Unia Europejska

Price list

This price list is valid from the 1st of March 2023. All prices are in PLN incl. VAT

Appointments and consultations
Infertility and gynaecology
1st appointment + USG
350,00zł
Every subsequent appointment
250,00zł
Consultation + USG during stimulation
200,00zł
Obstetric visit + USG
300,00zł
Gynaecological visit
250,00zł
Endocrinology consultation
350,00zł
Embryology consultation
Online consultation in Polish
250,00zł
Online consultation in English
350,00zł
Issuing a prescription
50,00zł
Andrology
Andrology visit
300,00zł
Genetics
Genetic consultation
300,00zł
Psychology
Psychological consultation – for individuals or couples (1h)
200,00zł
Nutrition
1st dietary consultation (food diary, nutritional interview, body composition analysis, nutritional recommendations)
200,00zł
1st dietary consultation for couples (food diary, nutritional interview, body composition analysis, nutritional recommendations)
250,00zł
Follow-up visit
120,00zł
Follow-up visit for couples
150,00zł
Testing and Diagnostics
USG
Gynaecological USG
170,00 zł
3D gynaecological USG
300,00 zł
Breast USG
250,00 zł
Obstetric USG till 10th week of pregnancy
200,00 zł
Semen analysis
Seminology basic package (computer-assisted semen analysis, DNA fragmentation, MiOXSYS - ROS test)
620,00 zł
Seminology expanded package (computer-assisted semen analysis, DNA fragmentation, MiOXSYS - ROS test, HBA test, MAR test)
930,00 zł
Semen analysis – basic
130,00 zł
Computer-assisted advanced semen analysis
180,00 zł
Semen culture for aerobic bacteria
100,00 zł
Semen culture for anaerobic bacteria
100,00 zł
Semen mycological culture (for fungus)
100,00 zł
MAR test IgG
110,00 zł
MAR test IgA
110,00 zł
HBA test
300,00 zł
DNA fragmentation + computer-assisted semen analysis
420,00 zł
MiOXSYS – oxidative stress assessment (ROS test)
300,00 zł
Post-ejaculatory urine test
180,00 zł
Fallopian tube patency
Sono-HSG (sonohysterosalpingography) testing of fallopian tube patency
700,00 zł
HyFOSy (HSG 4D) testing of fallopian tube patency (ExemFoam)
1 100,00 zł
Pakiety badań podstawowych
Package of test for ovarian reserve assessment · AMH · Estradiol · FSH
220,00 zł
Package of obligatory tests for assisted reproductive techniques for women · Anti-HIV · HBs Ag · Anti-HBc · Anti-HCV · VDRL · Toxoplasmosis IgG, IgM · Testing for chlamydia using PCR method · Cytology · Vaginal biocenosis · Testing for rubella antibodies
560,00 zł
Package of obligatory tests for assisted reproductive techniques for men · Anti-HIV · HBs Ag · Anti-HBc · Anti-HCV · VDRL
200,00 zł
Package of obligatory tests for anesthesia · Morphology · Sodium · Potassium · APTT · PT In case of lack of blood type result + 50 zł
60,00 zł
Package of tests with the use of Multipleks Real Time-PCR: · Clamydia trachomatis · Mycoplasma hominis · Mycoplasma genitalium · Ureaplasma
325,00 zł
Badania podstawowe
Alanine aminotransferase (ALT) (I17)
11,00 zł
Aspartate Aminotransferase (AST) (I19)
11,00 zł
Androstenedione (I31)
45,00 zł
Anty-Mullerian hormone (AMH)
180,00 zł
General urine test (A01)
13,00 zł
