日本概算医疗费用
日本厚生劳动省按月发布的医疗费概算统计（MEDIAS）估算日本全国医疗费用支出，并按医疗保险制度类别和诊疗类型（住院、门诊、牙科、调剂配药）进行详细细分。
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| 指标 | 05-2026 | 04-2026 | 03-2026 | 02-2026 | 01-2026 | 12-2025 | 11-2025 | 10-2025 | 09-2025 | 08-2025 | 07-2025 | 06-2025 | 05-2025 | 04-2025 | 03-2025 | 02-2025 | 01-2025 | 12-2024 | 11-2024 | 10-2024 | 09-2024 | 08-2024 | 07-2024 | 06-2024 | 05-2024 | 04-2024 | 03-2024 | 02-2024 | 01-2024 | 12-2023 | 11-2023 | 10-2023 | 09-2023 | 08-2023 | 07-2023 | 06-2023 | 05-2023 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 按保险制度划分的概算医疗费用1 | ||||||||||||||||||||||||||||||||||||||
| 概算医疗费用总额2 | 37,592.84 | 38,872.84 | 40,931.47 | 37,134.64 | 38,848.36 | 40,306.8 | 37,691.67 | 39,794.41 | 38,112.6 | 37,352.65 | 39,578.08 | 37,925.5 | 37,850.62 | 38,048.12 | 39,470.75 | 35,741.43 | 38,144.34 | 39,404.16 | 37,387.51 | 38,644.47 | 36,368.46 | 37,105.56 | 39,161.91 | 36,581.75 | 37,083.23 | 36,924.66 | 38,414.49 | 36,406.22 | 37,034.39 | 38,082.61 | 36,696.75 | 37,660.91 | 36,810.68 | 37,317.79 | 37,316.65 | 37,162.18 | 36,558.31 | |
| 75岁以下医疗保险4 | 20,965.87 | 21,773.48 | 23,305.88 | 21,099.99 | 21,716.85 | 22,834.61 | 21,416.57 | 22,511.53 | 21,551.61 | 21,121.58 | 22,412.55 | 21,515.98 | 21,326.95 | 21,427.21 | 22,652.59 | 20,228.7 | 21,435.73 | 22,702.05 | 21,373.74 | 22,068.5 | 20,703.07 | 21,142.32 | 22,472.29 | 21,032.16 | 21,150.54 | 21,114.84 | 22,384.73 | 21,118.46 | 21,273.35 | 22,261.71 | 21,326.1 | 21,911.58 | 21,465.76 | 21,693.15 | 21,951.27 | 21,841.51 | 21,200.42 | |
| 被用者健康保险2 | 13,039.62 | 13,444.56 | 14,741.84 | 13,333.84 | 13,506.54 | 14,293.85 | 13,432.81 | 13,883.28 | 13,306.52 | 13,123.46 | 13,769.83 | 13,184.24 | 13,041.46 | 13,034.5 | 14,181.78 | 12,467.78 | 13,113.87 | 14,132.04 | 13,096.82 | 13,368.98 | 12,524.88 | 12,863.32 | 13,593.32 | 12,699.77 | 12,632.3 | 12,582 | 13,721.09 | 12,816.59 | 12,797.03 | 13,525.29 | 12,740.88 | 13,066.03 | 12,879.76 | 12,970.35 | 13,193.66 | 12,951.56 | 12,451.97 | |
| 按参保身份划分2 | ||||||||||||||||||||||||||||||||||||||
| 被用者保险：被保险人 | 7,806.31 | 8,087.3 | 8,611.9 | 7,832.17 | 8,067.2 | 8,459.33 | 7,861.78 | 8,221.19 | 7,883.64 | 7,774.92 | 8,112.35 | 7,743.42 | 7,630.85 | 7,676.33 | 8,136.41 | 7,292.08 | 7,713.85 | 8,161.7 | 7,581.94 | 7,749.68 | 7,273.53 | 7,484.96 | 7,838.09 | 7,347.52 | 7,230.94 | 7,273.49 | 7,746.8 | 7,301.1 | 7,400.28 | 7,672.17 | 7,187.38 | 7,341.1 | 7,342.77 | 7,429.82 | 7,460.77 | 7,252.68 | 6,990.4 | |
