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.