Opportunities for reproductive tourism: cost and quality advantages of Turkey in the provision of in-vitro Fertilization (IVF) services

Table 4 Cost effectiveness of IVF Services in Turkey and in the USA with Sensitivity analysis (US dollar Cost per Successful pregnancy)

Assumptions about cost and effectiveness parameters	Turkey			USA
Assumptions about cost and effectiveness parameters	Success rate	Cost (USD)	Cost per successful pregnancy	Success rate	Cost (USD)	Cost per successful pregnancy
Average success rate based on patient age and average cost	37.7	8,500	22,546	25.5	12,400	48,627
Reduction in success rate by 10 % in Turkey and improvement in USA (lower average age of patients in the USA)^a	33.9	8,500	25,074	29.2	12,400	42,466
Increase in cost by 10 % in Turkey and higher success rate in USA^b	37.7	9,350	24,801	35.0	12,400	35,429
Increase in cost by 10 % and reduction in success rate by 10 % in Turkey	33.9	9,350	27,581	25.5	12,400	48,627

^aIt is assumed that patients are equally distributed among the five age groups of patients in the USA (age groups in Table 3)
^bIt is assumed that only 20 % of patients in the USA are from the age group more than 40 years while it is 50 % for Turkey, the group with relatively low success rate

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