THE PRICE OF LATER ABORTION CARE IN THE US

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111115

TA Weitz, M Wilson Schwartz

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引用次数: 0

Abstract

Objectives

We aimed to document the price of abortion care after 23 weeks of pregnancy.

Methods

We identified 131 healthcare facilities that publicly advertised offering post-23-week abortion care in August 2024. From November 6, 2024 to April 7, 2025, undergraduate research assistants (RAs) posed as mystery clients to inquire about the price of care. They called each facility twice for each two-week pregnancy period at/above 23 weeks (ie, 23-25 weeks; 25-27 weeks). We calculated the range, mean and median price for each two-week difference.

Results

RAs made 522 calls, successfully connecting with facility personnel 418 times (80%). RAs successfully obtained information on the service price in 55% of calls (n=228). In response to 189 calls, RAs obtained a specific price and in 39 calls RAs obtained a price range. Specific prices ranged from $1,054-$82,670 (median $3,000) for 23-week abortions (n=131), $1,959-$12,195 (median $6,500) for 25-week abortions (n=23), $5,585-$13,900 (median $9,500) for 27-week abortions (n=17), $9,800-$16,800 (median $11,400) for 29-week abortions (n=7), 14,500-$19,800 (median $19,000) for 31-week abortions (n=7), and $15,500-$19,000 (median $15,500) for 33-week abortions (n=3).

Conclusions

One of the most recognized barriers to abortion care is needing to raise the money to pay for the abortion, yet little public data exist on the price of abortion later in pregnancy. This study sought to fill this information gap. We provide information on the range of prices for care over two-week gestational durations. Unfortunately, later abortion care price transparency is still limited as almost half of all calls to facilities that publicly advertised offering this care did not result in price information.

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美国晚期堕胎护理的价格

目的了解妊娠23周后流产护理的价格。方法选取了在2024年8月公开宣传提供23周后流产护理的131家医疗机构。从2024年11月6日至2025年4月7日，本科生研究助理（RAs）假扮神秘客户询问护理价格。他们在怀孕23周以上（即23-25周；25-27周）每两周给每家医院打两次电话。我们计算了每两周差异的范围、平均值和中位数价格。结果共拨打电话522次，成功接通设施人员418次（80%）。RAs在55%的呼叫中成功获得了服务价格信息（n=228）。在189个电话中，评级机构获得了一个特定的价格，在39个电话中，评级机构获得了一个价格区间。具体价格从23周堕胎（n=131）的1,054- 82,670美元（中位数为3,000美元），25周堕胎（n=23）的1,959- 12,195美元（中位数为6,500美元），27周堕胎（n=17）的5,585- 13,900美元（中位数为9,500美元），29周堕胎（n=7）的9,800- 16,800美元（中位数为11,400美元），31周堕胎（n=7）的14,500- 19,800美元（中位数为19,000美元）和15,500- 19,000美元（中位数为15,500美元）33周堕胎（n=3）。结论流产护理中最常见的障碍之一是需要筹集资金支付流产费用，但关于妊娠后期流产费用的公开数据很少。这项研究试图填补这一信息空白。我们提供有关两周妊娠期护理价格范围的信息。不幸的是，后来的堕胎护理价格透明度仍然有限，因为几乎一半的电话设施，公开宣传提供这种护理没有导致价格信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.