Recent values
| Year | Value |
| :--- | :--- |
| 2019 | 10.49% |
| 2020 | 6.68% |
| 2021 | 5.89% |
| 2022 | 5.48% |
| 2023 | 6.99% |
## How to cite
APA: World Bank. (2023). Out-of-pocket spending — TLS [Data set]. Retrieved November 8, 2026, from EconDash: https://econdash.org/chart/out-of-pocket-spending/TLS. Original source: https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS
## Full data
Full time series: https://econdash.org/docs/agent-payments (free API trial for core indicators of 10 major economies; otherwise an API key or pay per call)