Price List. Valid from 1 st April 2017

Transcription

1 Price List Valid from 1 st April 2017

2 Consultations & Assessments Consultations & Tests Medical Consultation 200 Nurse Planning Consultation (includes ultrasound scan) 230 Consultation with Counsellor 105 Semen Analysis 190 HyCoSy 420 Surgical Sperm Retrieval (SSR) 1025* Gynaecological or Early Pregnancy Scan 200 Saline Ultrasound Scan 415 *Does not include freezing and storage costs (see page 4) V6 2

3 IVF or IVM Treatment IVF cycle 3820* ICSI 1200 Blastocyst culture 560** Drugs for IVF Approx. Donor Sperm in an IVF cycle 600 Endometrial Scratch 250 Endometrial Scratch under sedation 525 Endometrial Scratch with Natural Killer Cell testing 695 Cyst Aspiration under sedation 275 Embryo Transfer under sedation 275 Embryo Glue 165 EmbryoScope 435 IMSI 495 Assisted Hatching 555 Intralipid Infusion 265 IVM cycle (including ICSI) 2650* Drugs for IVM Approx. *IVF CYCLE & IVM CYCLE: This charge includes all ultrasound scans & oestrogen blood tests, egg collection under sedation, laboratory costs, embryo culture to day 3, embryo transfer, HFEA fee where applicable, one pregnancy scan, follow up medical consultation if within 3 months, one counselling session. IVF cycles with Genetic Testing do not include Embryo transfer & pregnancy scan. **BLASTOCYST CULTURE: We aim to culture all embryos to day 5. This is charged in addition to the IVF cycle cost, but will be refunded should culture to day 5 not be achieved. Patients from Overseas IVF cycle 9750*** ***OVERSEAS IVF CYCLE: This charge includes all pre-treatment appointment, ultrasound scans & oestrogen blood tests, drugs for the IVF cycle, egg collection under sedation, laboratory costs, embryo transfer, HFEA fee where applicable, one pregnancy scan, follow up medical consultation if within 3 months, one counselling session. V6 3

4 Treatments, Procedures & Investigations Frozen Embryo Replacement Cycle FER cycle 1595* *FER CYCLE: This charge includes all ultrasound scans & oestrogen blood tests, laboratory costs, embryo replacement, one pregnancy scan, HFEA fee where applicable, follow up medical consultation if within 3 months, one counselling session Use of Frozen Eggs (own) 2150 Drugs for FER cycle Approx. Embryo Storage cycle 3820* Egg Storage cycle 3820* Drugs for Storage cycle Approx. *EMBRYO STORAGE & EGG STORAGE CYCLE: This charge includes all ultrasound scans & oestrogen blood tests, laboratory costs, HFEA fee where applicable, follow up medical consultation if within 3 months, one counselling session, Freezing of all embryos Ovulation Induction Cycle (OI) OI cycle 515* *OI CYCLE: This charge includes all ultrasound scans Drugs for OI Approx. IUI Treatment: IUI cycle 1400* *IUI CYCLE: This charge includes all ultrasound scans and laboratory costs Donor Sperm for IUI cycle 600 Freezing Charges Freezing Charges & Annual Storage Fees Embryo Freezing 500* Egg Freezing 510* Sperm Freezing per sample 140* Annual Embryo/Sperm/Egg Storage Fee 300 *FREEZING CHARGES: Please be aware these charges exclude annual storage fees. If you store in the first year you will need to add the annual charge to this cost V6 4

5 Genetic Testing Recombine Test per couple 880 DNA Fragmentation Analysis of sperm 310 Sperm Aneuploidy (5 chromosome test) 400 Y-Chromosome Micro-Deletion blood test Price on application PGS/PGD PGS Next Generation Sequencing (NGS) 1995* PGD with Karyomapping 4450* PGD with High Resolution Array CGH (HRaCGH) 3350* Additional analysis (per embryo) 105** Thaw / Re-freeze 360 *PGS & PGD: This charge does not include the cost of the IVF cycle to create embryos or any subsequent replacement cycles. The following will be included: Freezing of embryos, biopsy, analysis of up to 5 embryos and storage of embryos for an initial 3 months (storage beyond 3 months will incur the annual storage cost). **ADDITIONAL ANALYSIS: If more than 5 embryos are to be tested then each additional embryo will be charged individually as above. Further information to be aware of: Additional frozen embryos (untested) can be included and charged accordingly, but will incur the thaw/refreeze cost above in addition to the testing fee. If analysis is carried out on less than 5 embryos, unfortunately the cost remains the same. Once the analysis has been completed we cannot then retrospectively include embryos created in subsequent cycles within this fee. If less than 5 embryos are available, you may choose to delay analysis until embryos are available from further cycle(s) to be analysed together. This option will also incur the thaw/re-freeze cost above in addition to the testing fee. Frozen Embryo Replacement Cycle FER cycle (for subsequent replacement of any normal embryos) 1595* *FER CYCLE: This charge includes all ultrasound scans & oestrogen blood tests, laboratory costs, embryo replacement, one pregnancy scan, HFEA fee where applicable, follow up medical consultation if within 3 months, one counselling session Prenatal Testing and Analysis of Miscarriages Non-invasive prenatal testing(nipt) for aneuploidy Price on application Products of conception (miscarriage) analysis 600 V6 5

