Cost of Infertility Treatment

In regards to the medical examination and treatment of infertility, there are treatments that you can and cannot apply to your insurance. Especially artificial insemination, In Vitro fertilization and micro-insemination are not covered by insurance.
The main cost (tax included) of the fertility treatment and test are set as the following. There will be slight increase / decrease based on the different reactions of individual people with the addition of treatment.

❈The price including tax is an estimate stated due to obligation to display the total amount. Minor differences in calculation may occur at time of actual accounting.
❈If you come in for an injection of screening, the screening charge will be added separately.
❈Other charges may occur due to the administration of medicines and tests.
❈For each injection there is a fee of ¥200 (With Tax: ¥220).
❈For each prescription there is a fee of ¥520(With Tax: ¥572).
❈Prices are subject to change without notice.
❈The price including tax is an estimate stated due to obligation to display the total amount. Minor differences in calculation may occur at time of actual accounting.

In Vitro Fertilization

Prepayment Information for IVF and Embryo Transfer

If you are undergoing IVF, we will take a prepayment of the following fees, based on the chosen course.

Item Prepayment
In Vitro Fertilization - Embryo Transfer
(IVF-ET)
Active course using injections and oral medicine
Short Method, Long Method, Antagonist Method (HMG Cetro Method), HMG-MPA Method
¥350,000
Course using oral medicine
Clomid Method, Letrozole Method
¥250,000
Natural, body friendly course
HRT-OPU Method, Natural Method, Complete Natural Method
¥190,000
Frozen Embryo Thaw Transfer ¥70,000

❈The above costs are subject to medical deductions.
❈Period prepayment is due:

・Cases of In Vitro Fertilization - Embryo Transfer (IVF-ET)
→ At the time when the prescribed GnRHa (Ex: Buserelin) is distributed before menstruation, we will receive as a prepayment for the estimated cost (Ex: ¥350,000 for Short Method)
・Cases of Frozen Embryo Thawed Transfer
→ At the time when the prescribed estrogen (Ex: Premarin) is distributed before menstruation, we will receive ¥70,000 as a prepayment for the estimated cost.

❈Payment is not due each visit, but the bill will be summarized and calculated after the pregnancy test.
❈ If the advance payment is made by credit card and the refund is made at the time of bill settlement, a 5% fee will be charged for the refund amount.

◆Those who desire IVF from afar.
We will charge an office fee for distance treatment.

General In Vitro Fertilization – Embryo Transfer (IVF-ET)

Item Before Tax Including Tax
Ovulation Stimulation, Ultrasound Exam, Test, Blood Test
Includes the GnRHa drug (Buserelin) for the preparation of oocyte harvesting, ovulation inducing drug (price will be different varied by the kind), luteal supplements of post embryo transplant, and cost of the pregnancy decision.
About ¥100,000~¥120,000 About ¥110,000~¥132,000
Oocyte Pick-up(OPU) Cycle
※This fee is charged when you contact us on the first day of menstruation.
¥20,000 ¥22,000
Base OPU
※If you ovulate before the procedure, or if it is not possible to collect oocytes, you will not be charged this fee.
¥70,000 ¥77,000
Per unit
¥4,000 ¥4,400
Cancellation Fee ¥40,000 ¥44,000
Culture Culture
(Up to Day 3 Culture)
¥60,000 ¥66,000
Long Culture / Blastocyst Culture
(Day 4-Day 6)※1
¥30,000 ¥33,000
Embryo Transfer (ET) Thawed Embryo Transfer
Generally, if the in vitro fertilized embryo transfer method is performed, the total will be about 350,000 or more.
Base charge ¥50,000 ¥55,000
Cancellation Fee ¥5,000 ¥5,500

※1) An additional ¥ 30,000 (With Tax: ¥ 33,000) will be charged if the culture solution is additionally replaced or if the culture is performed for more than six days.

In Vitro Fertilization Off Hour Cost

  Oocyte Pick-up (OPU) Embryo Transfer (ET) Injection Examination
Before Tax Including Tax Before Tax Including Tax Before Tax Including Tax Before Tax Including Tax
Sundays · Holidays · New Year’s (12/ 29- 1/ 3)
¥30,000 ¥33,000 ¥10,000 ¥11,000 - -
Saturdays ¥15,000 ¥16,500 ¥5,000 ¥5,500 - -
Off Hours
<If in the desired time so specified>
(If it’s a weekend, holiday, and⁄or New Year’s then the above pricing will be added)
17:00 until ¥15,000 ¥16,500 ¥5,000 ¥5,500 ¥1,000
(1time)
¥1,100
(1time)
¥3,000
(1time)
¥3,300
(1time)
17:00 and after ¥10,000 ¥11,000

Micro-Insemination (ICSI)

