State Breakdown

Ohio

Effective January 24, 2024 Ohio adopted legislation that placed age limits on sex change treatments for minors. This legislation was temporarily blocked. As of August 6, 2024, the legislation (ORC Ann. 3129.02) was allowed to go into effect.

Washington
1009

Total Sex Change Patients

info icon Total unique children who underwent gender-affirming procedures or hormone/puberty blocker therapy.
224

Total Surgery Patients

info icon Total unique children who underwent gender-affirming surgical procedures.
791

Total Hormone and Puberty Blocker Patients

info icon Total unique children who were prescribed puberty blockers or received gender-affirming hormone therapy.
6648

Total Prescriptions Written

info icon Total number of scripts for puberty blockers or gender-affirming hormones.
$5,076,711

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 Ohio

Children's Hospital Total Sex Change Patients Surgery Patients Hormone and Puberty Blocker Patients Prescriptions Written Submitted Charges
Akron, OH Akron Children's Hospital 73 0 73 630 $33,759
Cincinnati, OH Cincinnati Children's Hospital Medical Center 396 27 372 3551 $799,044
Cleveland, OH Cleveland Clinic Children's Hospital 3 0 3 20 $297
Dayton, OH Dayton Children's Hospital 54 0 54 325 $17,441
Columbus, OH Nationwide Children's Hospital 118 0 118 711 $67,028


All Facilities in Ohio

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
Cleveland Clinic Main Campus 111 62 51 330 $1,680,206
Dublin Surgery Center LLC 45 45 0 0 $1,087,498
Ohio State University Wexner Medical Center 21 14 7 26 $369,327
OhioHealth Grant Medical Center 14 9 5 12 $135,736
OSU Plastic Surgery LLC 6 6 0 0 $105,089
The James Cancer Hospital and Solove Research Institute 2 2 0 0 $94,240
MetroHealth Medical Center 31 9 22 160 $85,125
University of Cincinnati Medical Center 18 13 5 18 $67,994
Crystal Clinic Orthopaedic Center Hospital 4 4 0 0 $67,250
University Hospitals Health System Inc 4 4 0 0 $63,173
Knightsbridge Surgery Center Ltd 4 4 0 0 $49,952
MetroHealth System 5 5 0 0 $42,640
University Hospitals Cleveland Medical Center 4 3 1 8 $37,597
University Hospitals Parma Medical Center 1 1 0 0 $35,462
OSU Wexner Medical Center Ambulatory Surgery Center 1 1 0 0 $35,280
OSU Urology LLC 2 2 0 0 $33,672
Stratus Plastic Surgery 6 6 0 0 $28,000
Brainard Surgery Center LLC 2 2 0 0 $27,697
Mercy Health St. Elizabeth Youngstown Hospital 4 3 1 6 $26,138
Onyx & Pearl Surgical Suites LLC 1 1 0 0 $17,889
UC Health West Chester Hospital 4 4 0 0 $14,083
Independent Facility 32 0 32 136 $8,775
Southwest General Health Center 9 0 9 71 $6,408
Bethesda North Hospital 11 4 7 51 $5,829
Mercy Health St. Anne Hospital 8 0 8 55 $5,603
The Christ Hospital 7 0 7 28 $3,221
Soin Medical Center Kettering Health 1 0 1 5 $2,404
Summa Health System Akron Campus 10 1 9 39 $2,372
OhioHealth Dublin Methodist Hospital 7 1 6 22 $2,308
Kettering Health Dayton 5 0 5 81 $2,152
OhioHealth Mansfield Hospital 1 0 1 19 $1,500
Firelands Regional Medical Center 2 0 2 32 $1,427
Mount Carmel Grove City 5 0 5 22 $1,231
Upper Valley Medical Center 1 0 1 6 $1,222
OhioHealth O'Bleness Hospital 3 0 3 11 $975
Union Hospital 1 0 1 21 $943
University Hospitals Ahuja Medical Center 1 0 1 7 $717
Southern Ohio Medical Center 2 0 2 28 $684
Lutheran Hospital 1 0 1 10 $616
OhioHealth Riverside Methodist Hospital 5 3 2 9 $502
Kettering Health Main Campus 2 0 2 10 $438
McLaren St. Luke’s 3 1 2 8 $423
Mercy Health St. Elizabeth Boardman Hospital 2 0 2 8 $369
Mercy Health Lorain Hospital 2 0 2 5 $357
Mercy Health St. Vincent Medical Center 1 0 1 4 $345
Akron General 2 0 2 4 $331
Mercy Health Anderson Hospital 3 0 3 9 $323
Genesis Hospital 2 0 2 6 $312
OhioHealth Marion General Hospital 1 0 1 7 $250
Bellevue Hospital 1 0 1 6 $246
Fairview Hospital 3 0 3 11 $246
ProMedica Toledo Hospital 3 0 3 6 $238
University Hospitals Lake West Medical Center 1 0 1 6 $219
OhioHealth Southeastern Medical Center 1 0 1 6 $209
Miami Valley Hospital 2 1 1 2 $190
University Hospitals Samaritan Medical Center 1 0 1 4 $177
Mercy Health Fairfield Hospital 1 0 1 6 $168
Mercy Health St. Rita's Medical Center 1 0 1 2 $163
Holzer Medical Center Gallipolis 2 0 2 3 $158
OhioHealth Grady Memorial Hospital 1 0 1 13 $156
Adena Regional Medical Center 1 0 1 6 $137
University Hospitals Elyria Medical Center 1 0 1 5 $126
Kettering Health Miamisburg 2 0 2 8 $125
Ashtabula County Medical Center 3 0 3 7 $121
Wood County Hospital 1 0 1 1 $119
Knox Community Hospital 2 0 2 7 $82
Highland District Hospital 1 0 1 2 $78
Wooster Community Hospital 1 0 1 2 $66
Mercy Health West Hospital 1 0 1 2 $22
Mercy Health Tiffin Hospital 1 0 1 1 $10
Mary Rutan Hospital 1 0 1 1 $0
OhioHealth Hardin Memorial Hospital 1 1 0 0 $0
University Hospitals St. John Medical Center 1 0 1 3 $0
OhioHealth 1 1 0 0 $0
Plastic Surgery Group Inc 1 1 0 0 $0
Donald J. Schmidt DC Inc 4 4 0 0 $0
University Hospitals Portage Medical Center 1 0 1 6 $0
Cleveland Clinic Foundation 4 4 0 0 $0
TriHealth 3 3 0 0 $0
University of Cincinnati Physicians Company LLC 1 1 0 0 $0
Licking Memorial Hospital 1 0 1 3 $0
University Hospitals Richmond Medical Center 1 0 1 4 $0
Mercy Health Clermont Hospital 1 0 1 1 $0
Quest Diagnostics Incorporated 1 1 0 0 $0
Dublin Surgical Center LLC 4 4 0 0 $0
MVHE Inc 2 2 0 0 $0
Hillcrest Hospital 1 0 1 3 $0
Cleveland Clinic Mercy Hospital 1 0 1 10 $0