CNY Fertility Center, Syracuse, NY

CNY FERTILITY CENTER

SYRACUSE , NEW YORK

A comparison of clinic success rates may not be meaningful because patient medical characteristics and treatment approaches vary from clinic to clinic.
2005 ART CYCLE PROFILE
Type of ART a				Patient Diagnosis
IVF	>99%	Procedural Factors:			Tubal factor	12%	Other factor	5%
GIFT	0%	With ICSI	92%		Ovulatory dysfunction	9%	Unknown factor	11%
ZIFT	<1%	Unstimulated	<1%		Diminished ovarian reserve	13%	Multiple Factors:
Combination	0%	Used gestational carrier	<1%		Endometriosis	9%	Female factors only	14%
					Uterine factor	2%	Female & male factors	14%
					Male factor	11%

2005 PREGNANCY SUCCESS RATES		Data verified by		Robert J. Kiltz, MD
Type of Cycle	Age of Woman
Fresh Embryos from Nondonor Eggs	<35		35-37		38-40	41-42d
Number of cycles	340		169		144	80
Percentage of cycles resulting in pregnancies b	34.4		30.2		20.8	12.5
Percentage of cycles resulting in live births b,c	30.9		23.7		16.0	10.0
(Confidence Interval)	(26.0–36.1)		(17.5–30.8)		(10.4–23.0)	(4.4–18.8)
Percentage of retrievals resulting in live births b,c	32.5		24.5		17.6	10.8
Percentage of transfers resulting in live births b,c	33.7		27.2		19.0	11.6
Percentage of transfers resulting in singleton live births b	22.8		15.6		16.5	7.2
Percentage of cancellations b	5.0		3.6		9.0	7.5
Average number of embryos transferred	2.5		2.5		2.6	2.8
Percentage of pregnancies with twins  b	24.8		35.3		20.0	1 / 10
Percentage of pregnancies with triplets or more b	8.5		3.9		3.3	2 / 10
Percentage of live births having multiple infantsb,c	32.4		42.5		13.0	3 / 8
Frozen Embryos from Nondonor Eggs
Number of transfers	90		48		27	8
Percentage of transfers resulting in live births b,c	12.2		6.3		11.1	0 / 8
Average number embryos transferred	2.5		2.6		2.5	1.9

	All Ages Combined e
Donor Eggs	Fresh Embryos	Frozen Embryos
Number of transfers	113	25
Percentage of transfers resulting in live birthsb,c	42.5	12.0
Average number of embryos transferred	2.5	2.0

CURRENT CLINIC SERVICES AND PROFILE
Current Name:	CNY Fertility Center
Donor egg?	Yes	Gestational carriers?	Yes	SART Member?	Yes
Donor embryo?	No	Cryopreservation?	Yes	Verified lab accreditation?	Pending
Single women?	Yes			(See Appendix C for details)

a Reflects patient and treatment characteristics of ART cycles performed in 2005 using fresh nondonor eggs or embryos. b When fewer than 20 cycles are reported in an age category, rates are shown as a fraction and confidence intervals are not given. Calculating percentages from fractions may be misleading and is not encouraged. c A multiple-infant birth is counted as one live birth. d Clinic-specific outcome rates are unreliable for women older than 42 undergoing ART cycles using fresh or frozen embryos with nondonor eggs. Readers are urged to review national outcomes for these age groups. e All ages (including ages >42) are reported together because previous data show that patient age does not materially affect success with donor eggs.

Costs: Cut and pasted from CNY’s site:

Costs of Treatments – a la carte

Treatment Description	Cost
Comprehensive Fertility Consultation – includes exam and ultrasound	$250 – $475
Semen Analysis – includes evaluation of volume, motility, sperm count and morphology	$200
Intrauterine Insemination (IUI) – washing and placing of donor, or partner, sperm into uterine cavity at time of ovulation. Per cycle, single insemination	$300
Ovulation Induction (gonadotropins) with IUI – includes ovulation monitoring with transvaginal ultrasounds, office visits, complex sperm washing with IUI	$750 – $1250
In Vitro Fertilization (IVF) – – includes ovulation induction as above, anesthesiologist, egg retrieval, insemination, ICSI, assisted hatching, transfer, embryo freezing, first year of embryo storage and transfer of frozen embryos for up to one year after retrieval.	$5500 – $10,000
IVF with Donor Oocytes (PRIDE cycle)	$11,000
Frozen Embryo Transfer – for patients shipping embryos from other centers; includes thawing of embryos, facility use charges and embryo transfer	$1000
Semen Freezing – – $200 for first appointment; $200 per additional visit, capping at $400 total to fill one cane (6 vials)	$200 – $400
Annual Storage of Semen/Embryos – -First year of storage is included with semen or embryo freezing. After that time additional storage fees apply.	$200 per cane

