Price list – ARTVIMED Kraków – Diagnostyka i leczenie niepłodności

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)

zł

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 packages - A detailed description of treatment packages

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

Egg and embryo adoption - A detailed description of adoption packages

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