How much does in-vitro fertilization (IVF) cost?
At New York Fertility & IVF Surgery Associates, we make in vitro fertilization (IVF) accessible. Learn more about the IVF costs at our fertility clinic below, or request an appointment today using the form on this page.
These costs include:
- Your initial consultation with us
- The necessary basic fertility testing
- Blood tests for infectious disease and genetic screening that the State of New York requires for all couples undergoing IVF (both partners must do these tests)
- Office visits before you start your IVF treatment
All these costs may be covered by any health plan that covers infertility. HMO plans, as well as Medicare and Medicaid, do not cover infertility care or medications. Commercial plan holders are usually able to do the basic tests and the infectious disease screening tests as general testing. Some HMO patients may be able to do them through their primary care physician, in which case the HMO would cover the cost. If your PCP agrees to order the genetic testing, you may also be covered.
The pre-IVF tests we provide are:
- Transvaginal pelvic sonogram
- Semen analysis
- Infectious disease screening (for both partners)
- Genetic screening (for both partners)
The last two blood-testing panels are done by BioReference Laboratories.
The IVF Treatment Cycle
If you have no insurance coverage, or your plan does not cover IVF, the following explains the self-pay fee:
- The first payment—in cash, certified check, or money order—covers our fees for cycle management and monitoring (office visits, sonogram, and blood drawing) over a two-month period covering the pre-IVF cycle, the actual IVF cycle, and post-IVF monitoring to the first pregnancy test. It will be expected at the time you decide to proceed with the IVF procedure.
- The balance will be paid on the day of egg retrieval.
IVF Services Included in the Cycle Fee
Our IVF treatment cycle fee includes the following services:
- 2-3 office visits with blood drawing and ultrasounds to monitor ovulation in the IVF pre-cycle in order to determine when to start the first medication
- Office visit for instruction on how to administer the injectable IVF medications
- 6-10 office visits during your stimulation for IVF to monitor your response to stimulation (may include blood drawing and ultrasound)
- Daily instructions from us to explain hormonal level and follicle sizes based on your most recent blood test and ultrasound and the corresponding daily dosage of medication
- Anesthesia, oocyte retrieval, embryology lab fees, and embryo transfer (itemized below)
- IVF facility fee for oocyte retrievals and embryo transfers
- Office visit for first pregnancy test
IVF Laboratory Services Included in the Cycle Fee
Our IVF treatment cycle fee includes the following laboratory services:
- Oocyte aspiration with ultrasound guidance
- Oocyte identification and cleaning
- Sperm preparation
- Oocyte insemination, including intracytoplasmic sperm injection (ICSI)
- Embryo culture (3-5 days)
- Assisted hatching
- Embryo transfer with ultrasound guidance
- Embryo freezing and storage for six months
- Free embryo transfer of frozen embryos if done within 12 months of egg retrieval
IVF Services Not Included in the Cycle Fee
Our IVF treatment cycle fee does not include the following:
- Pre-IVF office visits and diagnostic tests
- Semen analysis
- Infectious disease screening & genetic studies (both partners)
- IVF medications
- Surgical procedures that may be necessary before or after IVF (laparoscopy, myomectomy, surgical procedures on fallopian tubes and ovaries, hysteroscopy, D&C, etc.)
- Cost of donor sperm or surgical sperm retrieval
- Ultrasound monitoring of early pregnancy
- Treatment of ovarian hyperstimulation syndrome, ectopic pregnancy, or miscarriage
- Prenatal and obstetric care
Medications represent a significant part of the expense of IVF treatment for patients who have no insurance, or whose plan does not cover fertility treatment. Most of the expense goes to medications used to stimulate the growth and development of multiple ovarian follicles during the IVF cycle in order to retrieve at least eight mature eggs.
All other medications used in the average IVF cycle will typically cost an additional $500-700. This includes the pre-IVF medication Lupron, which prepares your ovaries for stimulation, and the post-retrieval medications intended primarily to prepare the lining of your uterus to maximize the chances of embryo implantation and therefore, of conception.
Under a program called Compassionate Care, Serono, the company that manufactures Gonal-F, the most widely-used ovarian stimulation medication in the past 10 years, offers a 50-75% discount to patients who have no insurance or whose plan does not cover fertility medications. The discount depends on the patient’s income level. From our experience with the program, almost all applicants are given the 75% discount, which represents considerable savings on a baseline cost of $2,500 or more.
Whether you are self-pay or an insurance patient, our coordinator will explain to you the medications you will be needing for your IVF treatment and place the orders for you with a fertility pharmacy that will deliver to your home or office.
We can also provide you with the name and telephone numbers of such specialty pharmacies. As a convenience, they offer next-day delivery, free of charge, anywhere in the United States.
If you have the Serono discount, Serono will provide you with a discount card which you will present to the fertility pharmacy in order to get the discount.
The medications used for ovarian stimulation in IVF are injectables meant for self-injection by the patient. Your doctor or the clinical coordinator will explain and demonstrate to you how to inject yourself with these medications.
For detailed prices of all of our services, please contact us.