6 Egg Donation Egg Sharers Egg Sharer cycle (IVF) No Charge* Egg Sharer cycle (ICSI) 1200* If Egg Sharing does not proceed 1150* Blastocyst Culture 560 Donor Sperm in an IVF cycle 600 Endometrial Scratch 250 Endometrial Scratch under sedation 525 Endometrial Scratch with Natural Killer cell testing 695 Cyst Aspiration under sedation 275 Embryo Transfer under sedation 275 Embryo Glue 165 EmbryoScope 425 IMSI 495 Assisted Hatching 555 Intralipid Infusion 265 HFEA Fee 80 *EGG SHARERS: These charges include all ultrasound scans and oestrogen blood tests, drugs for the IVF cycle, egg collection under sedation, laboratory costs, embryo culture to day 3, embryo transfer, one pregnancy scan, follow up medical consultation if within 3 months, one counselling session. V6 6

7 Egg Donation Egg / Embryo Recipient Treatment Egg / Embryo Donation Registration 250 (non-refundable) Egg Donation Recipient Trial Cycle 595 Egg Recipient IVF cycle 8735* Embryo Recipient cycle 2850* Drugs for a Recipient cycle Blastocyst culture 560 Use of Donor Sperm in an IVF cycle 600 Endometrial Scratch 250 Endometrial Scratch under sedation 525 Endometrial Scratch with Natural Killer cell testing 695 Cyst Aspiration under sedation 275 Embryo Transfer under sedation 275 Embryo Glue 165 EmbryoScope 435 IMSI 495 Assisted Hatching 555 Intralipid Infusion 265 *EGG & EMBRYO RECIPIENT CYCLE: These charges include all ultrasound scans and oestrogen blood tests, laboratory costs, embryo transfer, HFEA fee where applicable, one pregnancy scan, one counselling session. V6 7

8 Blood Tests Female Hormone Profile (FSH, LH, Testosterone, 190 Prolactin, TSH, AMH) Male Hormone Profile (FSH, LH, Testosterone, Prolactin, 120 TSH) FSH 45 LH 45 AMH 45 TSH 45 Prolactin 45 Oestrogen 45 Progesterone 60 Testosterone 45 Female Thrombophilia 475 Beta hcg 45 HIV, Hep B (all) & Hep C 185 Hepatitis B antigen 80 Hepatitis B core antibody 65 Hepatitis C 70 HIV 45 CMV 80 Rubella 45 Syphilis 45 Karyotyping 275 Thyroid Antibodies 90 Cystic Fibrosis 170 Blood Group/Rh 45 V6 8

9 Other Services Copy of medical records - paper 50 Copy of medical records held electronically 10 Copy of medical records held part electronically and part paper Administration costs for gamete/embryo transport (within UK) excl. courier costs Administration costs for gamete/embryo transport (international) excl. courier V6 9

10 Refunds Refunds may be made if a cycle is cancelled or abandoned for medical reasons. The following amounts will be retained by the Unit from the initial payment. Cancellation of IVF before egg collection 675 Cancellation of IVM before egg collection 265 Cancellation of FER cycle before embryos are thawed 205 Cancellation of PGS 265 Cancellation of IUI 255 In the event that we are unable to collect any eggs at egg collection a refund of 525 will be made. How to Pay Payment can be made by credit/debit card or by direct transfer to our bank account, or by cash, in person or over the telephone. Please note a 1.5% surcharge is payable on credit card transactions. We are also unable to accept American Express cards. Payment Terms Please note that we will invoice in advance for your treatment cycle. Payment is required in full before commencement of treatment and we reserve the right to cancel treatment if payment has not been received. V6 10

11 One Stop Fertility Assessments We have designed a range of Fertility Investigation packages to suit your personal circumstance. The packages are designed to provide fast, reliable and thorough investigations followed by a review by one of our fertility specialists who can then give appropriate advice or treatment. You do not need to see your GP to refer you. Just contact us for advice on which package will best suit you. Most of the packages shown below require just 1 or 2 visits to the clinic to complete all investigations and consultation in a fraction of the time normally endured by going through your GP. Call us on or onestop@oxfordfertility.co.uk to book an appointment. Fertility Assessments Couple: Comprehensive Fertility Assessment Single Women, Women in same sex relationship or with recent/past diagnosis of cancer Couple: Mini Fertility Assessment HyCoSy Single Men, Men in same sex relationsh ip and recent/ past diagnosis of cancer Anti-Mullerian Hormone (AMH) Ovarian reserve blood test Progesterone Ovulatory Blood Test Rubella Immunity Blood Test Semen Analysis (Sperm Test) Ultrasound examination of pelvis Antral Follicle Count (AFC) Ultrasound Test of Ovarian Reserve HyCoSy (Ultrasound Test for Fallopian Tubes Patency) * Follow Up Review with Fertility Doctor (30 minutes) LH / FSH/ Prolactin/ TSH/ Testosterone Hysteroscopy 495 Hysteroscopy with Sedation 770 V6 11

12 One Stop Fertility Assessments Ovarian Reserve Full Ovarian Reserve with doctor review Full Ovarian Reserve without doctor review AMH with doctor review AMH without doctor review Anti-Mullerian Hormone (AMH) Ovarian reserve blood test Progesterone Ovulatory Blood Test Rubella Immunity Blood Test Semen Analysis (Sperm Test) Ultrasound examination of pelvis Antral Follicle Count (AFC) Ultrasound Test of Ovarian Reserve HyCoSy (Ultrasound Test for Fallopian Tubes Patency) Follow Up Review with Fertility Doctor (30 minutes) LH/FSH/Prolactin/TSH/ Testosterone Summary letter V6 12