Reply to Information on MDIPA Costs at SG- 50% Co-Pay- Federal HMO

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[quote=Anonymous]Hi, I alway see people asking about IVF out of pocket costs here, so I thought I'd paste the official version from SGFC regarding MDIPA costs (patient co-pay) for 2012 as they were sent to me. The formatting is a bit funky but hopefully it will save others some trouble and digging around. Good luck.

Prescreening
Authorization required from healthplan
Day 3 Blood work				$142.77
Clomid Challenge Test Day 10		$ 6.22
Endometrial Biopsy				$ 95.82
Semen Analysis				$ 4.72
Mock Embryo Transfer/Fluid Sonogram	$534.89
Injection Class					$17.98
Hysterosalpingogram (HSG)			$ 685.96
Hysterosalpingogram (HSG)	at GBMC	$ 451.91
(Facility Fee and Interpretation billed separately by GBMC Hospital)
Follow Up Visits (Range)			$31.27-99.34

Estimated IUI Cycle Costs*
Authorization required from health plan.  
Pre-Med					$119.16
Monitoring Cost Per Visit			$129.66
IUI/Sperm Wash Visit				$370.21
Post Cycle Labs (Beta)			$6.22

Estimated IVF Cycle Costs*
Authorization required from health plan.  Deposit due 10 days prior to starting cycle.
IVF Treatment Cycle	Deposit		$3,026
(Includes LE and 5 days Monitoring)		
IVF Treatment Cycle	Deposit at GBMC	$2,760
(Includes LE and 5 days Monitoring)	
(Facility Fee and Anesthesia billed separately by GBMC Hospital)

Possible Additional Charges
ICSI						$ 463.75
Assisted Hatching				$ 265.00
Cryopreservation of Embryo or Egg		$1500.00 (Not Covered)
Cryopreservation of Embryo and Egg	$2000.00 (Not Covered)
Embryo Storage				$ 360.00  (Not Covered)
PGD Biopsy					$1500.00 (Not Covered)
PGD Lab Test-Billed by Actual Lab

Frozen Embryo Transfer Cycle*
FET Treatment Cycle Deposit		$1726

Possible Additional Charges
Extended Culture				$200.00
[/quote]

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