Asthma Care Quality Improvement: A Resource Guide for State Action

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
Page originally created September 2012

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. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/asthmacare/table1-3.html