Czechs spent more than 40 billion crowns (2.2 billion USD) in out-of-pocket medical payments last year on supplies and services not covered by medical insurance, according to data from the Czech Institute of Health Information and Statistics. The amount includes 5 billion crowns collected in healthcare fees and makes up for just over one sixth of overall healthcare costs in the country which stood at 259 billion crowns last year. Between 2004 and 2008, the volume of patient co-payment rose by two percent, from 24.4 billion to 40.1 billion crowns.
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