The US Department of Veterans Affairs (VA) is the largest system of care for individuals with spinal cord injury/disorder (SCI/D) in the world. This article compares demographics, utilization, diagnoses, and associated costs between veterans with traumatic and nontraumatic SCI/D. Regression analyses were used to predict the effect of injury etiology on patient utilization and cost after controlling for covariates. Veterans with a nontraumatic SCI/D were significantly older with a greater number of comorbidities and outpatient utilization; however, there was no difference in health care costs between groups, and injury etiology was not a significant predictor of cost. Recommendations for future research based on these findings are offered.