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Insurance costs and out-of-pocket spending for all medical services are quantified by the Medical Expenditure Panel Survey (MEPS), a nationally-representative survey of the U.S. civilian noninstitutionalized population. MEPS reported that injuries in 2000 contributed to 10% of U.S. medical expenditures; when MEPS percentages were applied to the annual National Health Accounts data (which trace expenditures within the health care system), injury-related medical expenditures were estimated to cost Americans $117 billion each year.