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Assisted Conception Unit Kings College Hospital NHS Foundation Trust Denmark Hill London SE5 9RS Direct tel: 020 3299 5390 Direct fax: 020 3299 5392 Website: www.kch.nhs.uk Email: [email protected] King’s ACU Self-Funded Price List April 2013 Consultations Fertility assessment: Including consultation, blood tests, ultrasound scan and semen analysis £220 Consultation: Without any tests £135 Free of charge Review of previous treatment cycle within 6 months of completing treatment. £135 Subsequent follow up consultations within 6- 12 months of a previous visit. (Unless further tests are required) Procedures IVF and ICSI cycles £2900 IVF cycle (including scans/tests/HFEA fees, excluding cost of medications) IVF Package (3 cycles within 24 months) st £2900 1 cycle, £2900 2 rd £2400 3 cycle nd cycle, nd cycle, nd cycle, £1500 Natural cycle IVF £3500 ICSI st £3500 1 cycle, £3500 2 rd £3000 3 cycle ICSI Package (3 cycles within 24 months) £4150 ICSI with surgical sperm collection st £4150 1 cycle, £4150 2 rd £3650 3 cycle ICSI with surgical sperm collection Package ( 3 cycles within 24 months) Title PIL Pricelist 056 Document ID 056 Author Version 24 Review Date 28.11.2014 ACU Management Team Authorised By ACU Management Team Page 1 of 6 Issue Date 29.11.2013 Intra-uterine insemination (IUI) and sperm IUI with partner’s sperm £400 per insemination £350 for subsequent cycles IUI with donor sperm (excluding cost of donor sperm) £400 per insemination £350 for subsequent cycles £250 per ampoule Donor sperm from King’s sperm bank £200 + Cost of purchasing donor sperm Importation of donor sperm £200 Transfer of frozen sperm to another licensed centre Ovulation Induction and Follicle Tracking Ovulation Induction (OI) with follicle tracking for clomiphene citrate £200 per cycle Follicle tracking with FSH stimulation (excluding cost of medications) £250 per cycle Follicle tracking (natural cycle) £200 per cycle Frozen Embryo storage and treatment Embryo freezing and storage for first 24 months £600 Embryo storage annual fee (beyond first 24 months) £250 FET – Frozen Embryo Transfer (HRT cycle including scans) £800 FET – Frozen Embryo Transfer (natural cycle) £700 Transfer of frozen embryos to another licensed centre £200 Title PIL Pricelist 056 Document ID 056 Author Version 24 Review Date 28.11.2014 ACU Management Team Authorised By ACU Management Team Page 2 of 6 Issue Date 29.11.2013 Egg Donation Treatments Egg donation IVF cycle at King’s ACU (including fee for donor compensation) £see separate price list for individualised cost guide price £5120 Egg donation ICSI cycle at King’s ACU (including fee for donor compensation) £ see separate price list for individualised cost guide price £5720 Scanning for International Patients – (per scan) £100 International Egg Donation Co-ordination fee (with collaborating Partners) £1200 Please request full treatment prices FET Cycle work-up for patients at Collaborating centres £300 Egg Freezing Procedures Egg freezing cycle (including freezing for 24 months, excluding medications) £2500 Frozen eggs annual storage (beyond 24 months) £250 ICSI for fertilisation of frozen eggs / embryo transfer / freezing of surplus embryos £2500 Sperm Cryopreservation £500 Sperm cryopreservation Initial freezing and storage for up to 24 months £250 Annual sperm storage fee Beyond the first 24 months Title PIL Pricelist 056 Document ID 056 Author Version 24 Review Date 28.11.2014 ACU Management Team Authorised By ACU Management Team Page 3 of 6 Issue Date 29.11.2013 Surgical Procedures £650 Surgical sperm collection Investigations and Procedures (These are in addition to treatment costs when medically indicated) Semen analysis only £75 Hormone Blood Test only – LH, FSH and Oestradiol £50 AMH £40 Karyotype £250 CF screen £150 Y chromosome micro-deletion £150 Genetic test package (karyotype/CF/ £500 Y chromosome micro-deletion Detailed ultrasound £150 HyCoSy/saline infusion sonography £200 HSG £400 Mock embryo transfer £150 Endometrial Scratch Test £100 Title PIL Pricelist 056 Document ID 056 Author Version 24 Review Date 28.11.2014 ACU Management Team Authorised By ACU Management Team Page 4 of 6 Issue Date 29.11.2013 Oncology cryopreservation procedures Oncology sperm freezing and storage including consultation and screening bloods If NHS funded: Invoice sent to referring department No fee paid by the patient Oncology egg freezing and storage including consultation and screening bloods If NHS funded: Invoice sent to referring department No fee paid by the patient Cancellation Fees and Refunds Cancellation fees are retained by the Unit from the initial payment £250 Cancelled IVF/ICSI cycle (before stimulation) Cancelled IVF cycle after stimulation (before an egg collection) £700 £550 HRT cycle or £450 non HRT cycle Cancelled FET (following a failed thaw) Refund if no Embryo transfer (after failed fertilisation) £250 Cancellation fees for other treatments may also apply. Administration Fees Treatment Summary £25 Copy of notes £15 administration + 30p per page ( to a maximum of £50) Copies of Day 2 Tests and or Semen Test £5 Copies of the above tests and any other Additional Tests £10 Title PIL Pricelist 056 Document ID 056 Author Version 24 Review Date 28.11.2014 ACU Management Team Authorised By ACU Management Team Page 5 of 6 Issue Date 29.11.2013 Additional Services Please contact the Assisted Conception Unit for prices related to Sperm washing services Please request advice for prices that are not included on this list Drugs Please be aware that drugs costs will vary depending on the treatment protocol and dose. For IVF and ICSI cycles they can vary between £600 and £1500. Notes: Payment must be in advance of procedures All procedures include HFEA licence fees where applicable Payment is accepted by credit card, cheques or cash Cheques should be made payable to ‘King’s College Hospital NHS Trust’ Please note that prices are subject to change during the year without notification Medication costs are not included in the above prices Cancellation fees are applicable where treatments are either cancelled or abandoned Title PIL Pricelist 056 Document ID 056 Author Version 24 Review Date 28.11.2014 ACU Management Team Authorised By ACU Management Team Page 6 of 6 Issue Date 29.11.2013