out-of-pocket

adj.

（需）现款支付的，不列入预算的；

Out-Of-Pocket Medical Spending For Care Of Chronic Conditions
Dementia and Out-of-Pocket Spending on Health Care Services
Insurer and out-of-pocket costs of osteoarthritis in the US: Evidence from national survey data
Insurer and out-of-pocket costs of osteoarthritis in the US: Evidence from national survey data
Coping with out-of-pocket health payments: empirical evidence from 15 African countries
Out‐of‐pocket health expenditure and debt in poor households: evidence from Cambodia
Problems Paying Out-of-Pocket Medication Costs Among Older Adults With Diabetes
Out-of-pocket costs and diabetes preventive services: the Translating Research Into Action for Diabetes (TRIAD) study.
Poverty, out-of-pocket payments and access to health care: evidence from Tajikistan
Coping with the Out-of-Pocket Health Payments: Applications of Engel Curves and Two-Part Models in Six African Countries