 IVF Per Cycle Plan (2)

This interest free option was created to help our non-insured patients pay for their treatments over a period of one year. We do require a minimum payment prior to retrieval, and the balance will be divided into twelve interest-free monthly payments. On the 15th of every month, we will withdraw payment from your debit or credit card. Your payment includes egg retrieval, ICSI, assisted hatching, embryo transfer, cryopreservation, storage and transfer of frozen embryos for up to one year. After one year, any additional frozen transfers will be $1,000.00. These prices do not include medications.

 

IVF Per Cycle Costs

Cycle Number	Cost of IVF Procedure	Minimum payment due at time of procedure	Amount Financed	Monthly Payment (1)
1	$5500	$3000	$2500	$208.33
2	$4500	$2500	$2000	$166.67
3+	$3500	$2000	$1500	$125.00

(1) Payment is withdrawn monthly from a debit or credit card.
(2) These prices do not include medications (approximate cost $3,000), follicular monitoring ($500) or any additional blood work or ultrasounds required after transfer.

 IVF Refund Plan

The IVF Refund Plan was created for non-insured IVF patients who meet the eligibility requirements (see below). For one single up-front payment of $20,000 you are eligible for up to 6 fresh IVF cycles and unlimited frozen cycles over a two year period. Payment in full is required prior to starting your cycle. If you deliver a baby within the six fresh IVF or frozen cycles, you will not be eligible for any refund. However, if you fail to deliver a baby after the 6 fresh IVF and all frozen cycles, your payment will be refunded in full.

 IVF Refund Plan Qualification Criteria:

• Females under the age of 38 at time of enrollment
• No insurance benefits for IVF
• Day 3 FSH <9 and Estradiol <100
• Have not failed more than three previous IVF cycles at any fertility center
• The ability to generate an endometrium lining thickness of 7mm
• No hydrosalpinx or significant uterine fibroids (unless corrected prior to treatment)
• Male partner’s semen analysis not indicative of azoospermia or severe oligiospermia. Post-vasectomy patients may qualify, but require a diagnostic aspiration.

 What is included in the IVF Refund Plan: 

• Retrieval of eggs
• Transfer of embryos
• All frozen embryos must be transferred prior to starting a fresh cycle
• Intracytoplasmic Sperm Injection (ICSI)
• Assisted Hatching (AH)
• Cryopreservation and storage of embryos for up to one year after last cycle (additional fees apply after the one year period)

 What is excluded from the IVF Refund Plan(1):

• Follicular monitoring ultrasounds at our offices
• Follicular monitoring blood work at our offices
• Initial consultation and any pre-screening tests
• Surgeries
• Urology procedures
• Donor Sperm
• Medications (Approximately $3000 per cycle)
• Preimplantation Genetic Diagnosis (PGD)
• Intravenous Immunoglobulin (IVIG) therapy
• Pregnancy testing and monitoring
• Egg Donation (See Donor Refund Plan)
• Embryos may be transferred into a carrier for an additional charge

(1) Additional exclusions may apply. Qualifying criteria or pricing may change without prior notice. For current information, please contact our office.

Egg Donor Cycle Plan (2)

 This interest-free option was created to help our patients pay for treatments over a period of one year. We do require a minimum payment prior to your donor starting her medications. The balance will be divided into twelve interest free monthly payments. Your payment includes donor monitoring (at our office), monitoring for the recipient (at our office) until day of embryo transfer including up to two ultrasounds for the Mock Cycle, egg retrieval, embryo transfer, cryopreservation, storage, transfer of frozen embryos within one year of retrieval date, and donor compensation. These prices DO NOT INCLUDE MEDICATIONS.   

Single Donor Per Cycle Payment Plan (2)

Cycle Number	Cost of Donor IVF Cycle	Minimum payment due	Amount Financed	Monthly Payment (1)
1	$11,000	$7500	$3500	$291.67
2	$10.000	$7500	$2500	$208.33
3+	$9000	$6500	$2500	$208.33

 

Shared Donor Per Cycle Payment Plan (2)

Cycle Number	Cost of Shared Cycle	Minimum payment due	Amount Financed	Monthly Payment (1)
1	$6200	$4200	$2000	$166.67
2+	$5700	$3700	$2000	$166.67

 

Split Donor Per Cycle Payment Plan (2)

Cycle Number	Cost of Split Cycle	Minimum payment due	Amount Financed	Monthly Payment (1)
1	$6200	$4200	$2000	$166.67
2+	$5700	$3700	$2000	$166.67

Note:

• Payment is withdrawn monthly from a debit or credit card.
• These prices do not include medications nor any additional blood work or ultrasounds required after transfer.

