Comprehensive Guide to Abortion Costs, Procedures, and Access in California
How much does an abortion cost? In a critical decision such as abortion, other costs should also be considered. Every person is different and every life situation is different, but studies across the United States show that an abortion decision will not just cost money, it has a definite price to pay emotionally, in relationships, and physically.
Financial Costs of Abortion
The financial costs of an abortion for those without insurance range from $350-$2000, according to the health.costhelper.com. The cost varies based on the gestational age of the fetus, other health and risk factors and your location in the US.
- For patients not covered by insurance, a surgical abortion in a doctor’s office or a medical abortion at 10 weeks typically costs about $320 to $500.
- At 16 weeks, a surgical abortion costs about $500 to $700.
- At 20 weeks or later, a surgical abortion costs about $1,000 to $2,000 or more.
Abortion pill prices in California range from $0 with insurance to $612, depending on your provider, location, and financial assistance options. For example, cost options include the Aalto Women’s Center in Houston, Texas, which charges $320 up to 11 weeks, and Choice Medical Group in San Francisco, Calif., which charges $2,000 at 20 to 24 weeks.
Comparison of Abortion Costs in California
| Type of Abortion | Estimated Cost in California |
|---|---|
| Procedural in-clinic abortion | $885 to $1,364 |
| Abortion pills (avg.) | $612 |
| Abortion pills with Hey Jane | $299 to $499 (or as low as $0 with insurance) |
Insurance Coverage and Laws in California
Will my insurance cover an abortion in California? Most likely, yes! California Senate Bill 245 states that health insurance plans, including both private insurance and Medi-Cal, cannot require individuals to pay any additional out-of-pocket costs like deductibles, copayments, or coinsurance for abortion and abortion-related services. Patients who get treatment in California can use Aetna, Blue Shield of California, Cigna, and Sana Benefits plans to pay for their medication abortion.
The Hidden Costs of Using Insurance
On the surface, using insurance may seem like the most affordable option, but there are often hidden costs and challenges:
- Privacy Concerns: Insurance companies issue Explanation of Benefits (EOBs) to the policyholder, which can unintentionally disclose abortion care to parents or partners.
- Travel Requirements: Coverage may apply only at certain in-network clinics, which can mean long travel times.
- Copays and Surprise Bills: Patients may face unexpected charges for consultations, ultrasounds, or follow-up care.
Medication vs. Surgical Abortion
Here’s how abortion pills compare to surgical abortion:
Medication Abortion (Abortion Pills): Typically more affordable than surgical abortion and effective up to 10 weeks of pregnancy. The process takes place over 24 to 48 hours at home, involving two medications (mifepristone and misoprostol). It provides more discretion, as it can be done at home.
Surgical Abortion: Most abortions — 88 percent — are obtained by week 13; however, an abortion usually is considered late-term at 20 weeks, and it is much more difficult to find providers for second-trimester abortions.
Emotional Costs and Mental Health
What are the emotional costs come with having an abortion? In a study published in the Canadian Journal of Psychiatry, researchers found that women who underwent an abortion had a 98 percent increased risk for any mental health disorders compared to women who did not have an abortion. Key findings include:
- 59 percent increased risk for suicidal thoughts
- 61 percent increased risk for mood disorders
- 61 percent increased risk for social anxiety disorders
- 261 percent increased risk for alcohol abuse
Access to Abortion Pills at Pharmacies
With major pharmacy chains like CVS and Walgreens now dispensing abortion pills, access to reproductive care is becoming more convenient. CVS and Walgreens are certified to dispense mifepristone in over 20 states, including California, New York, and Washington. In these states, patients can obtain abortion pills following a telehealth consultation with a certified healthcare provider. Prescriptions can be picked up at CVS or Walgreens, or delivered discreetly to your home.
Where to Get an Abortion in California
Abortion is legal throughout the state of California from big cities to more rural towns. Virtual care from clinics like Hey Jane allows you to consult with a licensed provider via chat or video call.
| City | Medication Abortion Pills | In-Clinic Procedure |
|---|---|---|
| Bakersfield, CA | Hey Jane | Find a Bakersfield clinic |
| Los Angeles, CA | Hey Jane | Find a Los Angeles clinic |
| San Francisco, CA | Hey Jane | Find a San Francisco clinic |
| San Diego, CA | Hey Jane | Find a San Diego clinic |
Exploring Your Options
In determining the cost of an abortion, each person involved needs to consider not just the financial cost, but every area of their life. Abortion is a forever decision; it cannot be undone once completed. There are other options besides abortion, such as Parenting, Private or Public Adoption, or Safely Surrender (Safe Haven). We encourage you to consider all your options.