Later Abortion Care Availability, Quoted Self-Pay Prices, and State Medicaid Acceptance - Summary - MDSpire

Later Abortion Care Availability, Quoted Self-Pay Prices, and State Medicaid Acceptance

  • By

  • Tracy A. Weitz

  • Malcolm Wilson Schwartz

  • June 2, 2026

  • 0 min

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Objective:

To document the self-pay price of later abortion care in the US and assess whether facilities would accept state Medicaid as payment as of the study period.

Key Findings:
  • 24 states banned abortion before 22 weeks, and 17 set limits at 24 weeks or based on fetal viability.
  • The median self-pay price for a second-trimester abortion was $895 in 2020, with significant variation across states.
  • Fewer than 1% of abortions in the US occur after 21 weeks, leading to limited data on later abortion pricing.
Interpretation:

Understanding self-pay prices and Medicaid acceptance is crucial for abortion seekers, especially given the financial barriers associated with later abortion care.

Limitations:
  • Limited data on self-pay prices for later abortions due to the low number of such procedures.
  • Variability in state Medicaid policies and reimbursement rates complicates the financial landscape for abortion seekers, impacting their access to care.
Conclusion:

The study highlights the need for clear information on self-pay prices and Medicaid acceptance to assist abortion seekers in navigating access challenges, which could inform policy changes.

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