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High variability in self‐pay pricing for vasectomy and vasectomy reversal in the United States.
- Source :
-
Perspectives on Sexual & Reproductive Health . Jun2024, Vol. 56 Issue 2, p98-105. 8p. - Publication Year :
- 2024
-
Abstract
- Context: In the United States (US) men who undergo vasectomy and/or vasectomy reversal (vasovasotomy) are likely to pay out‐of‐pocket for these procedures. We characterized the publicly disclosed pricing of both procedures with a focus on variability in self‐pay prices. Methods: We queried all US hospitals for publicly disclosed prices of vasectomy and vasovasotomy. We assessed interhospital variability in self‐pay pricing and compared hospitals charging high (≥75th percentile) and low (≤25th percentile) self‐pay prices for either procedure. We also examined trends in pricing after the 2022 US Supreme Court decision that allowed individual states to ban abortion. Results: Of 6692 hospitals, 1375 (20.5%) and 281 (4.2%) disclosed self‐pay prices for vasectomy and vasovasotomy, respectively. There was a 17‐fold difference between the 10th and 90th percentile self‐pay prices for vasectomy ($421–$7147) and a 39‐fold difference for vasovasotomy ($446–$17,249). Compared with hospitals charging low (≤25th percentile) self‐pay prices for vasectomy or vasovasotomy, hospitals charging high (≥75th percentile) prices were larger (median 150 vs. 59 beds, p < 0.001) and more likely to be for‐profit (31.2% vs. 7.8%, p < 0.001), academic‐affiliated (52.7% vs. 23.1%, p < 0.001), and located in an urban zip code (70.1% vs. 41.3%, p < 0.001). From October 2022 to April 2023, the median self‐pay price of vasectomy increased by 10% (from $1667 to $1832) while the median self‐pay price of vasovasotomy decreased by 16% (from $3309 to $2786). Conclusion: We found large variability in self‐pay pricing for vasectomy and vasectomy reversal, which may serve as a barrier to the accessibility of male reproductive care. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15386341
- Volume :
- 56
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Perspectives on Sexual & Reproductive Health
- Publication Type :
- Academic Journal
- Accession number :
- 178021179
- Full Text :
- https://doi.org/10.1111/psrh.12266