School of Medicine, Case Western Reserve University, Cleveland, OH, USA.
Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Andrologia. 2021 Mar;53(2):e13957. doi: 10.1111/and.13957. Epub 2021 Jan 4.
Although the lack of information on the costs and pricing of healthcare services prevails throughout the medical industry, empiric observations have demonstrated that pricing information is even more obscured in the sperm cryopreservation market. Thus, the objectives of our study are to assess and compare online price transparency and the price of sperm cryopreservation across various healthcare settings in the United States. This study examined online pricing published by facilities that have an active registration to store spermatozoa with the Food and Drug Administration. Less than one-fifth of registered facilities display any pricing information online. Price transparency also varies among census regions and facility types. Nationally, the median initial bank fee and annual price of storage are $350 and $385 respectively. Although there were no differences in the initial fee by facility type and census region, the annual price of storing spermatozoa is highest in the Northeast, which could be attributed to laboratory techniques, demographic patterns or insurance coverage. Guidelines from professional societies or different legislation and regulatory requirements across different US states can increase price transparency, which can promote consumer decision-making and decrease the barrier for men seeking fertility preservation.
尽管医疗行业普遍缺乏医疗服务成本和定价信息,但经验观察表明,精子冷冻保存市场的定价信息更为模糊。因此,我们的研究目的是评估和比较美国不同医疗保健环境下的在线价格透明度和精子冷冻保存价格。本研究考察了经美国食品和药物管理局注册储存精子的机构在网上公布的价格。不到五分之一的注册机构在网上显示任何价格信息。价格透明度也因普查区域和机构类型而异。在全国范围内,初始银行费用和年度存储价格中位数分别为 350 美元和 385 美元。尽管不同机构类型和普查区域的初始费用没有差异,但东北地区储存精子的年费用最高,这可能归因于实验室技术、人口模式或保险覆盖范围。专业协会的指南或美国不同州的不同立法和监管要求可以提高价格透明度,这可以促进消费者决策并降低男性寻求生育力保存的障碍。