Fertility Decoded

IVF costs: what does your package cover?

Before you pay for IVF, ask the clinic for a written list of what the package includes. Check the medicines, tests, egg collection and embryo transfer, along with anything you might have to pay for later. A package price alone may leave some of these unanswered. [1]

If you already have an estimate, keep it beside you as you read. You can use the estimate checklist to note the clinic's answers.

Need help with a word on your bill? Decode your quote explains the individual items.

Updated .

Written by Fertility Decoded. Reviewed by D R, MS (OBG), FRM. Review date: 16 September 2026.

What is included in the package?

Start with this question: “What treatment does this amount pay for, from the first appointment to the last?”

Ask what “one cycle” means in this offer. How many egg collections and embryo transfers does it include? If a transfer happens later, will you pay separately for it?

Egg collection, also called retrieval, is when the eggs are removed from the ovaries. Embryo transfer is when an embryo is placed in the womb. They are separate steps, and a package may not cover both. [2] Our IVF cycle guide explains what happens at each stage.

Medicines and tests

  • Which injections and other prescribed medicines are included?
  • Is there a limit on the number of days, amount of medicine or cost covered?
  • Which blood tests, scans and consultations are included?
  • Can the clinic use suitable recent test results from elsewhere?

“Medicines included” may still have a limit. Ask how extra medicines would be charged if your prescription changes. [2]

Egg collection and laboratory work

  • Does egg collection include anaesthesia, the doctor's fee and the recovery room?
  • Are the materials used during the procedure included?
  • Which laboratory procedures are covered, and which would cost extra?

If a theatre or laboratory fee appears separately, ask whether it is already part of the package. Published offers can separate the facility charge from medicines or materials used there. [3]

Transfer and follow-up

  • Does the package cover a fresh transfer, a frozen transfer or either?
  • How many transfers are included?
  • Which medicines, pregnancy tests and follow-up appointments are covered after transfer?

For anything added to your plan, ask why it is being recommended and what it costs. Our add-on evidence guide can help you prepare that conversation.

What would I pay for freezing and a later transfer?

Embryos may be frozen for use in a later treatment cycle. Ask about each of these charges:

ChargeQuestion for the clinic
FreezingIs the fee per embryo, per group of embryos or per freezing session?
StorageHow long is storage included? When would I start paying to renew it?
Frozen embryo transferDoes the price include thawing, medicines, scans, transfer and follow-up?

A frozen transfer uses an embryo created earlier. You do not have another egg collection for that transfer. IVF cycle guide

Ask what “freezing and storage” covers if your estimate combines them in one line. Our billing-term reference explains storage charges.

Example: a transfer happens later

Made-up example. These amounts are not clinic prices.

You have paid ₹1,50,000 for egg collection and laboratory work. Your clinic then gives you this estimate for freezing and a later transfer:

ItemAmount
Freezing and six months of storage₹15,000
Frozen transfer, including thawing and scans₹30,000
Prescribed medicines for the transfer₹10,000
Storage after six monthsNo price given yet

The listed extras add up to ₹55,000. Together with the ₹1,50,000 already paid, that comes to ₹2,05,000 so far. Storage after six months still needs a price. Thawing is already included, so you would not add it again.

Ask: “What would I pay if the transfer happens after those six months?”

How do I compare two estimates?

Check that both cover the same treatment stages, number of transfers and storage period. Then add the charges the clinic has confirmed are extra. A breakdown may list items already included in the package.

Leave missing amounts marked “Ask the clinic.” Do not count them as free.

Example: different package prices

Made-up example. These amounts are not clinic prices.

Both estimates below cover one egg collection and one transfer. For this example, each clinic has confirmed the medicines and tests for the same treatment plan.

ItemEstimate AEstimate B
Package₹1,20,000₹1,70,000
Medicines₹40,000 extraIncluded
Tests and scans₹20,000 extra₹20,000 extra
Cost of the items listed so far₹1,80,000₹1,90,000
Freezing and storage, if neededAsk the clinicAsk the clinic

The package prices are ₹50,000 apart. After adding the listed extras, the difference is ₹10,000. You still need answers about freezing and storage before comparing those costs.

What if treatment stops or the plan changes?

Before paying an advance, ask for the payment and cancellation terms in writing. Ask what happens if:

  • Treatment stops before egg collection.
  • Eggs are collected but there is no embryo transfer.
  • The transfer is postponed.
  • You decide to stop treatment or change clinics.

Ask which payments could be refunded or kept as credit, how deductions are worked out, and when any agreed refund would be paid. Keep the estimate, terms and receipts together. The refund depends on the circumstances and applicable terms; this guide cannot tell you what you are entitled to receive.

Example: you have paid an advance

Made-up example. These amounts are not clinic prices.

