Evidence map›Paper›PMID 42581157›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Who pays the most for neonatal intensive care? An analysis of the out-of-pocket cost burden borne by NICU families.

Noelle Gorka, Jochen Profit, Ciaran S Phibbs

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Noelle GorkaStanford University School of Medicine, Stanford, CA, USA. ngorka12@stanford.edu.ORCID http://orcid.org/0000-0003-1438-0983
Jochen Profit *Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-3782-9248
Ciaran S Phibbs *Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-4353-3507

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo document direct medical out-of-pocket (OOP) cost of NICU admissions and investigate structural contributions to differential cost burden. STUDY

designSurvey-weighted multivariable regression analyzed the relationship between OOP cost and structural covariates, in a cross-sectional study of 813 NICU patients with admissions reported in the 2000-2021 U.S. Medical Expenditures Panel Survey.

resultsThe OOP cost distribution was right-skewed with median = $0, IQR = $181, and range = $0-$58 584. Relative to a publicly-insured, lowest-income ( < 100% of FPL) reference group, covariates for insurance type and income bracket were significant to ≥95% confidence: costs were 11x higher for the privately-insured, 15x higher for the uninsured, and 1.4x higher per income bracket increase. Predicted mean costs for families with incomes <100% of FPL are: Public Only Insurance: $126; Any Private Insurance: $1382; Uninsured: $1916.

conclusionWhile NICU OOP costs appear lower among the publicly-insured, substantial costs burden privately-insured and uninsured families.

Identifiers

PMID42581157

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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.