A little lower down in the same report (amounts are expressed in CAD):
Among 36 countries in the Organisation for Economic Co-operation and Development in 2017, the latest year for which comparable data is available, spending per person on health care remained highest in the United States (CA$12,865). Canada’s per capita spending on health care was among the highest internationally, at CA$6,082 — less than in the Netherlands (CA$6,786) and France (CA$6,177), and more than in Australia (CA$5,725) and the United Kingdom (CA$5,373).
So in the US in 2017, a family of 4 would have spent about 51,460 (Canadian) in total. To soften the blow a little, the cost in US $ is more like $38,625. As you can see, that is far more than what you pay for insurance. The difference is buried in copays (US only), the tax burden, and the national deficit, in both countries. (Edited)
Also in Canada, almost 60% of the cost is pharmaceuticals (Same report) so you see where the lions share is going - it's also the fastest raising cost. I believe that is the same situation in the US.
It's a mess on this side of the pond, no matter where you live.