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How big is your RE practice?

MarylandWedMarylandWed member
in TTC after 35
I am going to an RE who works at a fertility center. They have 15 or so offices in the area and advertise on the radio. i think they are part of Integramed.

I am concerned their overhead is high and we might be paying through the nose to see them. For example they quote 1200 to 3600 for a cycle of IUI whereas a poster below said she paid 400 a cycle.

We have decided to spend only 5K on this journey no IVF and then we will move on to adoption which of course is much more. While we want to get the best care, we are concerned about blowing our wad and want ti stretch our dollar as much as we can. I guess I am wondering if anyone who pays OOP shopped around? Are the big fertility centers more costly?

Thanks!
Me:39 Dx LPD, Fibroid, AMA and all that goes with that. H:37 Dx low motility and low morphology. TTC since 3/12. Clomid 8/12 and 9/12: BFN. 11/12 on a break for Myomectomy sched. 11/26. Resume TTC early 2013.
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Re: How big is your RE practice?

  • BootsOrHeartsBootsOrHearts member
    Check with your insurance company - even though IVF is rarely covered, sometimes they strike deals with certain clinics to get you a negotiated rate. You might have to drive a bit further to get to one of those clinics, but it would be worth it if it saved a bunch of money. 
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  • chicagobride_07chicagobride_07 member

    I go to a solo practitioner RE.  I like him, but cost was one of the initial considerations.  We were OOP- he has flexibility in billing- has waived, negotiated some fees for us, as well as donated meds.

    I went to a large fertility clinic here in Chicago and it was not like that at all.  They were incredibly money focused, and we would have paid thousands more OOP with them.

    You ultimately have to be comfortable with the RE you are working with and his success rates, etc.  For us, this past year, I came down to finding a cost effective practice or just not doing treatments at all.

    Next year, it looks like we have some IVF coverage.  If we are still trying, I might consider the larger clinic.  We will see.  Outside of the $$, there just seemed like alot of red tape in dealing with them that I am not used to.

    GL!

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    DOR and AMA
    2/12-5/12: 4 IUI cycles = all BFN;
    7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
    Lupus anticoagulant initially high, then found to be normal on hematology consult;
    Follow up testing in September all clear;
    Started synthroid for "high normal" TSH;
    FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
    12/12- Officially an OB patient!
    Level 2 ultrasound at 20 weeks shows vasa previa and VCI
    Referral to MFM and mandatory c section for delivery
    Beautiful baby girl born at 34 weeks
    Finally home after 15 day NICU stay!
    Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
    FET #3, early July 2014; beta 7/14, BFN
    DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
    FET #4- December 2014, yet another BFN

    Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

    Added baby aspirin, prednisone, supplements, Metanx, and intralipids

    Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

    Likely OAD- NBC

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  • MarylandWedMarylandWed member
    Thanks for the responses. My situation sounds like yours ChicagoBride. Maybe I should look around.
    Me:39 Dx LPD, Fibroid, AMA and all that goes with that. H:37 Dx low motility and low morphology. TTC since 3/12. Clomid 8/12 and 9/12: BFN. 11/12 on a break for Myomectomy sched. 11/26. Resume TTC early 2013.
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  • psychgalbridepsychgalbride member

    I would get a second quote from a different practice.  My RE practice is at a very large well known woman's hospital and we only paid about 2K for our IUI cycle.  No injectables.

    I know you said you are not doing IVF, but by comparing the success rates of IVF cycles at different clinics you could see if one is possibly better than another.

    Here is the website that shows the success rates:   https://www.sart.org

     

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