The fact that many Americans spend their last days in a hospital bed is a shame for them, their families, and the U.S. budget.

A recent analysis by Arcadia Healthcare Solutions finds that spending on those who die in the hospital is about seven times that of those who live out their last days at home. Much of that money comes from the estate of the deceased, but most of it is paid for by U.S. taxpayers through Medicare.

The study showed that the 42 percent of Americans who died in a non-hospital setting, whether at home or in a hospice facility, incurred an average of $4,760 in billable medical services during their last month of life.