Asthma Care Quality Improvement

Table 1.3. Estimate of Indirect, Direct, and Total Cost Burden of Asthma, by State, for 50 States, District of Columbia, and Puerto Rico, 2004

 State Population estimate1 Percent of population with asthma2 Asthma prevalence Indirect asthma costs for State3 Direct asthma costs for State3 Total asthma costs for State4
Nationwide 296,786,058 8.1 24,186,627 $11,546,882,780 $15,288,466,328.1 $26,835,349,108
Alabama 4,506,574 8.6 386,069 184,312,317 244,035,789 428,348,106
Alaska 660,975 9.0 59,258 28,290,260 37,457,269 65,747,529
Arizona 5,750,475 7.2 412,436 196,899,955 260,702,251 457,602,206
Arkansas 2,740,191 7.4 201,991 96,432,174 127,679,484 224,111,658
California 35,629,666 7.7 2,732,892 1,304,703,649 1,727,472,097 3,032,175,746
Colorado 4,600,050 8.7 398,659 190,322,970 251,994,098 442,317,068
Connecticut 3,475,351 9.7 335,807 160,317,085 212,265,285 372,582,370
Delaware 825,682 10.0 82,249 39,266,502 51,990,187 91,256,690
District of Columbia 579,521 9.2 53,110 25,355,163 33,571,100 58,926,263
Florida 17,313,811 7.3 1,259,028 601,069,835 795,836,947 1,396,906,782
Georgia 8,910,741 7.4 656,849 313,584,755 415,196,903 728,781,658
Hawaii 1,251,532 8.3 103,476 49,400,285 65,407,661 114,807,945
Idaho 1,390,329 8.0 110,797 52,895,286 70,035,161 122,930,447
Illinois 12,665,718 8.4 1,059,813 505,962,700 669,911,858 1,175,874,557
Indiana 6,210,801 8.4 519,693 248,105,448 328,500,069 576,605,517
Iowa 2,942,739 6.6 193,471 92,364,500 122,293,745 214,658,245
Kansas 2,731,069 7.4 201,319 96,111,154 127,254,444 223,365,598
Kentucky 4,135,567 8.3 341,927 163,238,485 216,133,317 379,371,801
Louisiana 4,487,830 6.2 277,171 132,323,655 175,201,029 307,524,683
Maine 1,307,904 9.6 125,074 59,711,297 79,059,792 138,771,088
Maryland 5,538,989 7.8 430,373 205,463,417 272,040,566 477,503,983
Massachusetts 6,437,414 9.7 622,018 296,956,322 393,180,291 690,136,612
Michigan 10,090,280 8.3 834,260 398,282,029 527,338,980 925,621,009
Minnesota 5,078,014 7.5 379,381 181,119,228 239,808,030 420,927,258
Mississippi 2,884,596 7.1 204,016 97,398,607 128,959,075 226,357,683
Missouri 5,742,650 9.1 520,563 248,521,028 329,050,311 577,571,338
Montana 925,969 8.6 79,326 37,870,784 50,142,209 88,012,993
Nebraska 1,741,450 6.9 119,696 57,143,851 75,660,406 132,804,256
Nevada 2,323,875 7.1 164,358 78,465,819 103,891,419 182,357,238
New Hampshire 1,292,064 10.3 132,569 63,289,352 83,797,259 147,086,612
New Jersey 8,620,770 8.6 738,524 352,576,945 466,823,891 819,400,836
New Mexico 1,889,266 9.3 175,023 83,557,504 110,632,983 194,190,487
New York 19,301,113 8.9 1,711,167 816,924,199 1,081,635,480 1,898,559,679
North Carolina 8,523,199 7.5 636,772 303,999,796 402,506,091 706,505,887
North Dakota 636,196 7.7 48,798 23,296,520 30,845,387 54,141,908
Ohio 11,445,095 8.5 969,077 462,644,846 612,557,543 1,075,202,389
Oklahoma 3,511,960 8.3 290,367 138,623,562 183,542,320 322,165,882
Oregon 3,576,262 9.7 345,558 164,972,085 218,428,663 383,400,748
Pennsylvania 12,335,652 8.8 101,346 516,243,007 683,523,335 1,199,766,343
Puerto Rico 3,893,931 6.2 240,492 114,812,544 152,015,722 266,828,266
Rhode Island 1,071,095 9.6 102,428 48,899,974 64,745,232 113,645,205
South Carolina 4,196,799 7.6 317,725 151,684,485 200,835,428 352,519,914
South Dakota 773,539 6.7 51,627 24,647,134 32,633,645 57,280,778
Tennessee 5,906,936 9.0 529,572 252,821,600 334,744,415 587,566,015
Texas 22,424,884 7.1 1,586,019 757,177,944 1,002,529,403 1,759,707,346
Utah 2,439,852 8.0 194,435 92,824,554 122,902,873 215,727,427
Vermont 618,432 8.5 52,364 24,998,864 33,099,348 58,098,213
Virginia 7,454,688 7.3 542,091 258,798,487 342,658,017 601,456,503
Washington 6,179,645 9.2 566,332 270,371,403 357,980,952 628,352,356
West Virginia 1,803,312 10.1 181,431 86,616,703 114,683,466 201,300,169
Wisconsin 5,508,789 8.6 471,927 225,301,452 298,306,801 523,608,252
Wyoming 502,816 7.7 38,567 18,412,350 24,378,579 42,790,928

1 U.S. Census annual estimates of the population for the United States and States, and for Puerto Rico: April 1, 2000 to July 1, 2004. Accessed at: http://www.census.gov/popest/states/NST-ann-est2004.html
2 Prevalence based on BRFSS 2004 estimates for adults augmented for differential between all ages and adults nationwide. For BRFSS go to: http://apps.nccd.cdc.gov/brfss/list.asp?cat=AS&yr=2003&qkey=4416&state=All and for CDC national prevalence by age go to: hhttp://205.207.175.93/HDI/TableViewer/tableView.aspx?ReportId=60
3 Calculations of direct cost per person, are based on Weiss et al. (2000), inflated by medical care component of CPI to 2004. Indirect cost per person are based on Weiss et al. (2000) inflated by percent change in average annual wages through 2004. Weiss KB, Sullivan SD, Lyttle CS. Trends in the cost of illness for asthma in the United States, 1985-1994. J Allergy Clin Immunol 2000 Sep;106(3):493-9.
4 The sum of the state estimates differ from the national estimate in the first row by about 1 percent due to rounding.

Page last reviewed October 2014
Internet Citation: Table 1.3. Estimate of Indirect, Direct, and Total Cost Burden of Asthma, by State, for 50 States, District of Columbia, and Puerto Rico, 2004. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/asthmacare/table1-3.html