FEATURED · WORKING PAPER WP-2026-06
The expected cost of IVF success varies by $21,500. The data was federal all along.
Every US fertility clinic reports outcomes to the CDC by law. We analyzed all 454 reporting clinics: cumulative live birth rates for patients under 35 run from the low teens to above 80 percent, and for nearly 1 in 4 clinics the federal file cannot show a headline rate at all. Documented at the system level, never as clinic rankings.
No form. No email gate. Every source named.
From the zReports Research Institute
Built from the government's own records. Archived on Cambridge Open Engage, Harvard Dataverse, Zenodo and SSRN, indexed on Google Scholar, methodology DOI registered.
WP-2026-06 · FERTILITY
Live Birth Rate Variation Across US Fertility Clinics
454 CDC reporting clinics. Median under-35 live birth rate 59.4%, interquartile range 50.0 to 67.3. What the spread means in expected retrievals and dollars, and why patients never see it.
Download PDF →
WP-2026-05 · NURSING HOMES
Federal Penalty Patterns Across Medicare-Certified Nursing Homes
Every Medicare certified nursing home in America. 46% carry at least one federal penalty on the current record and 99.6% have documented deficiencies, while consumer review scores look fine.
Download PDF →Price and Quality in American Hospital Markets
Federal price transparency files against federal quality records, metro by metro. The chart every self funded employer should see before renewal season.
The Official Record
Why the government's own files, not reviews, are the ground truth for choosing care, and how to read them in sixty seconds.