Evidence map›Paper›PMID 40465151›Full record

ArticleJournal of assisted reproduction and genetics2025

Willingness to pay for in vitro fertilization: results from a national sample of reproductive-aged adults in the US.

Sitara Murali, David Suh, S Sriram, Anna Kirkland, James M Dupree

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sitara MuraliDepartment of Urology, Institute for Research on Women and Gender, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0009-0005-3709-7648
David SuhDepartment of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0002-5950-4946
S SriramRoss School of Business, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0003-3561-9420
Anna KirklandKim Lane Scheppele Collegiate Professor of Women's and Gender Studies, Arthur F. Thurnau Professor of Women's and Gender Studies, Political Science, Sociology, and Health Management & Policy (By Courtesy), University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0001-5711-4074
James M DupreeDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0002-4290-9648

Funding

How Health Insurance Benefit Design Affects Infertility Treatment and Birth OutcomesR01HD113625 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI James M Dupree, Anna Rutherford Kirkland · 2024 to 2026
$2.1M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD113625NICHD NIH HHS R01 HD113625
6 · The paper itself

Abstract

purposeTo assess United States (US) reproductive-aged adults' willingness to pay for in vitro fertilization (IVF) and determine socio-demographic factors associated with their willingness to pay.

methodsWe conducted a cross-sectional survey of reproductive-aged adults (18-50 years old) to ask respondents demographic and reproductive health questions, including the US dollar amount they would be willing to pay out-of-pocket for IVF over a 12-month period. We used linear regression models to determine associations between socio-demographic factors and respondents' willingness to pay for IVF.

resultsThere were 2,035 survey respondents from 49 states and the District of Columbia. 43.6% were female assigned at birth, 81.7% were heterosexual, 42.6% were married, and 7.2% of respondents reported having infertility. 66% (n = 1,353) of respondents were willing to pay a non-zero amount for IVF, with a median willingness to pay of $5,000. Annual household incomes between $121,000 and $199,000 (p = 0.003) and greater than $200,000 (p = 0.005) and familiarity with IVF treatment (p < 0.001) were associated with a higher willingness to pay. Among infertile respondents (n = 133), the median willingness to pay was also $5,000 and familiarity with IVF (p = 0.04) was associated with a higher willingness to pay.

conclusionWe found a median willingness to pay for IVF of $5,000 among respondents, which is one-third of the average out-of-pocket cost of one IVF cycle in the US (~ $15,000). These findings highlight the need for policymakers and clinicians to advocate for expanded health insurance coverage for IVF to align with reproductive-aged adults' willingness to pay and address barriers accessing infertility services.

Indexed as

Fertilization in VitroInfertilityAdolescentAdultCross-Sectional StudiesFemaleHealth ExpendituresHumansMaleMiddle AgedSurveys and QuestionnairesUnited StatesYoung AdultAffordabilityInfertilityIn vitro fertilizationWillingness to pay

Identifiers

PMID40465151
PMCPMC12356779

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.