 Egg Donor Refund Plan

This plan was created for non-insured IVF patients who meet the eligibility requirements (see below). For one single up-front payment of $45,000 you are eligible for up to 4 fresh IVF Donor cycles and unlimited frozen cycles over a 2 year period. This plan also includes the donor’s medications. Payment in full is required prior to starting your cycle. If you deliver a baby within the 4 Donor cycles, or frozen cycles, you will not be eligible for any refund. However, if you do not deliver a baby after the 4 Donor cycles, and all frozen cycles, your payment will be refunded in full. 

Donor Refund Plan Qualification Criteria:

• The ability to generate an endometrium lining thickness of 7mm
• No hydrosalpinx or uterine fibroids (unless corrected prior to treatment)
• Have not failed more than three previous Oocyte Donor IVF cycles at any fertility center
• Male partner’s semen analysis not indicative of azoospermia or severe oligiospermia. Post-vasectomy patients may qualify, but require a diagnostic aspiration.

 What is included in the Donor Refund Plan:

• Donors’ medications
• Ultrasounds and monitoring for recipient and donor (at our office)
• Retrieval of embryos (within a 2 year period)
• Transfer of embryos (within a 2 year period)
• Transfer of all frozen embryos must be transferred prior to starting a fresh cycle
• Embryos may be transferred into a carrier for an additional charge
• Intracytoplasmic Sperm Injection (ICSI)
• Assisted Hatching (AH)
• Cryopreservation and storage of embryos for up to one year after last cycle (additional fees apply after the one year period)

What is excluded from the Donor Refund Plan(1):

• Recipient’s medications
• Pregnancy blood work and ultrasounds
• Pre-screening tests
• Any additional blood work needed
• Surgeries
• Urology procedures
• Preimplantation Genetic Diagnosis (PGD)
• Intravenous Immunoglobulin (IVIG) therapy
• Donor Sperm

Notes:

1. One thing to note about the “amount financed” part is that, in theory, you should have to pay off Cycle 1 before starting Cycle 2.

2. Their donor plans include all the donor fees, unlike many other sites I’ve seen.

3. As with almost all sites, none of the costs include medications.

Website: www.cnyfertility.com (good site, good information, transparent costs)

Intro to site

If you found this, it’s likely because you googled something about IVF costs. As medical tourism becomes more common, I think relying on going to the closest facility may not make much sense. For example, I moved from NY to HI. The costs in NY are less than $9000 at my clinic, and in HI, it’s $15,000. So I can commute to NY and take care of it all, and still save money. There is another site that discusses international costs (www.ivfcost.net), but I know of no other resource that has consolidated US clinic data.

So, since I have been through a few cycles of IVF, and have done much research, spending countless hours online and on the phone trying to figure out the data I need from each clinic (volume, success, services, costs). I have some data, and am continually gathering more. I have seen many excellent sites dealing with fertility, but I have never seen the information I wanted all in one spot. So I was hoping that I could get enough women who are going through the process to contribute their impressions of clinics, costs they incurred, etc. There are 422 clinics in the US, so I’m going to be working into this gradually. First is going to be the clinic I worked with, that I have mixed feelings about. From there, I’ll work from highest volume down. But, ladies and gents, if you could post what your experiences were when we get to the clinic you used, you can greatly help those in need of services down the line.

This is a new project for me, so it may be a little thin to start with. For now, here is a link to the CDC Success Data. It is an Excel spreadsheet, fully sortable, with volume and success rates. I will add in more data over time, of course… for now, it’s just the bare bones reported success rates.

http://spreadsheets.google.com/ccc?key=p-cbcJTYk2Kagj_7hotbabA

My intent is to separate the clinics by couple of parameters: by state and volume. So there will be categories for each state, and additional categories for very high volume (>735 procedures a year), high volume (> 365), average volume (> 200). There is a significant correlation of volume to success for older patients, and the older you are, the higher the correlation. So if you’re >40, look for a high volume clinic, if you’re less than 35, don’t worry about it, just go by location (IMHO). Even the 35-37 crowd can probably largely ignore volume… apparently there is more skill to getting useful eggs out of us geezers 🙂

Please comment madly… I would really like to make this a useful resource for those looking for information in one place, and I only know what I would have wanted, not what everyone wants to see.