2. Washington, D.C.
Annual Healthcare Spending Per Capita: $4,663
Annual Out-of-Pocket Spending Per Capita: $662
Income of Age 65+ Households: $59,086
Although the total healthcare spending isn’t especially low, the high-income levels for the average 65-or-older household in our nation’s capital mean that this is the city where the smallest portion of income goes to healthcare costs — just 7.9 percent of that $59,086 a year.