IUD

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PriceCheck: Insurer Payments for IUDs Vary by $800 in California

(Getty Images)

(Getty Images)

Earlier this year, KQED launched PriceCheck, our crowdsourcing project on health costs. We’re working in collaboration with KPCC public media in Los Angeles and ClearHealthCosts.com, a New York City startup looking at health costs.

On PriceCheck we’re shining a light on the opaque world of health care costs. We’ve asked what you, the members of our audience, have been charged for common medical tests and services, including mammograms and lower-back MRIs.

Now a PriceCheck update on IUDs, the long-acting contraceptive. (And it’s really long-acting — up to seven years for the hormonal type; up to 12 years for the copper IUD). You told us what you were charged and what your insurers paid for an IUD.

Like all FDA-approved methods of birth control, IUDs are supposed to be available at no co-pay to consumers under a requirement of the Affordable Care Act. Were they? The device alone generally costs several hundred dollars; a doctor’s charge to insert the device can be hundreds more.

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IUD Costs Vary by $600 in Bay Area; What Did You Pay?

Intrauterine devices are one of the most effective forms of birth control, but are relatively underutilized, at least in the United States. (Spike Mafford/Getty Images)

Intrauterine devices are one of the most effective forms of birth control. (Spike Mafford/Getty Images)

If you’re one of the 62 million American women of childbearing age, we have a question for you: How much do you pay for birth control? Did you know you might be able to save perhaps hundreds of dollars on your contraceptive method, just by asking? Let’s back up. We’ve reached the halfway point in our PriceCheck project.

We’re shining a light on notoriously opaque and highly variable health care costs. We’re asking you, the members of our community, to share what you’ve paid for common procedures including mammograms and back MRIs. We found that both screening mammograms and back MRIs could vary in price ten-fold. Now we’re moving on to a new health care service: IUDs.

We’re asking you to share what you paid for your IUD. The two most widely-used IUDs are Mirena (a hormonally-based IUD) and ParaGard (a non-hormonal product). Both are more than 99 percent effective in preventing pregnancy. Our PriceCheck partner, ClearHealthCosts.com, has surveyed health care providers and lists cash prices for these IUDs in our PriceCheck database. Continue reading

It’s Time to Rediscover the IUD, Women’s Health Advocates Say

Intrauterine devices are one of the most effective forms of birth control, but are relatively underutilized, at least in the United States.(Spike Mafford/Getty Images)

Intrauterine devices are one of the most effective forms of birth control, but are relatively underutilized, at least in the United States.(Spike Mafford/Getty Images)

By Dana Farrington, NPR

What will it take to make intrauterine devices sexy?

IUDs are highly effective forms of contraception, but fear of side effects, lack of training for doctors and costs can keep women away. Health organizations and private companies are trying to change that by breaking down misconceptions and broadening access.

The contraceptives are inserted into the uterus and can prevent pregnancy for years. And they’re reversible. Shortly after they’re taken out, a woman can become pregnant.

IUDs are more than 99 percent effective. The World Health Organization reports they are “the most widely used reversible contraceptive method globally.” But few women in the U.S. use them; the percentage is only in the single digits, in part because IUDs have a checkered past. The Dalkon Shield IUD, marketed nationwide beginning in 1971, was found to raise the risk of pelvic inflammatory disease. Medical complications and deaths sparked lawsuits with thousands of claimants. Continue reading