Just how much is the annual cost of health care for a family of four? Enough to pay for a year of tuition at an in-state college or buy a midsize sedan.

According to the 2013 Milliman Medical Index, annual health costs of a typical family of four through an employer-sponsored preferred provider organization rose 6.3 percent to $22,030 in 2013.

In 2012, the cost was $20,728, the first time those costs exceeded $20,000.

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