Price List. 9th November advanced fertility care

Transcription

1 Price List 9th November 2016 advanced fertility care

2 Principal Treatment Procedures IVF/ICSI/IMSI treatment procedure charges include planning and co-ordination, ultrasound scans (carried out as part of the procedure), administration, anaesthesia, doctors / nursing fees and laboratory fees. Medications, blood tests (excluding cycle monitoring bloods), and counsellor s fees are not included. Cycle prices listed below include Cycle Monitoring Bloods at first and final scan. Patients are asked to note that payment is due prior to each treatment cycle. From 1st February 2014 Satellite Monitoring Services will no longer be available to patients. We apologise for any inconvenience this may cause. IVF +* 4,600 ICSI + * 4,920 IMSI + * 5,600 Fertility Preservation - Egg Freezing + Includes cycle monitoring, egg collection and vitrification (+1 year storage) IVF with known egg donation +* Includes donors; screening, counselling fees, consultation and compensation 3,000 8,700 European Donor Egg Program +* Egg Donation Identifiable Programme 11,000 Egg Donation Select 9,500 Egg Donation Simply 7,700 Artificial Insemination + (IUI) including scans if at Sims (per cycle) (ultrasound scans attended will be charged if IUI Cycle cancelled, BHCG and OB scan not included) 950 His and Hers Fertility Testing - Couple His and Hers Fertility Testing Female Only His and Hers Fertility Testing - Male Only Donor Sperm IVF Treatment + (sperm allocation for IVF Cycle x 1) Anonymous 550 Anonymous / Extended 715 Identifiable (Donor sperm must be paid for separately). 880 Donor Sperm IUI Cycle + (sperm allocation for IUI Cycle x 3) Anonymous 1,155 Anonymous / Extended 1,500 Identifiable (Donor sperm must be paid for separately). 2,100 +* IVF Coordination & Monitoring Fee (Non-refundable) of 1,000 will be retained to cover co-ordination, monitoring and administration costs (this will be subtracted from the cost of treatment). + Prices include a regulatory charge for compliance with EU Cell & Tissue Directive. + 1st BHCG & 1st OB scan are included free of charge after IVF/ICSI/IMSI Cycles.

3 Additional Laboratory Procedures Blastocyst / Extended Culture Early Embryo Viability Assessment EEVA Assisted HatchingI Embryo Glue FET - Embryo Thaw and Transfer + Including Scans carried out as part of procedure 1,300 Embryo Freezing + (inc storage for 1 year) 500 PESA/TESE (Epididymal aspiration/testicular extraction) + 1,155 Sequential Embryo Transfer + (in addition to cost of Blastocyst culture and IVF / ICSI / IMSI) 600 Other Facilities Embryo Storage + (subsequent to year 1, per year or part thereof, payable in advance) 350 Egg Storage + (subsequent to year 1, per year or part thereof, payable in advance) 350 Sperm Storage + (per year, or part thereof, payable in advance) 350 Semen Freeze EPCP (Early Pregnancy Care Package) Please contact Patient Coordinators for details 500 Consultation / Investigation Initial Consultation 180 Return Consultation 110 Ultrasound scans 110 Semen Analysis Repeat Semen Analysis + (within 6 months) 85 DNA Fragmentation (includes Semen Analysis) 295 Missed Appointment Fee 50

4 European Union Cell and Tissue Directive Bloods Since 1st November 2006 EU Legislation requires that infectious screening be carried out before any treatment or investigation involving the collection, processing or storage of human tissues can commence. EU Profile Bloods (Prices include a regulatory charge for compliance with EU Cell & Tissue Directive) 150 Other Blood Profiles Female Fertility Profile (AMH, TSH, TG, TPO, Prolactin, Rubella, Testosterone, ROTEM and FBC) 235 MCP (E2 / LH / P4) 100 TSH / Prolactin / Rubella 80 AMH Blood Test 120 Chicago Bloods 1,000 Chicago Bloods (Half Panel) 500 Chlamydia PCR 80 Chlamydia & Gynococcus 130 Male Genetic Analysis (Genetic Profile 1) (includes Cystic Fybrosis, Y Deletion and Karyotyping) 550 Fee per item Cystic Fybrosis 270 Y Deletion 180 Karyotyping 250 ZIP 350 Cytokines (CKR) 350 Individual Blood Tests (fee per item) Beta hcg 40 Blood Group 30 Estradiol 40 FBC 30 TSH 40 Testosterone 500 Prolactin 40 Rubella 40 ROTEM (TEG) 50

5 Individual Blood Tests (fee per item) Cont. Quantiferon TB 160 Thrombophilia screen 180 ATA Anti Thyroid Antibodies (Anti TPO / Anti TG) 80 Fasting Insulin 40 Macroprolactin 40 Vitamin D 75 (Non-listed blood test charges are available if required) Other Procedures SIS (Saline Infusion Hysterosonography) 440 Endometrial Scratch 220 ZFB ( Zentra Functional Biopsy) 500 ERA / ZFB Combined 1,150 ERA Biopsy Spain (includes scheduling by nursing, scans, biopsy at Sims and the testing at relevant external clinic and courier cost) 1,000 Cyst Drainage (Inc Sedation) 325 Follicle Reduction (inc Sedation) 325 Sedation (IV) 150 Smear Test (Two-week turnaround) 50 MSU Culture & Sensitivity 70 Intralipids (per infusion) 260 Other Charges Returned cheques will incur an administration charge. 10 Co-ordination fee for embryo shipment within Ireland TBC Dry shipper deposit 250 Oocytes (eggs) and embryos often require a specific thawing kit which matches with the kit used to freeze them. If your oocytes or embryos require a kit which Sims IVF does not normally stock, a specific kit will have to be purchased each time you have a thaw performed. As this will only be used for your samples, we must unfortunately make a charge for this of 250 each time. If you are thinking of shipping your samples to Sims IVF and have questions regarding this, please contact us on info@sims.ie

6 Refunds Refunds are normally issued in the form of credit notes for use against future treatments. Applicable refunds for IVF / ICSI If no Oocyte recovery (egg retrieval) procedure takes place (IVF / ICSI) 3,600 / 3,920 If no embryo transfer procedure takes place 600 No donor sperm fees can be refunded if sperm has been ordered. Blastocyst fees will not be refunded if any embryos are cultured beyond day 3. No refunds other than those stated will be issued. Payment Patients are asked to note that payment is due prior to each treatment cycle. No further procedures or investigations will be carried out if any invoices are still outstanding. Med 1 forms are available on line: Please note that discounts are not available on any treatment, investigation or procedure. Payment can be made by Debit Card / Credit Card / Cheque / Bank Draft / Cash / Bank Transfer All cheques and Bank Drafts are to be made out to Sims Clinic (Only Euro bank drafts, cash and cheques will be accepted) Sims Bank Transfer Details Bank of Ireland Account No: Sort Code: IBAN: IE 46BOFI BIC: BOFIIE2D Payment Reference : Patient Name or Chart number. All prices are subject to change without notice.