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Mini-stim IVF


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How much does Mini-stim 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 Mini-stim 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 Mini-stim IVF cost?

(January 1,2015- June 30, 2015)

Our charges for Mini-IVF in this time period are $5000.  This is a package charge that covers all the costs of doing Mini-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 Mini-stim IVF.  There are no age restrictions.  This offer provides a significant discount on the high tech services required for Mini-stim IVF.

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 $1700.   Usually the monitoring that is required is less than this and patients will get a small refund from this fee.

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, for most patients, injectible medications cost $323-$946 per cycle.  Some patients may require more injectible medications than this.  You may need to purchase medications so that you will have what you may need when such pharmacies are not open.  You may have some left over medications.

What is the charge for ICSI (sperm injection)?

We do ICSI in the majority of cases and the charge is included in the $5000 fee.  Given that most programs charge $2000-$2500 for ICSI, this suggests how good a deal the Mini-IVF package charges are.

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 40, patients with two prior failed cycle of some form of IVF, and if the egg shells (zona pellucida) are abnormally thick.

Are there charges for cryopreservation?

Charges for cryopreservation (vitrification) are not included.  However, since our target with Mini-stim IVF is to only produce one to two embryos, it is uncommon to have left over embryos to freeze. 

Are there charges for genetic testing?

No.  If you need genetic testing for a specific condition, multiple failed prior IVF cycles, recurrent pregnancy loss, or sex selection, you are better served by conventional IVF than by Mini-stim IVF.

Is there any testing required before doing Mini-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.

Is there any other way to save on a Mini-IVF cycle?

You could sign up for our Mini-stim IVF multiple cycle discount program and save an additional $500/cycle.  You would have to pay for three cycles in advance, but if it didn't take three cycles, you would be refunded money for the cycles not used.   More details are available on another web page.

Can anyone do Mini-stim IVF?

The answer is yes, although we believe that IVM is a better procedure for PCO patients.  Mini-stim IVF is the best approach for patients over 40 and it works very well for patients with intrinsically good female fertility.  Male factor couples and couples with a prior tubal ligation do especially well.  

Anyone could consider it prior to IVF.  The pregnancy rate is lower than conventional IVF, but several times higher than IUI.