C-reactive protein (CRP) - ilościowe (I81)
22,00 zł
Total protein (I77)
11,00 zł
Total bilirubin (I89)
11,00 zł
CA 125 (I41)
45,00 zł
Total triiodothyronine (T3) (O51)
24,00 zł
Total thyroxine (T4) (O67)
24,00 zł
Total cholesterol (I99)
11,00 zł
Serum HDL-cholesterol (K01)
11,00 zł
HDL-cholesterol - calculated (K03)
CMV - cytomegalovirus Ab IgG (F19)
55,00 zł
CMV - cytomegalovirus Ab IgM (F23)
55,00 zł
Serum zinc (K15), quantitatively
90,00 zł
Activated partial thromboplastin time (APTT) (G11)
14,00 zł
Prothrombin time (PT), INR/ (G21)
14,00 zł
Thrombin time (TT) in plasma (G25)
14,00 zł
Factor V Leiden
170,00 zł
D-Dimer's (G49)
54,00 zł
Dehydroepiandrosteron (DHEA) (K25)
90,00 zł
Estradiol (E2) (K99)
35,00 zł
Ferritin (L05)
40,00 zł
fibrinogen (G53)
15,00 zł
Follicle stimulating hormone (FSH) (L65)
32,00 zł
Alkaline phosphatase (ALP) (L11)
11,00 zł
Gamma glutamyl transpeptidase (GGTP) (L31)
11,00 zł
Glucose (L43)
11,00 zł
Chorionic gonadotropin (HCG) in plasma - Total (L47)
40,00 zł
Blood type, Rh (E65)
50,00 zł
HBc - Ab anti HBc total (hepatitis B virus ) (V31)
50,00 zł
HBs - antigen HBs (hepatitis B virus ) (V39)
25,00 zł
HBs antigen - confirmation test (hepatitis B virus ) (V41)
70,00 zł
HCV - Ab anti HCV (hepatitis C virus ) (V48)
45,00 zł
HIV - screening test (Ab anti-HIV 1/2, antigen p24) (F91)
50,00 zł
Insulin (L97)
40,00 zł
Cortisol (M31)
40,00 zł
Lupus anticoagulant - LA
160,00 zł
Kreatynina w surowicy (M37)
11,00 zł
Folic acid, (M41)
45,00 zł
Uric acid in plasma (M45)
11,00 zł
Luteotropin (LH) (L67)
32,00 zł
Magnesium in serum (M87)
11,00 zł
Copper in serum (G68), quantitatively
60,00 zł
Urea (N13)
11,00 zł
Morphology (C55)
16,00 zł
Sed rate (C59)
11,00 zł
Lead in blood (P71), quantitatively
90,00 zł
Ab anithyroglobulin (ATG) (O18)
46,00 zł
Ab Anti-cyclic citrullinated peptidei 3 (aCCP) (N66)
90,00 zł
Ab Anti-Thyroid peroxidase (ATPO) (O09)
46,00 zł
Platelets - number (ICD - C65) (C66)
15,00 zł
Potassium in serum (N45)
11,00 zł
Progesterone (N55)
45,00 zł
prolactin (PRL) (N59)
35,00 zł
PSA total (I61)
40,00 zł
Rubella - Ab IgG (V21)
50,00 zł
Rubella - Ab IgM (V24)
50,00 zł
Sodium in serum (O35)
11,00 zł
Syphilis - screening test (WR)
30,00 zł
Testosterone (O41)
37,00 zł
Toxoplasmosis gondi - Ab IgG (X41)
42,00 zł
Toxoplasmosis gondi - Ab IgM (X45)
42,00 zł
TPS - Tissue polypeptide specific marker (I57)
150,00 zł
Transferrin (O43)
60,00 zł
Triglycerides (O49)
11,00 zł
Thyroglobulin (O65)
80,00 zł
Thyrotropin (TSH) 3rd gen (L69)
25,00 zł
Vitamin 25(OH)D Total
80,00 zł
Vitamin B12 (O83)
45,00 zł
Free triiodothyronine (FT3) (O55)
25,00 zł
Free thyroxine (FT4) (O69)
25,00 zł
Iron in serum (O95)
11,00 zł
Badania mikrobiologiczne
Urine culture
42,00 zł
Cytology
50,00 zł
Liquid-based cytology LBC
130,00 zł
Biocenosis of the vagina
42,00 zł
Test for Trichomonas vaginalis
45,00 zł
Urogenital swab culture
65,00 zł
Anaerobic urogenital swab culture
45,00 zł
Test for Streptococcus agalactiae (GBS)
42,00 zł
Test for Neisseria gonorrhoeae
42,00 zł
Chlamydia trachomatis – antigen
95,00 zł
Test for Mycoplasma hominis, Ureaplasma spp.