| 被用者保险：被抚养人 | 4,455.59 | 4,542.68 | 5,266.39 | 4,724.68 | 4,628.34 | 4,995.85 | 4,788.14 | 4,817.6 | 4,608.44 | 4,564.13 | 4,813.89 | 4,628.87 | 4,612.15 | 4,551.87 | 5,218.73 | 4,414.28 | 4,596.79 | 5,154.14 | 4,721.98 | 4,794.77 | 4,479.63 | 4,598.2 | 4,919.91 | 4,567.1 | 4,604.08 | 4,507.43 | 5,153.11 | 4,730.69 | 4,605.97 | 5,037.65 | 4,755.21 | 4,898.45 | 4,737.44 | 4,726.45 | 4,927.91 | 4,873.01 | 4,658.47 | |
| 按承保机构划分2 | ||||||||||||||||||||||||||||||||||||||
| 全国健康保险协会（协会健保） | 6,980.44 | 7,243.23 | 7,787.97 | 7,038.36 | 7,166.86 | 7,554.52 | 7,096.19 | 7,400.93 | 7,093.4 | 6,919.72 | 7,337.72 | 7,058.75 | 6,965.14 | 7,001.8 | 7,444.74 | 6,599.1 | 6,984 | 7,418.97 | 6,939.8 | 7,108.65 | 6,648.53 | 6,776.82 | 7,203.04 | 6,739.22 | 6,743.02 | 6,729.49 | 7,185.56 | 6,768.69 | 6,785.17 | 7,084.61 | 6,766.31 | 6,929.28 | 6,817.36 | 6,846.98 | 6,949.37 | 6,881.14 | 6,628.16 | |
| 健康保险组合（健保组合） | 4,459.96 | 4,602.05 | 5,056.6 | 4,589.29 | 4,629.92 | 4,901.73 | 4,638.53 | 4,751.4 | 4,553.23 | 4,507.27 | 4,710.07 | 4,514.14 | 4,471.96 | 4,476.58 | 4,900.79 | 4,286.84 | 4,483.76 | 4,880.71 | 4,505.96 | 4,592.36 | 4,308.61 | 4,414.01 | 4,684.49 | 4,400.91 | 4,339.58 | 4,348.7 | 4,766.48 | 4,421.56 | 4,396.96 | 4,686.53 | 4,368.97 | 4,496.86 | 4,453.83 | 4,454.37 | 4,585.27 | 4,490.3 | 4,293.4 | |
| 国民健康保险 | 7,926.25 | 8,328.92 | 8,564.04 | 7,766.15 | 8,210.31 | 8,540.76 | 7,983.77 | 8,628.25 | 8,245.08 | 7,998.12 | 8,642.72 | 8,331.74 | 8,285.49 | 8,392.71 | 8,470.81 | 7,760.92 | 8,321.86 | 8,570.02 | 8,276.93 | 8,699.52 | 8,178.19 | 8,279.01 | 8,878.97 | 8,332.39 | 8,518.24 | 8,532.84 | 8,663.64 | 8,301.87 | 8,476.32 | 8,736.42 | 8,585.22 | 8,845.55 | 8,586 | 8,722.81 | 8,757.61 | 8,889.94 | 8,748.44 | |
| 其中：学龄前儿童 | 975.5 | 940.17 | 1,127.66 | 1,052.36 | 1,020.1 | 1,084.66 | 1,098.38 | 1,058.82 | 1,033.34 | 946.33 | 1,023.28 | 1,033.3 | 1,046.46 | 1,000.76 | 1,220.62 | 1,050.55 | 1,079.14 | 1,194.92 | 1,126.02 | 1,111.71 | 1,050.31 | 1,004.44 | 1,138.21 | 1,093.78 | 1,109.91 | 1,042.65 | 1,211.13 | 1,113.78 | 1,111.45 | 1,238.52 | 1,190.34 | 1,222.08 | 1,173.52 | 1,104.8 | 1,299.97 | 1,337.57 | 1,249.13 | |
| 其中：65-74岁 | 6,284.42 | 6,632.2 | 6,868.75 | 6,211.54 | 6,561.9 | 6,816.77 | 6,349.8 | 6,897.55 | 6,584.23 | 6,367.68 | 6,898.13 | 6,654.15 | 6,559.34 | 6,669.06 | 6,739.24 | 6,221.95 | 6,619.95 | 6,757.5 | 6,575.01 | 6,899.68 | 6,457.02 | 6,540.55 | 7,015.05 | 6,579.18 | 6,706.52 | 6,756.23 | 6,856.22 | 6,573.85 | 6,689.17 | 6,881.88 | 6,773.29 | 6,983.5 | 6,767.24 | 6,876.32 | 6,869.8 | 7,004.02 | 6,859.63 | |