About Micro-Insemination (ICSI) >>

Item Before Tax Including Tax
Conventional Fertilization
In conventional fertilization, sperm is introduced naturally to the oocytes in the lab, similar to ordinary reproduction.
Base charge ¥15,000 ¥16,500
Per 3 units ¥4,000 ¥4,400
ntra Cytoplasmic Sperm Injection ( ICSI ) Base charge ¥50,000 ¥55,000
Per 5 units ¥30,000 ¥33,000
21 or more units : in addition to the above price, for each additional unit ¥5,000 ¥5,500
Cancellation fee for the above on the day (day before) of ICSI ¥15,000 ¥16,500
Fee for no decision on either ICSI or IVF the day before ¥15,000 ¥16,500

ICSI by PolScope

Item Before Tax Including Tax
ICSI by PolScope Base charge ¥50,000 ¥55,000
Per 5 units ¥30,000 ¥33,000
21 or more units : in addition to the above price, for each additional unit ¥5,000 ¥5,500

GM-CSF Supplemented Culture Solution

Item Before Tax Including Tax
GM-CSF Supplemented Culture Solution Culturing to Day 3 ¥55,270 ¥60,797
Long Term Culture (Day 4-7) ¥55,270 ¥60,797

Hyaluronic Binding Assay (HBA)

Click here for hyaluronic acid sperm selection method >>

Item Before Tax Including Tax
Hyaluronic Binding Assay (HBA) Base charge ¥15,000 ¥16,500
Per 5 units ¥5,000 ¥5,500

IMSI

Click here to learn about IMSI >>

Item Before Tax Including Tax
IMSI Base charge ¥50,000 ¥55,000
Per 5 units ¥30,000 ¥33,000
21 or more units : ¥5,000 ¥5,500

Calcium Ionophore

About Calcium Ionophore >>

Item Before Tax Including Tax
Calcium Ionophore
(This is a general term for substances that increase the permeability of calcium ions in cell membranes. In ART, it is used to activate oocytes. It is indicated for cases of fertility disorders and severe male infertility.)
Base charge ¥15,000 ¥16,500
Per 5 units ¥5,000 ¥5,500

Culture

Item Before Tax Including Tax
Culture Culture
(Up to Day 3 culture)
¥60,000 ¥66,000
Long Term Culture· Blastocyst Culture
(After Day 4 to Day 6)※2
>> Click here for details
¥30,000 ¥33,000

※2) If you change your culturing period after the initial decision, or if you culture past day 6, there will be an additional charge of ¥30,000 (With Tax:33,000)separate from the other charges.

In Vitro Maturation (IVM)

About In Vitro Maturation (IVM) >>

Item Before Tax Including Tax
IVM IVM  (In vitro culture method of premature oocytes) ¥100,000 ¥110,000
Cancellation Fee ¥45,000 ¥49,500

Options of the Embryo Transfer (ET) and Blastocyst Transfer (BT)

Item Before Tax Including Tax
Assisted Hatching (AHA)Lazer method
>> Click here for details
Base charge ¥40,000 ¥44,000
Per unit ¥10,000 ¥11,000
HCG 500 Units Injection ¥8,420 ¥9,262
G-CSF Injection ¥31,540 ¥34,694
Embryo Glue ¥12,000 ¥13,200

Endometrium Biopsy (SER)

Item Before Tax Including Tax
Endometrium Biopsy (SER)※3 With Examination Pathology ¥31,840 ¥35,024
Without Examination Pathology ¥17,540 ¥19,294

※3) Antibiotic cost will be charged separately.

IFCE (Intrauterine Fiberscope & Curettage of the Endometrium)

Item Before Tax Including Tax
Intrauterine Fiberscope & Curettage of the Endometrium (IFCE)※4 Patients having IVF done at our clinic
Patients that transfer to our clinic from another clinic/hospital with fertilized embryos※5
¥40,000 ¥44,000
Patients, other than the above ¥90,000 ¥99,000

※4) Antibiotic cost will be charged separately.
※5) A handling charge will be charged for the transferring of fertilized embryos to our clinic.

