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How much does IVF cost?
Generally is is hard to obtain good information about the cost of medical procedures. This is especially true of complex ones where there are costs of associated parts of the procedure that may not be under the control of the medical provider. What follows is an explicit description of costs for IVF together with a discussion to provide a basis for understanding all associated costs. Pricing is accurate for the time period listed. We have many patients for whom doing an IVF type procedure is a major sacrifice and who would benefit from this information in order to accurately plan for the costs involved.
How much will IVF cost?
Our self-pay package charges for IVF are $8000. This is a package charge that covers all the costs of doing IVF from the day of aspiration to the day of transfer. It covers no costs before aspiration or after transfer. It does not cover medications or anesthesia. This package charge applies to all patients undergoing IVF. There are no age restrictions. This offer provides a significant discount compared to our "code based" non-package charges.
Is that the total cost of an IVF cycle?
No. Other costs are the cost of medications, medication monitoring (ultrasounds and blood tests before the aspiration), and the cost of anesthesia. Sometimes patients will have some insurance coverage for these things even if IVF is not covered by their plan.
If the patient is entirely self-pay we offer her the option of pre-paying for cycle monitoring so that the maximum that monitoring will cost is $3100. If monitoring visits come to less than this, you will get a refund. If they come to more than this, you won't be charged extra.
The cost of anesthesia is $600. This fee is seldom covered if IVF is not covered by your insurance plan. There are not facility fees or extra charges related to being associated with a hospital.
Medication costs vary with the amount of medications you require and where you purchase your medications. We have found that online fertility pharmacies cost less than half of what retail pharmacies charge. Using fertility pharmacies, on average injectible medications cost our patients $3761 per cycle. Some patients may require more injectible medications than this. We have found that the cost of medication is the biggest cost variable in an IVF cycle. If you don't have coverage for medications and you will need to purchase then out of pocket you should read our more detailed discussion about the cost of IVF medications.
What is the charge for ICSI (sperm injection)?
According to SART data, ICSI is done on 70% of IVF cases in the the United States. However, because ICSI was developed after IVF and because not all patients require it, it is not considered part of most IVF packages. Most programs charge $2000-$2500 for ICSI and if more than 10 eggs are injected there is also a second charge.
We perform ICSI in about 90% of our IVF cases. It is included in our package charge,
What is the charge for assisted hatching?
If it is required, it is included in the cost of the package. We use assisted hatching in all patients above age 38 and if the egg shells (zona pellucida) are abnormally thick.
Are there charges for cryopreservation?
Charges for cryopreservation (vitrification) are not included. The charge for a cryopreservation procedure is $1000. Embryo can be stored as long as desired. The storage fee is $550/year. Most embryos are frozen at the blastocyst stage which involves extended culture and carries a separate charge. This is already included in the IVF package price. About 50% of our IVF patient elect cryopreservation. The process of defrost and transfer after cryopreservation costs $2915.
Patients tend to over-estimate the likelihood of their using embryo cryopreservation. A key idea used for IVF is to obtain a number of eggs so that a a number of embryos can be produced. The best embryos are selected for transfer. The remaining embryos may have a lower or no probability of becoming pregnancies. Cryopreserving them may not be cost efficient and many patients choose not to cryopreserve their excess embryos.
Are there charges for genetic testing?
Charges for genetic testing are extra. We use an outside embryologist for our biopies and all materials are tested at an established genetics laboratory.
Is there any testing required before doing IVF? How much does this cost?
Yes. Recommended testing will depend on a patient’s history and what testing she has already had. We generally recommend a few blood tests that either have an impact on our management or on the well-being of the baby. The number of tests we usually order is minimal compared to many programs and can be further pared down in the case of financial hardship. These tests can be run at the clinical lab of your choosing.
As a minimum, we need semen studies performed at a specialty sperm laboratory. (Hospital labs and large labs like Quest are not adequate). If you haven’t had this testing, our lab charges $505 for it. If you have had testing at a different specialty semen lab, there may still be some tests on your sperm that we need, but the charges will be much less. Insurance often covers sperm testing.
We also need you to have had a recent saline infusion hystogram (SIS) or a hysteroscopy. A HSG does not provide adequate information on problems with your endometrial lining. An SIS is a water contrast transvaginal ultrasound. The total charge for an SIS visit is $765. It is commonly covered by insurance.
The third test that we need on everyone is a mock transfer. We need to create a strategy so that when we transfer embryos through your cervix into your uterus, the process needs to be a very gentle one. We perform a “practice” transfer to do this since every woman is unique. The charge for this is $460. It is usually not covered by insurance.
Are there any options to IVF?
The answer is yes. Most patients could try a version of IVF that uses a simplified ovulation induction and costs much less. It has a lower pregnancy rate than IVF, but still uses the power of IVF. For problems like male factor or tubal infertility, Mini-IVF (Mini-stim IVF) is an especially good idea. It is a gentler form of IVF.