130,00 zł
Chlamydia trachomatis- qualitative (DNA detection using Real Time-PCR method)
175,00 zł
Genetic testing
Basic package of genetic testing in male infertility Karyotype from peripheral blood lymphocytes Identification of deletion in the AZF region Identification of 2 mutations in the CFTR gene
1 490,00 zł
Extended package of genetic testing in male infertility Karyotype from peripheral blood lymphocytes Identification of deletion in the AZF region Identification of 33 mutations in the CFTR gene
1 790,00 zł
Karyotype from peripheral blood lymphocytes
520,00 zł
Identification of deletion in the AZF region
490,00 zł
Identification of 2 mutations in the CFTR gene
690,00 zł
Identification of 33 mutations in the CFTR gene
990,00 zł
Progesterone deficiency (analysis of the rs4238001 variant in the SCARB1 gene)
440,00 zł
Recurrent miscarriages (testing for Leiden mutation, 20210G>A variant, 677>T 670 and 1298A>C mutations in MTHFR gene and polymorphism in PAI-1 gene)
810,00 zł
Recurrent miscarriages (testing for Leiden mutation, variant 20210G>A)
470,00 zł
Miscarriages – testing in partners of patients with spontaneous miscarriages (testing 290 Apal polymorphism in the IGF2 gene in men)
420,00 zł
Premature ovarian function insufficiency – stage I (screening for 280 FMR1 (CGG)n repeat expansion mutation detection)
490,00 zł
Premature ovarian function insufficiency – stage II (testing for mutations and permutations 930 in the FMR1 gene)
1 090,00 zł
Immunological tests
HLA-C genotyping (immunological infertility, miscarriages, implantation disorders)
590,00 zł
KIR genotyping (immunological infertility, miscarriages, implantation disorders)
490,00 zł
HLA-C genotyping + KIR genotyping (package for couples)
990,00 zł
Endometrial Receptivity Analysis
Test ERA
3 800,00 zł
Test ALICE
2 600,00 zł
Test EMMA
3 000,00 zł
EndomeTRIO package (Test ERA + ALICE + EMMA)
4 750,00 zł
Pre-implantation diagnosis (PGD NGS)
A. PGS-NGS 360° - preimplantation genetic screening of all chromosomes
Biopsy of embryo(s) (one-off fee for all embryos)
2 000,00 zł
PGT-A (PGS) NGS 360°™ Aneuploidy of all chromosomes FROZEN CYCLE – 1 embryo + embryo biopsy
2 300,00 zł
PGT-A (PGS) NGS 360°™ Aneuploidy of all chromosomes FROZEN CYCLE – 2 embryos + embryo biopsy
4 000,00 zł
PGT-A (PGS) NGS 360°™ Aneuploidy of all chromosomes FROZEN CYCLE – 3-4 embryos + embryo biopsy
5 990,00 zł
PGT-A (PGS) NGS 360°™ diagnosis of Robertsonian chromosome translocations FROZEN CYCLE – 1 embryo
2 300,00 zł
PGT-A (PGS) NGS 360°™ diagnosis of Robertsonian chromosome translocations FROZEN CYCLE – 2 embryos + embryo biopsy
4 000,00 zł
PGT-A (PGS) NGS 360°™ diagnosis of Robertsonian chromosome translocations FROZEN CYCLE – 3-4 embryos + embryo biopsy
5 990,00 zł
PGT-A (PGS) /PGT – consecutive embryos over 4 embryos
1 200,00 zł
B. PGD – single-gene disorders, structural chromosomal aberrations, HLA
PGD of single-gene disorders (PGD ONE)
15 000,00 zł
PGD of single-gene disorders frequent mutations (PGD ONE FM)
10 000,00 zł
PGD of single-gene disorders frequent mutations (PGD ONE FM) – for two genetic conditions
16 000,00 zł
PGD of single-gene disorders linked to the X or Y chromosome (X-linked PGD)
5 990,00 zł
PGD of chromosomal reciprocal translocations (PGD TRS)
7 990,00 zł
PGD of chromosomal reciprocal translocations (PGD TRS) – carrier determination
13 000,00 zł
PGD of single-gene disorders (PGD ONE) for 2 genetic conditions
25 000,00 zł
PGD of single-gene disorders (PGD ONE) for 1 genetic condition and HLA matching
25 000,00 zł
When any of the PGDs in section B are tested, the price of PGS-NGS 360°
5 000,00 zł
Procedures
Hysteroscopy
Diagnostic hysteroscopy
1 550,00 zł
Diagnostic hysteroscopy + Sono-HSG (sonohysterosalpingography) testing of fallopian tube patency
2 150,00 zł
Diagnostic hysteroscopy + HyFOSy (HSG 4D) testing of fallopian tube patency (ExemFoam)
2 550,00 zł
Operative hysteroscopy in outpatient mode (stage I)
2 200,00 zł
Operative hysteroscopy in outpatient mode (stage III)
3 800,00 zł
Surcharge for histopathology section examination
