State Breakdown

Missouri

Effective August 28, 2023, Missouri adopted legislation (§191.1720 R.S.Mo.) that placed age limits on sex change treatments for minors.

Washington
182

Total Sex Change Patients

info icon Total unique children who underwent gender-affirming procedures or hormone/puberty blocker therapy.
44

Total Surgery Patients

info icon Total unique children who underwent gender-affirming surgical procedures.
139

Total Hormone and Puberty Blocker Patients

info icon Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
772

Total Prescriptions Written

info icon Total number of scripts for puberty blockers or gender-affirming hormones.
$307,784

Total Submitted Charges

info icon Total amount submitted by providers or pharmacies to insurance for services, treatments, or prescriptions, before any reviews or adjustments. Includes medical procedures and prescription charges but may not reflect the final amount after negotiations.

Children's Hospitals in Missouri

Children's Hospital Total Sex Change Patients Surgery Patients Hormone and Puberty Blocker Patients Prescriptions Written Submitted Charges
Kansas City, MO Children's Mercy Hospital 34 3 31 157 $7,266
St. Louis, MO Mercy Kids Children's Hospital St. Louis 8 0 8 47 $595
St. Louis, MO St. Louis Children's Hospital 49 8 41 177 $54,102


All Facilities in Missouri

For procedure data, facility and state details are based on the healthcare organization’s (HCO) NPI record in NPPES.
For prescription data, facility details are inferred from the healthcare provider’s (HCP) NPI record in NPPES and other publicly available provider directories and may not reflect the actual location where the prescription was written.

SEX CHANGE PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures or hormone/puberty blocker therapy.

TOTAL SURGERY PATIENTS: Total unique children who underwent “gender-affirming” surgical procedures.

TOTAL HORMONE AND PUBERTY BLOCKERS PATIENTS: Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.

TOTAL PRESCRIPTIONS WRITTEN: Total number of prescriptions written by a provider for puberty blockers or gender-affirming hormones for children.

TOTAL SUBMITTED CHARGES: This is the initial amount a healthcare provider or pharmacy submits to the insurance company for a specific service, treatment, or prescription before the insurance company reviews and adjusts the payment. This value includes both the pharmacy-submitted cost of prescription drug claims and the line-item charges associated with medical procedures. Please note that this amount does not necessarily reflect the full cost of the procedure or prescription, as it is subject to adjustments and negotiations by the insurance company.

For more information on the specific procedure and diagnostic codes and other methodology used to make these determination, read our white paper here.

Facility Total Sex Change Patients Surgery Patients Hormone and Puberty Blocker Patients Prescriptions Written Submitted Charges
Cox Medical Center South 15 1 14 80 $62,643
Barnes-Jewish Hospital 13 9 4 29 $45,354
St. Louis Women's Surgery Center LLC 2 2 0 0 $36,322
University Health Truman Medical Center 7 7 0 0 $26,955
Saint Luke's Hospital of Kansas City 2 1 1 1 $19,919
Barnes-Jewish West County Hospital 3 3 0 0 $12,200
Lee’s Summit Medical Center 2 2 0 0 $11,336
Centerpoint Medical Center 1 1 0 0 $10,759
Independent Facility 26 0 26 145 $7,894
Cox Barton County Hospital 4 0 4 32 $4,853
St. Louis Surgical Center LC 2 2 0 0 $2,500
University Hospital 6 0 6 31 $2,052
Boone Hospital Center 1 0 1 5 $1,109
Missouri Baptist Medical Center 4 2 2 5 $616
Cox Medical Center Branson 1 0 1 8 $608
SSM Health Rehabilitation Hospital Richmond Heights 1 0 1 8 $139
Cox Monett Hospital 1 0 1 5 $136
Ozarks Medical Center 1 0 1 2 $130
Mosaic Life Care Medical Center at St. Joseph 1 0 1 1 $123
North Kansas City Hospital 1 0 1 2 $106
Mercy Hospital Aurora 1 0 1 1 $28
Mercy Hospital Lebanon 1 0 1 1 $26
Golden Valley Memorial Hospital 1 0 1 1 $14
Missouri Baptist Sullivan Hospital 1 0 1 2 $0
Parkland Health Center Farmington 1 0 1 4 $0
Liberty Hospital 1 0 1 1 $0
Citizens Memorial Hospital 1 1 0 0 $0
SSM Health St. Mary's Hospital Jefferson City 1 0 1 3 $0
Excelsior Springs Hospital 1 0 1 5 $0
Washington University 5 5 0 0 $0
Phelps Health 1 0 1 19 $0
Webster Family Physicians PC 1 1 0 0 $0
Saint Luke's Health System Inc 1 1 0 0 $0
Centene Corporation 1 1 0 0 $0
Parkcrest Plastic Surgery Inc 1 1 0 0 $0