I have not talked about the financial implications of PCOS so far, but it has become too big for us to ignore. Our insurance, like most insurance, won’t cover any fertility treatments so anything related to fertility we pay 100%. Just in the last one week we have spent $1339.98, yes in just one week! And we have not even ventured into the more invasive treatments like IVF.
Thankfully, we expected this expense and have saved for it. But it would have helped us so very much if I had known the actual cost of each treatment and drug. I would have saved better and not worry about running out of money. So when our doctor’s billing statement included a laundry list of basic fertility treatments and their cost, I wanted to share it with everyone. I chatted up my nurse to get more cost information for advanced fertility treatments. It gives me an idea of what to expect, hopefully it will be helpful for my fellow cysters who want to have a baby in the future.
Note: These are prices my doctor charges. So obviously they won’t be exactly the same, but it should be in the ballpark. Even fertility treatment follow the law of free market right?
Cost of initial visit and fertility treatment evaluation
New patient consultations
- Minimal consultation : $90
- Limited consultation : $150
- Comprehensive exam : $200
- Detailed consultation with a reproductive endocrine fertility specialist (includes comprehensive examination) : $290
Subsequent visits (they have visit “levels”, not sure what they actually mean. Our follow up visits are now charged at level 2. I am assuming if we move on more advanced treatments the level will go up)
- Office visit Level 2 : $50
- Office visit Level 3 : $85
- Office visit Level 4 : $115
- Office visit Level 5 : $155
- Nurse consultation : $35
Cause of infertility evaluation costs
- Semen analysis : $150
- Pelvic Ultrasound to evaluate ovaries and uterus : $185
- Hormone panel (blood test) : $150
- Blood draw supplies (yes, they charge for this too!) : $25
- Hysterosalpingogram (aka HSG, A painful dye test to check if there is any block in the Fallopian tubes) : $475
Cost of procedures to evaluate the fertility treatments
- Follicle Ultrasound : $150
- Obstetric Ultrasound : $185
- Saline Ultrasound : $105
- Uterine depth Ultrasound : $185
Cost of fertility drugs
- Clomid/Serophene (Clomiphene) : ~$3/50mg tablet. I had 250mg per day for 7 days, it cost me a little more than $100. Also, most insurance covers Clomid, so your price might be a lot less.
- FSH injectible (Gonal-F, Follistim) : ~$600 for a 600IU vial. My doctor started me at 75IU a day, which according to him is the minimum dose, they will slowly increase it, some women take 450IU. But for PCOS they usually don’t go that high as we might produce too many follicles.
- Human chorionic gonadatropin (hCG) : $50
Cost of basic fertility treatments
- Intrauterine Insemination : $160
- Endometrial Biopsy : $210
- Cyst aspiration : $605
- Ultrasound Guid. For aspiration : $315
- Lamineria Insertion : $160
- Cervical Dilation : $160
- Follicle puncture : $1400
- Hysterosonogram : $490
Cost of more advanced fertility treatments
- 1 cycle IVF (Invitro Fertilization) : $8500
- Cost of injectable fertility meds for an IVF cycle : ~$4000
- IVF with donor eggs : $25000-$30000
- In Vitro fertilization with ICSI (intracytoplasmic sperm injection) : $10000-$15000
- Frozen embryo transfer : $2545
- Ultrasound Guid. Embryo transfer : $150
- Semen Wash : $325
- Gamete intrafallopian transfer (GIFT) : $8000-$15000
- Gestational carriers (aka surrogate mothers) : $20000-$50000
Currently, I am taking the FSH injections 75IU/day (~$75/day) with Follicle Ultrasound and blood test monitoring ($150+$150) every 3 days.
As I said, the cost won’t exactly be the same everywhere, but this should give a pretty good idea on what to expect.