When it comes to healthcare, being a woman means you'll have some extra, shall we say, considerations. Shouldering the brunt of the birth control burden, making regular trips to the gyno for screenings, and, oh yeah, that whole political firestorm surrounding a woman’s right to access certain types of healthcare are just a few of the things that women have to factor into their decisions.

But according to new data from healthcare company Vitals, women have one more thing to worry about: disproportionate costs.

On average, women pay 69 percent more for out-of-pocket healthcare costs than men.

Vitals

Although groan-inducing, the numbers aren’t that surprising. The bills for standard preventative care, breast and ovarian cancer screenings, and birth control—not to mention being actually, you know, sick—aren’t cheap. The costs add up.

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According to the data from Vitals, women can expect to shell out some serious cash for the health issues we encounter over a lifetime. One in four women will have her tubes tied, which can cost anywhere from $1,500 to $6,000. And women are four to six times more likely than men to have knee pain, which can mean a $65,000 knee replacement. Even barring any of these major expenses, regular old mammograms can run up to $200 a pop. Not cool.

Time to start thinking about making healthcare costs a bigger line item in your long-term budget.

Macaela Mackenzie Macaela Mackenzie is a freelance journalist specializing in health, culture, and tech, and she regularly contributes to outlets like Prevention, Women’s Health, Shape, Allure, Men’s Health, the John Hopkins Health Review, and more.

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