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134HarleyStreet,London,W1G7JY www.hsfc.org.uk Tel:02074366838 PriceList–SurrogacyIVFtreatmentusingasurrogatemother’seggs Pre-treatmentwork-upforcommissioningcouple Implicationscounsellingforcommissioningcouple £100 Screeningtestsforcommissioningmother(P10:femalescreen) £150 Screeningtestsforcommissioningfather(P13:donorscreen) £550 RepeatviralscreeningbyNATforcommissioningfather (P17:NATscreen) £400 Spermfreezingforcommissioningfather £150 Subtotal £1,350 Pre-treatmentwork-upforsurrogatemother Consultation £200 Ultrasoundscans(D2-5andmidcycle) £300 Hormonebloodtests (P1fertility:AMH,FSH,LH,E2,Prolactin,TFT,VitaminD) £150 Implicationscounselling £100 Screeningtestsforsurrogatemother(P13:donorscreen) £550 RepeatviralscreeningbyNAT(P17:NATscreen) £400 Subtotal £1,700 SurrogacyIVFtreatmentusingsurrogatemother’seggs Doctor’sconsultationforcommissioningcoupletoplantreatment Doctor’sconsultationforsurrogatemothertoplantreatment Ultrasoundscansandbloodtestsforsurrogatemotherduringtreatment HFEAfees Eggcollectionforsurrogatemotherincludingsedationforeggcollection Spermpreparationandfertilisationofeggs Embryoculturetodaythree Ultrasoundguidedembryotransferforsurrogatemother Acupunctureorreflexologyfortreatment(elective) Progesteronebloodtest,pregnancybloodtestandpregnancyscan Reviewconsultation&counsellingsessionintheeventofanegativeoutcome £4,300 Medicationsfortreatmentforsurrogatemother* £1,260 * Pleasenotethatthisisanestimateofthecostsformedicationsaseachpatientwillrequireadifferentamountof medications,pleaserefertoourmedicationspackagesandindividualmedicationspricelistsfordetails. Pleaseturnover th Pleasenote:Thispricelistiseffectivefrom18 April2017,servesforinformationpurposeonlyandshouldnotbetreated asaformalserviceagreement.Theabovefiguresareintendedasaguideandaresubjecttochangewithoutnotice. HarleyStreetFertilityClinicLtd•Director:DrGeethaVenkatMBBS,DGO,MD,FRCOG•[email protected]•+44(0)2074366838 www.hsfc.org.uk•RegisteredinEnglandNo.7239845,Registeredoffice:134HarleyStreet,LondonW1G7JY 134HarleyStreet,London,W1G7JY www.hsfc.org.uk Tel:02074366838 Patientsconsideringtreatmentareadvisedthatadditionalcostsmaybeincurred,suchas: Followupconsultation £130 IntraCytoplasmicSpermInjection(ICSI) Thromboticriskprofile+autoantibodies £700 Naturalkillercellassaypaneland TH1:TH2cytokineratio £800 Intralipidinfusion(perinfusion) £350 Blastocystculture (extendedembryoculture) Freezingofembryosbyvitrification (excludesstorage) Salinehysterogramandendometrial scratch £350 Donorsperm(2ampoules) £1,000 Electivesedation £350 Cervicalsmear £1,250 £500 £400 Cryogenicstorage(perannum) £300 Laserassistedhatching £450 EmbryoGlueâ £250 Time-lapsemicroscopy(Embryoscopeâ) £500 £50 Abandonedcycles:cyclesabandonedpriortoeggcollectionwillbebilledformonitoringscansandbloodtestsplusa £50 cycle cancellation fee; at egg collection, if there are no eggs or failed fertilisation, or no embryo transfer takes place,weregretnorefundcanbeissued. st Paymentterms:treatmentchargesaredueby1 scanandallotherchargesarepayableuponpresentation. th Pleasenote:Thispricelistiseffectivefrom18 April2017,servesforinformationpurposeonlyandshouldnotbetreated asaformalserviceagreement.Theabovefiguresareintendedasaguideandaresubjecttochangewithoutnotice. HarleyStreetFertilityClinicLtd•Director:DrGeethaVenkatMBBS,DGO,MD,FRCOG•[email protected]•+44(0)2074366838 www.hsfc.org.uk•RegisteredinEnglandNo.7239845,Registeredoffice:134HarleyStreet,LondonW1G7JY