Evidence map›Paper›PMID 40555740›Full record

ArticleAesthetic plastic surgery2026

Gender-Affirming Surgery Price Transparency and Online Information Availability in US Hospitals.

Amitai S Miller, Daniela Lee, James E Fanning, Avery E Allen, Manraj N Kaur, Geraldine S Serwald, Amanda Fazzalari, Kavitha Ranganathan

Abstract read
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In one paragraph

Article in Aesthetic plastic surgery, 2026. 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

8 authors.

Amitai S MillerHarvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA. Amiller@hms.harvard.edu.ORCID 0000-0001-6130-6810
Daniela LeeHarvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA.
James E FanningDivision of Plastic and Reconstructive Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Avery E AllenStern College for Women, Yeshiva University, New York, NY, USA.
Manraj N KaurHarvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA.
Geraldine S SerwaldHarvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA.
Amanda FazzalariDivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Kavitha RanganathanDivision of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany transgender and gender-diverse (TGD) individuals rely on online resources to obtain gender-affirming surgery (GAS) information. In 2021, US Centers for Medicare and Medicaid Services (CMS) mandated that hospitals disclose prices for common services and procedures. The aim of this study was to assess the online information and price availability for GAS in US-based hospitals.

methodsThe largest 100 hospitals by inpatient bed volume were included. Hospital websites were searched in October 2023 for terms pertaining to GAS, and price estimator tools were queried for 66 common CPT codes used in GAS. Data on hospital ownership, hospital income, Medicaid revenue, plastic surgery residency program presence, ZIP code median income, social vulnerability index score, and state-level nondiscrimination laws were also collected.

resultsOut of 100 hospitals, 59 publicly offered GAS. Hospitals located in the US South and Church-owned hospitals were the least likely to have any GAS information availability (41.5% and 36.4%, respectively). Hospitals in states with laws protecting GAS insurance access and those with plastic surgery residency programs were more likely to publicly offer GAS. Only 48 hospitals offered any GAS pricing information. Of these hospitals, the median number of prices displayed was two, and only five hospitals disclosed prices for more than ten procedures. Pricing information was particularly limited for genital and facial procedures.

conclusionsSignificant gaps exist in the public availability of GAS information and price transparency, with notable regional and institutional disparities. Standardizing price estimator tools would enhance informed decision-making and reduce barriers to care. http://www.springer.com/00266 LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

DisclosureGender-Affirming SurgeryHospitalsFemaleHumansInternetMalePrice TransparencyUnited StatesAccess barriersDisparitiesGender-affirming surgeryOnline informationPrice estimator toolPrice transparency

Identifiers

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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.