The Disease Expenditure Project (DEX) at IHME analyzed estimates for US spending on health care across 3,110 US counties to examine cost variation in 2019. Data for 4 key drivers of per capita spending were extracted for 3110 US counties, 148 health conditions, 38 age-sex groups, 4 payers, and 7 types of care. Service utilization was measured as service volume per prevalent case, while price and intensity was measured as spending per visit, admission, or prescription. This dataset contains the results of Das Gupta and Shapley decomposition methods and linear regression used to estimate the contribution of each factor.