You paid ₹60,000 before treatment. Treatment stops before egg collection. The clinic says ₹25,000 went towards medicines supplied and ₹10,000 towards scans and monitoring already completed.

That explains ₹35,000 of the advance. Ask for a statement explaining the remaining ₹25,000, including any deductions, refund or credit. The remaining amount is not automatically a refund.

What should I check in a multi-cycle or cashback offer?

Ask for the full terms before paying for several attempts together:

  • How many egg collections and transfers can I have?
  • When does the package expire?
  • Does it end at a positive test, a pregnancy confirmed on a scan or the birth of a baby?
  • What happens if I have a pregnancy loss, postpone treatment or do not use all the attempts?
  • What is excluded from any cashback payment?

Some published Indian offers end at a pregnancy milestone or a set number of transfers. Some cashback offers exclude medicines and certain tests from repayment. Ask the branch to confirm the terms that would apply to you. [4] [5]

What else should I budget for?

Alongside the clinic estimate, note travel, accommodation, extra meals and any income you or someone accompanying you would lose. An Indian study of IVF spending included these costs as well as medical bills. [6]

If you can take paid leave, record the days you need without adding them as lost income. Ask which visits must be in person and which dates are still provisional before booking travel.

A message you can send to the clinic

Please send me a written breakdown of the cost of my proposed treatment. Could you show: - What the package includes and what I would pay extra for. - Any limits on medicines, tests, scans or transfers. - Freezing and storage charges, including the renewal date. - When each payment is due and how long the estimate is valid. - What happens to my payments if treatment stops or changes. If a cost is not known yet, please explain what it depends on and when you can confirm it.

Can you tell me whether my quote is expensive?

We can help you understand the charges, but we do not have a reliable current price range for every treatment and city. The amounts in this guide are made up to show how to read an estimate.

Download the estimate checklist or decode the items in your quote.

Sources

The clinic pages below were checked on 15 September 2026. They provide examples of package terms. Confirm current terms with the clinic. UK guidance is used for general cost questions, not Indian refund rights.

  1. HFEA: costs and funding.
  2. Green City Hospital: IVF package inclusions and exclusions.
  3. Altius Hospital: IVF package details.
  4. Birla Fertility & IVF: package terms.
  5. Pearl Singapore Fertility Centre: treatment costs and offers.
  6. Patil and colleagues: IVF spending at selected Indian hospitals, PLOS One, 2026. This study does not establish current clinic prices.
  7. UK Competition and Markets Authority: fertility consumer guide. Background for payment and cancellation questions.

What the words on your estimate mean

The reference below keeps the original explanations and evidence links for the 44 terms a clinic estimate may use.

Core treatment steps

Initial / OPD consultation

Core step

A paid appointment with the fertility specialist.

Often a one-off up front; ask whether follow-up visits are included.

Follicular monitoring (scans + bloods)

Core step

The repeat scans and blood tests during stimulation that track your follicles.

Sometimes inside the package, sometimes charged per visit — ask which.

Egg retrieval / ovum pick-up

Core step

The procedure to collect the eggs.

Usually the core of the package; the OT/anaesthesia lines may or may not be separate — check.

Embryo transfer (fresh)

Core step

Placing an embryo into the uterus.

Usually inside the package; a separate FET is a different, later cycle.

Frozen embryo transfer cycle

Core step

A separate later cycle to transfer a frozen embryo — its own charge, with its own meds and scans.

Ask what the FET fee covers (thaw? meds? scans?).

Consultations & tests

Baseline hormone / blood panel

Consult / test

Blood tests that check your baseline hormones before treatment.

Commonly billed separately from the cycle; ask what's included.

AMH test

Consult / test

A blood test estimating your egg reserve.

Usually a one-off separate test.

Semen analysis

Consult / test

A lab test of sperm count, motility and shape.

Usually separate; a repeat may be charged again.

HSG / tubal patency

Consult / test

An X-ray/scan checking whether the fallopian tubes are open.

A separate diagnostic; may be done before deciding on IVF vs IUI.

Hysteroscopy

Consult / test

A camera check (sometimes minor surgery) of the uterine cavity.

A separate procedure with its own OT/anaesthesia — ask if those are extra.

Pre-treatment viral screening

Consult / test

Mandatory blood tests (HIV/hepatitis etc.) required before lab procedures.

A standard, usually-separate pre-treatment panel.

Medications

Ovarian stimulation injections

Medication

The daily injections that grow multiple eggs.

The single biggest and most variable cost — imported brands cost far more than Indian ones. Ask for your expected dose and brand in writing.

Antagonist / agonist injections

Medication

Injections that stop you ovulating too early.

Usually part of the medication bill; brand and number of days vary.

Trigger shot

Medication

The final injection that matures the eggs before retrieval.

