- Texas FC
These are the details of the fertility treatment expenses we incurred with Texas Fertility Center.
| PATIENT | DATE OF SERVICE |
DESCRIPTION |
TOTAL COST | REQUIRED PAYMENT |
| Moi |
12/27/2007 |
Progesterone baseline |
151
|
13
|
| DH |
12/27/2007 |
Consult New/Est Level 1 |
75
|
51
|
| Moi |
1/12/2008 |
Estradiol & FSH Baseline |
355
|
29
|
| Moi | 2/14/2008 |
MEDS - Pills |
51
|
40
|
| Moi |
2/14/2008 |
Ultrasound - post-pills |
290
|
0
|
| SUBTOTAL/ “CYCLE” |
922
|
133
|
||
| Moi | 2/20/2008 |
Pre-surgery bloodwork |
213
|
12
|
| Moi |
2/20/2008 |
MEDS - Post-lap |
7
|
7
|
| Moi | 2/20/2008 |
MEDS - Post-lap |
6
|
6
|
| Moi |
2/25/2008 |
Anesthesia |
1056
|
190
|
| Moi | 2/25/2008 |
Laps Fulg/Exc Ovary Visc |
6701
|
805
|
| Moi |
2/25/2008 |
Chromotubation Ovidux Matr |
3574
|
250
|
| Moi | 2/25/2008 |
Lap product analysis |
818
|
17
|
| Moi |
2/25/2008 |
Laparoscopy |
5750
|
635
|
| Moi | 3/17/2008 |
Post-Op consult |
||
| Moi |
6/10/2008 |
Prepay Follistim1 Estradiol3 |
90
|
90
|
| SUBTOTAL/ “CYCLE” |
18126
|
1924
|
||
| Moi |
4/1/2008 |
Progesterone baseline |
151
|
2
|
| Moi | 4/11/2008 |
Progesterone baseline |
296
|
4
|
| Moi | 4/16/2008 | Meds - Chlomid/Provera |
13
|
13
|
| Moi |
4/16/2008 |
Ultrasound - Baseline 50 mcg |
180
|
180
|
| Moi | 4/25/2008 |
Ultrasound - post-chlomid 50 mcg |
180
|
180
|
| Moi | 4/25/2008 | Meds - Chlomid/Provera |
22
|
22
|
| Moi |
5/19/2008 |
Ultrasound - post-chlomid 100 mcg |
180
|
180
|
| SUBTOTAL/ “CYCLE” |
1023
|
552
|
||
| Moi | 5/28/2008 | Injection Class |
30
|
30
|
| Moi | 6/3/2008 |
Follistim 900, 300, Ovidrel 25ug |
990
|
990
|
| Moi |
6/4/2008 |
Infection Disease Screening (IDS) |
440
|
|
| Moi | 6/4/2008 |
Infection Disease Screening (IDS) |
440
|
|
| Moi |
6/4/2008 |
US - pre-Follistim |
180
|
180
|
| Moi | 6/4/2008 |
Prepay Follistim1 Estradiol1 |
90
|
90
|
| Moi |
6/7/2008 |
Follistim1 US Response1 |
216
|
216
|
| Moi | 6/7/2008 |
Prepay Follistim1 Estradiol2 |
90
|
90
|
| Moi | 6/10/2008 |
Follistim1 US Response2 |
180
|
180
|
| Moi |
6/10/2008 |
Prepay Follistim1 Estradiol3 |
90
|
90
|
| Moi | 6/12/2008 |
Follistim1 US Response3 |
0
|
0
|
| Moi |
6/25/2008 |
Post-Follistim1 US |
290
|
|
| SUBTOTAL/ “CYCLE” |
3036
|
1866+
|
||
| Moi |
7/11/2008 |
US - pre-Follistim2 |
180
|
180
|
| Moi | 7/11/2008 |
Prepay Follistim2 Estradio1 |
90
|
90
|
| Moi | 7/13/2008 |
Follistim2 US Response1 |
180
|
180
|
| Moi |
7/13/2008 |
Prepay Follistim2 Estradio2 |
90
|
90
|
| Moi | 7/16/2008 |
Follistim2 US Response2 |
180
|
180
|
| Moi | 6/10/2008 |
Prepay Follistim2 Estradiol3 |
90
|
90
|
| Moi | 7/20/2008 |
Follistim2 US Response3 |
216 |
216
|
| Moi | 7/21/2008 |
IUI 1 |
350
|
350 |
| Moi | 7/22/2008 |
Antisperm Antibody Solution 1 |
58
|
58 |
| Moi | 7/22/2008 |
IUI 2 |
350
|
350 |
| Moi | 7/22/2008 |
Antisperm Antibody Solution2 |
58
|
58 |
| Moi | 8/5/2008 |
HCG |
45
|
45 |
| SUBTOTAL/ “CYCLE” | 1887 |
1887
|
||
| TOTAL TODATE |
24995
|
6362+
|
Items in italics are projected expenses.
RELATED POSTS:
What’s the Financial Cost of Infertility Treatments? (7/3/2008)
Where Are You Buying Your Follistim? (7/8/2008)