| 75岁及以上医疗保险（后期高龄者） | 16,626.97 | 17,099.36 | 17,625.59 | 16,034.65 | 17,131.51 | 17,472.19 | 16,275.1 | 17,282.88 | 16,560.99 | 16,231.07 | 17,165.53 | 16,409.53 | 16,523.68 | 16,620.92 | 16,818.16 | 15,512.72 | 16,708.61 | 16,702.1 | 16,013.76 | 16,575.97 | 15,665.39 | 15,963.24 | 16,689.62 | 15,549.59 | 15,932.7 | 15,809.82 | 16,029.76 | 15,287.76 | 15,761.04 | 15,820.9 | 15,370.65 | 15,749.33 | 15,344.92 | 15,624.64 | 15,365.37 | 15,320.68 | 15,357.89 | |
| 按诊疗类别划分的概算医疗费用6 | ||||||||||||||||||||||||||||||||||||||
| 住院（医疗）费用 | 14,978.43 | 14,919.06 | 15,772.71 | 14,490.18 | 15,648.5 | 15,509.92 | 14,871.85 | 15,361.8 | 14,792.39 | 15,169.19 | 15,542.22 | 14,892.91 | 14,996.03 | 14,761.64 | 15,405.41 | 14,252.36 | 15,510.36 | 15,148.68 | 14,697.4 | 14,995.46 | 14,348.66 | 15,062.57 | 15,264.67 | 14,412.92 | 14,536.73 | 14,164.27 | 14,734.86 | 14,096.67 | 14,723.47 | 14,347.25 | 14,219.57 | 14,545.33 | 14,078.3 | 14,704.63 | 14,453.55 | 14,311.67 | 14,480.96 | |
| 门诊（医疗）费用 | 12,686.93 | 13,278 | 13,822.35 | 12,643.06 | 13,023.93 | 13,610.39 | 12,831.69 | 13,722.8 | 13,076.81 | 12,419.93 | 13,467.15 | 13,013.59 | 12,947.78 | 13,032.23 | 13,351.34 | 12,080.44 | 12,914.45 | 13,501.23 | 12,839.91 | 13,428.73 | 12,476.36 | 12,448.06 | 13,529.02 | 12,620.13 | 13,000.25 | 12,920.47 | 13,310.86 | 12,747.46 | 12,910.85 | 13,411.53 | 12,984.61 | 13,334.07 | 13,120.05 | 13,036.24 | 13,168.46 | 13,254.71 | 12,847.46 | |
| 牙科费用 | 2,795.68 | 2,973.51 | 3,127.17 | 2,702.18 | 2,722.97 | 2,986.4 | 2,726.05 | 2,970.36 | 2,852.21 | 2,633.62 | 2,984.27 | 2,916.31 | 2,771.85 | 2,871.62 | 3,002.02 | 2,615.67 | 2,552.68 | 2,825.12 | 2,776.11 | 2,881.33 | 2,693.09 | 2,574.55 | 2,926.07 | 2,812.83 | 2,655.6 | 2,768.64 | 2,864.78 | 2,569.74 | 2,477.16 | 2,773.72 | 2,629.79 | 2,753.57 | 2,626.92 | 2,502.75 | 2,727.05 | 2,785.71 | 2,619.72 | |
| 药房配药费用 | 6,566.41 | 7,144.1 | 7,637.63 | 6,780.94 | 6,913.33 | 7,648.86 | 6,738.28 | 7,192.8 | 6,865.09 | 6,618.44 | 7,047.76 | 6,589.53 | 6,622.74 | 6,886.18 | 7,212.84 | 6,332.67 | 6,690.94 | 7,448.02 | 6,603.09 | 6,863.88 | 6,386.11 | 6,558.5 | 6,970.34 | 6,300.11 | 6,436.66 | 6,634.18 | 7,074.19 | 6,586.5 | 6,508.41 | 7,140.89 | 6,463.25 | 6,621.31 | 6,598.72 | 6,684.56 | 6,583.23 | 6,429.61 | 6,236.05 | |
| 诊疗天数与处方数4 | ||||||||||||||||||||||||||||||||||||||
| 住院天数 | 3,329.86 | 3,241.82 | 3,424.35 | 3,158.47 | 3,416.17 | 3,372.95 | 3,284.9 | 3,339.5 | 3,253.61 | 3,373.92 | 3,379.15 | 3,259.25 | 3,349.83 | 3,276.57 | 3,462.28 | 3,178.77 | 3,467.17 | 3,386.57 | 3,277.92 | 3,348.94 | 3,277.6 | 3,409.01 | 3,405.73 | 3,266.81 | 3,348.08 | 3,268.01 | 3,425.51 | 3,242.4 | 3,406.19 | 3,347.74 | 3,277.3 | 3,367.47 | 3,278.6 | 3,380.08 | 3,372.81 | 3,272.76 | 3,345.68 | |