150,00 zł
Surcharge for examination for chronic endometritis marker (CD138+)
200,00 zł
Surcharge for section examination for uNK cells (CD56+)
220,00 zł
Surcharge for usage of adhesion prevention gell
420,00 zł
Plastyka
Plastic surgery of anterior vaginal wall
3 500,00 zł
Plastic surgery of posterior vaginal wall and perineum
3 500,00 zł
Plastic surgery of anterior and posterior vaginal wall and perineum
5 000,00 zł
Plastic surgery of minor labia
4 000,00 zł
Plastic surgery of minor labia and clitorial hood
4 500,00 zł
Anesthesia
Other procedures
Curettage of the uterine cavity
2 500,00 zł
Removal of a nodule from cesarean section scar
3 500,00 zł
Removal of a cervical polyp
1 200,00 zł
Intrauterine administration of G-CSF
400,00 zł
IUD insertion
400,00 zł
IUD removal
300,00 zł
Hysteroscopic removal of the IUD
1 550,00 zł
Endometrial scratching (kontrolowany uraz endometrium) pod kontrolą USG u pacjentek z nawracajacymi niepowodzeniami implantacji
550,00 zł
Intrauterine administration of platelet rich plasma
1 550,00 zł
Endometrial biopsy
620,00 zł
Treatment with assisted reproduction technologies
Treatment package for patients not eligible for reimbursement of medicines
15 400,00 zł
Treatment package for patients with diminished ovarian reserve
17 400,00 zł
Double stimulation treatment package for patients with diminished ovarian reserve
20 950,00 zł
Intrauterine insemination IUI – AIH, AID
Intrauterine insemination of husband's/partner's sperm – AIH
950,00 zł
Surcharge for preparation of donor sperm for AID/ICSI/IVF
1 950,00 zł
Surcharge for Fertile chip IUI (microfluidic sperm separation)
1 000,00 zł
In vitro fertilisation (IVF)
Ovarian puncture
1 650,00 zł
Embryology procedures IVF/ICSI/IMSI supervised by Matcher IVF electronic witnessing safety system
4 900,00 zł
Time-Lapse observation of embryo development (24/7 every 10 minutes)
1 200,00 zł
Surcharge for Fertile chip ICSI (microfluidic sperm separation)
1 000,00 zł
Assited Hatching
500,00 zł
Sperm Slow
bez dopłat zł
Embryo transfer
1 550,00 zł
Frozen embryo transfer
1 850,00 zł
Surcharge for hyaluronate transfer medium (EmbryoGlue/UTM Transfer Medium)
500,00 zł
Surcharge for TESA (testicular sperm aspiration)
1 850,00 zł
Surcharge for TESE (testicular sperm extraction)
2 750,00 zł
Surcharge for mTESE (open microscopic testicular biopsy) under general anaesthesia
9 750,00 zł
Surcharge for preparation of donor sperm for AID/ICSI/IVF
1 950,00 zł
Transfer in cases of uterine spasmodic reactivity (protected by atosiban)
2 400,00 zł
Transfer of the thawed embryo in cases of uterine spasmodic reactivity (protected by atosiban)
2 700,00 zł
The i. v. infusion of Intarlipid in recurrent implantation failures (associated with excessive NK cell activation)
480,00 zł
IVF programme with donor eggs (own bank)
od 9500 zł
IVF programme with donor eggs (foreign bank)
od 8350 zł
IVF program with donor embryos (own bank)
od 2600 zł
Anesthesia
Anesthesia, anesthesiological consultation and care after the procedure
600,00 zł
Freezing and storage
Freezing
Semen freezing + 1 year storage 1 cassette = 3 straws. Each additional cassette: +100 zł
600,00 zł
Quarterly semen deposit for assisted reproduction technologies.
320,00 zł
Freezing of egg cells in IVF programme
950,00 zł
Freezing of egg cells outside IVF programme
2 400,00 zł
Vitrification of embryos / blastocysts – price for the 1st embryo/blastocyst each subsequent embryo/blastocyst: +350 PLN
950,00 zł
Freezing a testicular biopsy specimen
1 250,00 zł
Storage
Storage of frozen semen for another year
492,00 zł (400+VAT)
Egg cell storage for one year
861,00 zł (700+VAT)
Storage of embryos / consecutive years (price per 1 year)
861,00 zł (700+VAT)
Storage of testicular biopsy specimen for one year
738,00 zł (600+VAT)
Release of embryo/reproductive cells deposit – coordination with the transferee bank, completion of the documents needed for transfer, preparation of the material for transport
369,00 zł (300 + VAT)

Bank account:
15 1600 1462 1898 8060 7000 0001

Fundusze Europejskie