GENERAL PRICE LIST No List Prices 1 Initial infertility consultation 20$ 2 Pelvic Ultrasound 15$ 3 Intra Uterine Insemination (IUI) 250$ 4 Hysterosalpingography (HSG) 200$ 5 Obstetric consultation and ultrasound 20$ - 50$ 6 Consultation regarding OB-GYN (New patients) 20$ 7 Testicular ultrasound 25$ 8 Breast ultrasound 25$ 9 Percutaneous Epididymal Sperm Aspiration (PESA)(CAMBODIAN-FOREIGNER) 750$-1000$ 10 Testicular Sperm Extraction (TESE) (CAMBODIAN-FOREIGNER) 750$-1000$ 11 Vaginal cleansing 20$ 12 Subsequent consultation (Registered patients) 10$ 13 Consultation (test results from outside) 10$ 14 Pap-smear (Novaprep) 35$ 15 Thin-prep 45$ 16 Thin-prep + HPV 75$ 17 Birth spacing placement [Intra-uterine device (IUD)] 50$ 18 Intra-Uterine device (IUD) removal 20$ 19 Abortion by aspiration and sedation 250$ 20 Vaccine for tetanus 10$ 21 Cervical cancer vaccine 60$ Below is the price with Dr. Delphine from Paris Gynecology Service 1 Consultation 40$ 2 Fast gynecology ultrasound 15$ 3 Complete gynecology ultrasound 40$ 4 Insertive Contraceptive Device 60$ 5 Papsmear (Novaprep Cambodia) 35$ 6 Thin Prep (Thai) 50$ 7 Thin Prep + HPV 80$ 8 Adolescent consultation 20$ Obstetrical Ultrasound with Dr. Delphine 1 First Consultation 50$ 2 Follow up consultation 30$ 3 Prenatal Down's syndrome screening 95$ 4 Ultrasound 1st trimester 60$ 5 Ultrasound 2nd trimester 80$ 6 Ultrasound 3rd trimester 60$ 7 Ultrasound follow up 30$ 100% Refund In-Vitro Fertilization Guarantee Plan Effective from 2nd June 2016 100% money back guarantee cost option. Your money back if it doesn't result in heartbeat. Includes up to 2 fresh cycles Female Age 100% Refund Plan Cost Under 35 $13,000 35-36 $15,000 37-38 $18,000 No Heartbeat (in between 6th & 7th week) Means a Full Refund There are few treatments in medicine that have such a clearly identifiable measure of outcome as in vitro fertilization. This allows the possibility of outcome-based fee schedules. We offer a pricing option with a 100% refund of the fee for the cycle if you do not result heartbeat. High Success Rates and Unbeatable Fees Only a program with high success rates can offer such a guarantee. This makes our program one of the most cost-effective if treatment does not result in heartbeat (for qualifying couples only). How it Works • The program includes as many as 2 ovarian stimulation cycles leading to an egg retrieval and any associated frozen embryo(s) transfer cycles. • Each ovarian stimulation and fresh embryo transfer cycle can possibly result in leftover embryos for freezing for later use. • The couple gets a 100% refund if they do not result in heartbeat. Included services: Medication Consultations with the physician Egg retrieval Sedation ICSI if needed Embryo transfer Embryo freezing and storage of frozen embryos for up to 12 months. Pregnancy testing and monitoring during the first 3 months Excluded services: Pre-procedure screening tests need to qualify Embryo storage after 12 months Frozen embryo transfer cycles done with remaining embryos after heartbeat. Eligibility and tests needed to qualify: Sex selection is not guaranteed. If the female partner is using her own eggs or donor eggs, egg owners must be 38 or younger at the time of enrollment and qualify with some basic tests (see below). Normal ovarian reserve testing: Tests are done on day 2, 3 or 4 of the menstrual cycle: FSH, LH, estradiol and AMH blood tests must be normal Ultrasound must show at least 14 antral follicles on an ovary (or ovaries) accessible for egg retrieval Evaluation of the uterus: These tests are usually done at a visit to our office on about day 14 of the menstrual cycle: Ultrasound evaluation of the uterus - the uterine lining (endometrium) must be at least 8.0 mm thick. Office hysteroscopy to evaluate the uterine cavity if required. Both 1 & 2 qualifying tests for both male and female partner costs 400$. Note that this is not refundable. Other qualifying issues for the plan: The female partner must be a non-smoker. We will accept a smoker if she quits at least 30 days before starting medications. This is documented with urine tests. Women that are significantly overweight (Body Mass Index over 30.0) are not eligible Women that are significantly underweight (Body Mass Index under 19) are not eligible Women that have had an abnormal day 3 FSH test are not eligible Couples that have failed 2 (or more) previous in vitro attempts with fresh embryos (including cancelled stimulation attempts) are not eligible. If in vitro fertilization has been attempted previously, copies of all ovarian stimulation and all embryology records must be submitted for review. Couples with 2 or more previous miscarriages are not eligible. The male partner must have at least 5 million motile sperm in his ejaculate The couple must be willing to have ICSI, transfer 2 embryos, and freeze any leftover potentially viable embryos (frozen embryos are used before another fresh cycle). * We reserve the right to approve or deny entry into our guarantee plans on a case-by-case basis. Program Termination Almost all patients who do not get pregnant from the first in vitro fertilization attempt will be recommended to try again. The main reasons not to do so would be inadequate ovarian response, or very poor egg or embryo quality. We reserve the right to terminate the patient's participation after each completed cycle (very rare). Likewise, the couple has the right to terminate participation after each completed cycle (after all fresh and frozen embryos are transferred). If FCC terminates the couple's 100% refund plan early (before the completion of all attempts), the refundable portion is returned to the couple. Actual cost as appears on the attached pricelist is invoiced. Likewise, the couple can quit the program before they complete all of their allotted fresh cycles. The refundable portion (after deducting the actual costs as appears on the attached pricelist) is given back if they are not pregnant and all frozen embryos have been transferred. Cycle cancellation during stimulation Ovarian response to stimulation must be sufficient to result in a minimum of 5 mature follicles (15-20 mm diameter) or we "cancel" the cycle and do not do the egg retrieval. Rarely, a cycle could be cancelled for over-response of the ovaries A case management fee If the cycle is cancelled during stimulation and before the egg retrieval and if all refunded, the patient shall pay only 1000$ for the case management fee. Payment Method One-time pay all by cash or check when confirmed qualified for the refund plan and contract is signed.