Americans with health insurance are paying significantly more out-of-pocket for doctor's visits and prescriptions than they did a decade ago, an issue brief from the Commonwealth Fund finds. Based on a tracking survey conducted between September and October 2014, the brief, Too High a Price: Out-of-Pocket Health Care Costs in the United States (12 pages, PDF), found that in 2014 the average deductible for a single policy in an employer plan was $1,217 — more than double the 2006 average of $584. What's more, with average household income stagnant since 2006, more than 20 percent of adults who were insured spent 5 percent or more of their income on out-of-pocket costs — not including premiums — while 13 percent spent 10 percent or more. The survey also found that about 60 percent of privately insured low-income respondents and 50 percent of moderate-income respondents reported that their deductibles were unaffordable, while 40 percent of Americans with deductibles accounting for 5 percent or more of their income delayed needed health care because of cost.