| 门诊就诊天数 | 11,965.95 | 12,525.26 | 13,182.39 | 11,999.26 | 12,004.07 | 13,048.37 | 12,379.12 | 13,095.94 | 12,467.69 | 11,737.63 | 12,987.42 | 12,635.43 | 12,535.41 | 12,708.97 | 13,284.92 | 11,696.22 | 12,288.15 | 13,650.49 | 12,860.99 | 13,292.33 | 12,240.19 | 12,099.28 | 13,527.51 | 12,661.99 | 12,766.23 | 12,824.22 | 13,131.76 | 12,314.03 | 12,224.18 | 13,338.71 | 12,701.1 | 13,208.21 | 12,726.5 | 12,389.66 | 13,064.22 | 13,164.39 | 12,702.29 | |
| 牙科就诊天数 | 3,154.37 | 3,340.31 | 3,495.17 | 3,063.78 | 3,171.5 | 3,376.29 | 3,125.79 | 3,415.32 | 3,273.42 | 3,034.7 | 3,452.01 | 3,372.77 | 3,236.99 | 3,341.51 | 3,473.05 | 3,051 | 3,055.58 | 3,293.58 | 3,269.06 | 3,399.15 | 3,167.75 | 3,054.45 | 3,494.33 | 3,366.1 | 3,232.48 | 3,359.1 | 3,449.68 | 3,107.79 | 3,082.51 | 3,353.28 | 3,214.43 | 3,365.3 | 3,202.11 | 3,062.6 | 3,348.99 | 3,402.47 | 3,239.35 | |
| 配药处方数 | 6,757.91 | 7,158.87 | 7,623.11 | 7,014.39 | 6,904.42 | 7,543.07 | 7,128.44 | 7,346.9 | 6,973.38 | 6,618.26 | 7,226.86 | 7,002 | 7,062.91 | 7,234.13 | 7,675.72 | 6,725.87 | 7,072.16 | 8,014.97 | 7,299.32 | 7,451.21 | 6,802.44 | 6,804.75 | 7,513.37 | 6,961.88 | 7,125.38 | 7,195.87 | 7,458.64 | 7,022.72 | 6,918.39 | 7,636.47 | 7,102.02 | 7,323.57 | 7,030.67 | 6,876.03 | 7,213.26 | 7,190.2 | 6,993.19 | |
| 被保险人（参保人） | 12,244.57 | 12,254.46 | 12,186.45 | 12,191.89 | 12,202.48 | 12,217.06 | 12,227.96 | 12,235.45 | 12,237.92 | 12,235.27 | 12,246.02 | 12,259.48 | 12,270.06 | 12,286.42 | 12,238.52 | 12,244.39 | 12,254.31 | 12,267.31 | 12,276.46 | 12,284.27 | 12,283.56 | 12,285.28 | 12,294.63 | 12,305.67 | 12,315.01 | 12,336.27 | 12,293.88 | 12,298.78 | 12,310.77 | 12,321.21 | 12,330.64 | 12,338.79 | 12,341.2 | 12,344.93 | 12,354.42 | 12,363.7 | 12,374.45 |
最新值
本页序列为月度，时间跨度从2014年4月至2026年5月。来源：日本厚生劳动省（保险局） – 近期医疗费用动向（MEDIAS）。
常见问题
- 日本概算医疗费用的最新值是多少？
- 概算医疗费用总额在2026年5月为3.76万亿日元。较2026年4月−3.3%，较上年同期−0.7%。
- 日本概算医疗费用的数据可追溯至何时？
- 本页序列为月度，时间跨度从2014年4月至2026年5月。来源：日本厚生劳动省（保险局） – 近期医疗费用动向（MEDIAS）。本数据表中的每个序列均可查看全历史图表，并支持下载为CSV或Excel格式。
- 日本概算医疗费用统计包含哪些核心内容？
- 该统计通过汇总公费及公共医疗保险报销与自负部分，估算日本全国医疗费用总规模。细分指标涵盖住院、门诊、牙科及药房配药的费用支出，以及各诊疗类别的就诊天数和配药处方数量。
- 该数据由哪个机构发布，依据什么基础编制？
- 该数据由日本厚生劳动省（保险局）按月编制发布，称为MEDIAS。统计基于各大公共医疗保险制度的诊疗报酬明细书审核数据进行快速概算，反映近期医疗费用的宏观动向。
- 如何系统分析该表中的医疗费用结构与动向？
- 分析时可从制度层面观察被用者保险、国民健康保险以及高龄者保险群体的费用分化；同时结合诊疗费用总额与就诊天数、处方张数等量化指标，拆解医疗支出增长是源于单价提升还是服务频次增加。