High variability in self-pay pricing for vasectomy and vasectomy reversal in the United States.
Perspect Sex Reprod Health
; 56(2): 98-105, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38782394
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.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Vasectomia
/
Vasovasostomia
Limite:
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Perspect Sex Reprod Health
Assunto da revista:
SERVICOS DE PLANEJAMENTO FAMILIAR
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos