{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:33:28Z","timestamp":1787726008070,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Context<\/jats:title><jats:p>In the United States (US) men who undergo vasectomy and\/or vasectomy reversal (vasovasotomy) are likely to pay out\u2010of\u2010pocket for these procedures. We characterized the publicly disclosed pricing of both procedures with a focus on variability in self\u2010pay prices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We queried all US hospitals for publicly disclosed prices of vasectomy and vasovasotomy. We assessed interhospital variability in self\u2010pay pricing and compared hospitals charging high (\u226575th percentile) and low (\u226425th percentile) self\u2010pay prices for either procedure. We also examined trends in pricing after the 2022 US Supreme Court decision that allowed individual states to ban abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 6692 hospitals, 1375 (20.5%) and 281 (4.2%) disclosed self\u2010pay prices for vasectomy and vasovasotomy, respectively. There was a 17\u2010fold difference between the 10th and 90th percentile self\u2010pay prices for vasectomy ($421\u2013$7147) and a 39\u2010fold difference for vasovasotomy ($446\u2013$17,249). Compared with hospitals charging low (\u226425th percentile) self\u2010pay prices for vasectomy or vasovasotomy, hospitals charging high (\u226575th percentile) prices were larger (median 150 vs. 59 beds, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and more likely to be for\u2010profit (31.2% vs. 7.8%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), academic\u2010affiliated (52.7% vs. 23.1%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and located in an urban zip code (70.1% vs. 41.3%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). From October 2022 to April 2023, the median self\u2010pay price of vasectomy increased by 10% (from $1667 to $1832) while the median self\u2010pay price of vasovasotomy decreased by 16% (from $3309 to $2786).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found large variability in self\u2010pay pricing for vasectomy and vasectomy reversal, which may serve as a barrier to the accessibility of male reproductive care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psrh.12266","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T23:40:46Z","timestamp":1716507646000},"page":"98-105","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["High variability in self\u2010pay pricing for vasectomy and vasectomy reversal in the United States"],"prefix":"10.1111","volume":"56","author":[{"given":"Aaron","family":"Brant","sequence":"first","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Lewicki","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alec","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Rhodes","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilo","family":"Arenas\u2010Gallo","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan E.","family":"Shoag","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter N.","family":"Schlegel","sequence":"additional","affiliation":[{"name":"Department of Urology New York\u2010Presbyterian Hospital, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Halpern","sequence":"additional","affiliation":[{"name":"Department of Urology Northwestern University Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"e_1_2_5_2_1","article-title":"Medicare coverage for vasectomies","author":"Malzone L","year":"2023","journal-title":"Medigap.Com"},{"key":"e_1_2_5_3_1","unstructured":"MillerJA.Are Vasectomies Reversible?The New York Times2022www.nytimes.com\/2022\/09\/06\/well\/vasectomy-reversal.html"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988320949368"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2018.08.02"},{"issue":"1","key":"e_1_2_5_6_1","first-page":"495","article-title":"Predictors of live birth after vasectomy reversal in a specialist fertility centre","volume":"110","author":"Davis NF","year":"2017","journal-title":"Ir Med 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contraceptive methods matter for everyone","volume":"18","author":"Sonfield A","year":"2015","journal-title":"Guttmacher Policy Rev"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.75.4.370"},{"key":"e_1_2_5_15_1","first-page":"1","article-title":"2006 National Hospital Discharge Survey","volume":"5","author":"DeFrances CJ","year":"2008","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_5_16_1","first-page":"1","article-title":"Ambulatory surgery in the United States, 2006","volume":"11","author":"Cullen KA","year":"2009","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.06.117"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/15579883221098574"},{"key":"e_1_2_5_19_1","unstructured":"Medicare and Medicaid programs: CY 2020 hospital outpatient PPS policy changes and payment rates and ambulatory surgical center payment system policy changes and payment rates. Price Transparency Requirements for Hospitals to Make Standard Charges Public. Reg. 65524\u201365606.2019."},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2020.100443"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41391\u2010023\u201000643\u20109"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psrh.12266","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T07:28:08Z","timestamp":1718954888000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/psrh.12266"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,23]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/psrh.12266"],"URL":"https:\/\/doi.org\/10.1111\/psrh.12266","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,23]]},"assertion":[{"value":"2024-05-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}