Endometrial Receptivity Analysis (ERA)

About Endometrial Receptivity Analysis (ERA) >>
Click here for information about prepayments/deposits >>

Item Cost Prepayment
Before Tax Including Tax
Endometrial Receptivity Analysis (ERA) Test Patients having IVF done at our clinic Number of samples collected in a cycle 1 specimen 1st Cycle ¥117,880 ¥129,668 ¥130,000
2nd Cycle※6 ¥95,070 ¥104,577 ¥130,000
2 specimens ¥212,950 ¥234,245 ¥230,000
Patients, other than the above Number of samples collected in a cycle 1 specimen 1st Cycle ¥217,880 ¥239,668 ¥230,000
2nd Cycle※6 ¥195,070 ¥214,577 ¥230,000
2 specimens ¥312,950 ¥344,245 ¥330,000

※Starting from September 1, 2020, Advance payment will be accepted for the endometrial implantation ability (ERA) test, and must be made prior to CD1.
※6) Re-examination is sometimes required for precise results

Infertility Treatment using Platelet Rich Plasma (PRP) to Endometrial Regeneration

Click here for Endometrial Regeneration Platelet-Rich Plasma Therapy >>

Item Before Tax Including Tax
Endometrial Regeneration PRP Therapy Those who are already undergoing IVF at our hospital ¥80,000 ¥88,000
Other than the above
※These charges are in addition to the base fee listed above.
Equipment Fee ¥40,000 ¥44,000
External patient management fee
※Required for each consultation.
¥10,000 ¥11,000
Fee for cancellation after blood collection Those performing IVF at our hospital ¥20,000 ¥22,000
Other than the above ¥40,000 ¥44,000

Endometrial Microbiome Test

Item Before Tax Including Tax
Endometrial Microbiome Test ¥42,860 ¥47,146

Sperm Retrieval

About Regarding Male Infertility >>

Item Before Tax Including Tax
Microscopic Testicular Sperm Extraction Surgery (MD -TESE) ¥240,000 ¥264,000
Intravesical Retrograde Sperm Collection ¥25,000 ¥27,500

Frozen Embryo

About Frozen Embryo >>

Item Before Tax Including Tax
Embryo Freezing Base charge ¥28,000 ¥30,800
Per unit ¥4,000 ¥4,400
Embryo Cryopreservation Service Fee Monthly costs will vary by the amount of embryos and the time period.
Prices for the cryopreservation of embryos are listed here >>
Extension Fee ¥4,000 / each time ¥4,400 / each time

Thaw + Transfer (Ultrasound Test Included) of Embryo Freezing

Item Before Tax Including Tax
Embryo Thawing Base charge ¥10,000 ¥11,000
Per unit ¥10,000 ¥11,000
Cancellation Fee
・Base charge
・Per unit

¥5,000
¥5,000

¥5,500
¥5,500
Embryo Transfer (ET) Thawed Embryo Transfer Cycle Management (only for Thawed Embryo Transfer)
※This fee is charged when you contact us on the first day of menstruation.
¥5,000 ¥5,500
Base charge ¥50,000 ¥55,000
Cancellation Fee ¥5,000 ¥5,500
Medicine Cost※7 Premarin (Price Per Unit) ¥20 ¥22
Duphaston (Price Per Unit) ¥40 ¥44
Lutoral (Price Per Unit) ¥30 ¥33

※7)A separate prescription fee will be charged.

Freezing of Sperm

About Freezing of Sperm >>

Item Before Tax Including Tax
Sperm Freezing Base charge ¥15,000 ¥16,500
Per unit ¥4,000 ¥4,400
Frozen Sperm Preservation Charge Monthly costs will vary by the amount of sperm and the time period.
Prices for the cryopreservation of sperm are listed here >>
Sperm Thawing Base charge ¥9,000 ¥9,900
Per unit ¥1,000 ¥1,100
Extension Fee ¥4,000 / per time ¥4,400 / per time

Oocyte Freezing

About Oocyte Freezing >>
About Oocyte Freezing for other than infertility treatment >>

Item Before Tax Including Tax
Oocyte Freezing Base charge ¥35,000 ¥38,500
Per unit ※8 ¥7,000 ¥7,700
Frozen Oocyte Preservation Fee Monthly costs will vary by the amount of oocytes and the time period.
Prices for the cryopreservation of oocytes are listed here >>
Oocyte Thawing Base charge ¥10,000 ¥11,000
Per unit ※9 ¥10,000 ¥11,000
Cancellation Fee
・Base charge
・Per unit

¥5,000
¥5,000

¥5,500
¥5,500
Extension Fee ¥4,000 / per time ¥4,400 / per time

※8)3 oocytes can be stored on 1 cryotop.
※9)Thawing will be done with 1 cryotop unit.

Transfer Handling Fees for Frozen Embryo, Frozen Sperm, Frozen Oocyte

Transferring Procedures are required in cases when you are transferring Frozen Embryos / Sperm / Oocytes from another clinic to ours and vise-versa. In these situations the following will be charged.

