It's part of a clinical trial, and the staff donated their time, so I don't think that number tells you anything meaningful about what it would normally cost.
I don't think anyone in America is actually paying a bill for $300,000 for a transplant. It's either paid for by insurance, or if someone doesn't have insurance, via hospital charity or a state medical aid plan. The only exception would be an absurdly rich person who doesn't have insurance.
Don’t worry, our current President promises to be the “fertilisation President” and is pushing to cover IVF and other fertility treatments mandatory on isursnfr.
The negotiated rate is still super high. There are procedures where it costs less to fly overseas and get it done self-pay than the out-of-pocket cost with insurance in the US.
If someone is low income and doesn’t have insurance, they should apply for state Medicaid or other assistance programs. These programs exist and are very helpful.
While yes they should, that is still going to be minimal coverage that doesn't cover tons of stuff, especially something like voluntary uterus transplant.
It varies by state, but in some Medicaid is some of the best coverage you can get. (I have a personal mission to dispel the myth that poor Americans can't access health care, because often they can - and spreading the idea they can't leads to adverse health outcomes.) Specifically, patients aren't ever charged for anything.
Uterus transplants are still experimental. The only ones I could find in the U.S. are in clinical trials and are being paid for by the institution to people accepted into the program, such as the one at John Hopkins.
There are not gynecologists (yet) charging $200,000 for uterus transplants in America.