Item Before Tax Including Tax
Receiving from another clinic Transfer Handling Fee Base charge ¥27,000 ¥29,700
1 unit each ¥1,000 ¥1,100
Dry Shipper Rental Fee Base charge ※10
(within 7days)
¥42,500 ¥46,750
Extension Fee
(daily charge)
¥1,000 ¥1,100
Liquid Nitrogen ¥7,500 ¥8,250
Shipping Fee Actual Cost Actual Cost
Document Posting Fee Actual Cost Actual Cost
Receiving from an Oak Clinic satellite branch Transfer Handling Fee Base charge ¥0 ¥0
1 unit each ¥0 ¥0
Dry Shipper Rental Fee Base charge
(within 7days)
¥0 ¥0
Extension Fee
(daily charge)
Liquid Nitrogen ¥0 ¥0
Shipping Fee ¥0 ¥0
Document Posting Fee Actual Cost Actual Cost

※10) A refund will be given for those returned on time without damage.

Item Before Tax Including Tax
Paying to another clinic Transfer Handling Fee Base charge ¥37,000 ¥40,700
1 unit each ¥1,000 ¥1,100
Dry Shipper Rental Fee Base charge
(within 7days)
¥42,500 ¥46,750
Extension Fee
(daily charge)
¥1,000 ¥1,100
Liquid Nitrogen ¥7,500 ¥8,250
Document Fee Japanese
(Other tahan Oak Clinic's form)
¥10,000 ¥11,000
English
(Other tahan Oak Clinic's form)
¥50,000 ¥55,000
Shipping Fee Actual Cost Actual Cost
Document Posting Fee Actual Cost Actual Cost
Paying to an Oak Clinic satellite branch
※11
Transfer Handling Fee Base charge ¥27,000 ¥29,700
1 unit each ¥1,000 ¥1,100
Dry Shipper Rental Fee Base charge
(within 7days)
¥0 ¥0
Extension Fee
(daily charge)
Liquid Nitrogen ¥7,500 ¥8,250
Shipping Fee ¥0 ¥0
Document Posting Fee Actual Cost Actual Cost

※11)It cannot be used when a specific time/date has been determined. The fees will be used from the "Payment to another clinic" section.

Distance In Vitro Fertilization (IVF) Office Fee

For those who wish to have IVF from afar >>

Fee for treatment done afar. The costs will differ depending on where the follicle check and injections are done.

Item Before Tax Including Tax
Clinic Place for follicle measurement
and injection
Distance In Vitro Fertilization (IVF) Office Fee of Oak Clinic, Sumiyoshi Oak Clinic, Sumiyoshi Partner Clinic+Self-Injection Home charge for self-injection ¥2,000 ¥2,200
Other medical facility than the above listed Oocyte Pick-up Cycle ¥80,000 ¥88,000
Thawed Embryo Transfer Cycle ¥20,000 ¥22,000
Distance In Vitro Fertilization (IVF) Office Fee of Oak Clinic, Ginza Oak Clinic, Ginza Partner Clinic+Self-Injection Home charge for self-injection ¥2,000 ¥2,200
Other medical facility than the above listed Oocyte Pick-up Cycle ¥80,000 ¥88,000
Thawed Embryo Transfer Cycle ¥20,000 ¥22,000

IVF Stay (Oak Clinic, Sumiyoshi)

Click here for details >>

Item Before Tax Including Tax Detail
Day Procedure ¥10,000 ¥11,000 Please rest before and after the Oocyte Pick-up (OPU) and embryo transfer (ET) procedures.
2 Days 1 Night
(Meals Included)
¥12,000 ¥13,200 Please stay before and after the Oocyte Pick-up (OPU) and embryo transfer (ET) procedures.

Infertility Diagnosis

Infertility Diagnosis Cost Display

Item Self-pay Insurance
Before Tax Including Tax Before Tax Including Tax
Hormone Test Low Temperature Period
(LH, FSH, E2, PRL)
¥6,970 ¥7,660 ¥2,060 ¥2,266
High Temperature Period(P4) ¥2,980 ¥3,278 ¥990 ¥1,089

Others

Birth Selection

Item Before Tax Including Tax
Percoll Method Percoll Method
(Cost of AIH's technical fee included)
¥60,000 ¥66,000
Cost for Saturdays, Sundays, and Holidays ¥5,000 ¥5,500
Cancellation Fee ¥30,000 ¥33,000

Counseling Visit

Item Before Tax Including Tax
Counseling (30 minutes) ¥25,000 ¥27,500

Supplement

Item Before Tax Including Tax
DHEA ¥5,650 ¥6,102
L-Arginine ¥5,790 ¥6,253
Folate ¥2,500 ¥2,700
Zinc ¥4,080 ¥4,406
Vitemine D3 ¥3,080 ¥3,326
Inositol ¥6,080 ¥6,566

Amniocentesis

Item Before Tax Including Tax
G‐band Analysis
(Including Amniocentesis Procedure fee)
¥169,000 ¥185,900
G‐band Analysis + SNP Microarray
(Including Amniocentesis Procedure fee)
¥269,000 ¥295,900