A small but essential line; brand varies.

Progesterone / estrogen support

Medication

Hormones that support the uterine lining after transfer (and build it for an FET).

Ongoing for weeks; more of it is used in a medicated FET.

Optional add-ons

ICSI

Add-on

Injecting a single sperm directly into each egg.

Established for male-factor infertility, but sometimes applied routinely — see the evidence, and ask whether you need it.

See the evidence on ICSI

IMSI

Add-on

Selecting sperm under very high magnification.

A limited-evidence add-on — see the evidence.

See the evidence on IMSI

PICSI

Add-on

Selecting sperm by how they bind to a dish.

A limited-evidence add-on — see the evidence.

See the evidence on PICSI

Assisted hatching

Add-on

Thinning the embryo's outer shell before transfer.

A limited-evidence add-on — see the evidence.

See the evidence on Assisted hatching

EmbryoGlue

Add-on

A transfer medium said to help the embryo stick.

See the evidence (bodies disagree on this one).

See the evidence on EmbryoGlue

Time-lapse imaging

Add-on

A special incubator that films the embryos.

A limited-evidence add-on — see the evidence.

See the evidence on Time-lapse imaging

PGT-A

Add-on

Screening embryos for the right number of chromosomes before transfer.

Usually billed separately, often per embryo plus a lab fee — see the evidence, especially by age.

See the evidence on PGT-A

Endometrial receptivity test (ERA)

Add-on

A test timing the window for transfer.

A limited-evidence add-on — see the evidence.

See the evidence on Endometrial receptivity test (ERA)

MACS / microfluidics sperm sorting

Add-on

Extra sperm-selection techniques.

A limited-evidence add-on — see the evidence.

See the evidence on MACS / microfluidics sperm sorting

Sperm DNA fragmentation test

Add-on

A test of sperm DNA damage.

A test with limited routine value — see the evidence.

See the evidence on Sperm DNA fragmentation test

Endometrial scratch

Add-on

Lightly scratching the uterine lining before a cycle.

A limited-evidence add-on — see the evidence.

See the evidence on Endometrial scratch

Lab & embryology

Embryology / fertilisation lab charge

Lab / embryo

The lab work of fertilising eggs and growing embryos.

Often inside the package — check it isn't also charged separately.

Blastocyst culture

Lab / embryo

Growing the embryos to day 5 before transfer.

An established step (not a limited-evidence add-on), but often already inside the package — check you're not paying twice.

See the evidence on Blastocyst culture

Embryo freezing / vitrification

Lab / embryo

Freezing spare embryos for future use.

Usually a separate one-time charge, often per batch; ask whether it's per embryo or per session.

Embryo thawing

Lab / embryo

Thawing a frozen embryo for an FET.

Usually charged as part of the FET cycle — check it isn't double-counted.

Storage

Annual embryo / sperm storage

Storage · Recurring

A yearly fee to keep frozen embryos or sperm.

This repeats every year — ask how many years (if any) are included before it starts.

Facility & procedure fees

OT / theatre charge

Facility fee

The operating-theatre fee for the retrieval.

Often bundled into the retrieval charge — ask whether this is on top of it.

Anaesthesia

Facility fee

Sedation for the egg retrieval.

Commonly part of the retrieval/OT charge — ask if it's separate.

Day-care / admission / nursing

Facility fee

Short-stay/room and nursing charges around the procedure.

Ask whether a stay is actually needed and what it includes.

Consumables / disposables

Facility fee

Single-use materials used during procedures.

If there's no breakdown, ask what this covers — it can overlap with the lab/OT charges.

Admin & fees

Registration / file charge

Admin

A one-time administrative fee to open your record.

Small and usually one-off.

Package / programme fee

Admin

A bundled price meant to cover the core cycle.

The key question is what's inside it vs. added below — compare itemised, not headline.

GST / taxes

Admin

Government tax added to some charges.

Ask whether quoted prices already include GST or add it on top.

Donor & third-party

Donor eggs

Donor / third-party

Using eggs from a donor.

A separate, significant cost — and it falls under the ART Act's donor consent, eligibility and record rules. See our rights/eligibility guide.

Donor sperm

Donor / third-party

Using sperm from a donor/bank.

Separate cost, and covered by the ART Act's donor rules. See our rights/eligibility guide.

Surrogacy-related charges

Donor / third-party

Charges tied to a surrogacy arrangement.

Governed by the Surrogacy Act (altruistic-only) with strict eligibility and consent rules — this is a legal process, not just a line item. See our rights/eligibility guide.

IUI

IUI / intrauterine insemination

IUI

Placing prepared sperm directly into the uterus — a simpler, cheaper treatment than IVF.

Priced per cycle; monitoring/trigger/meds may be extra.

Sperm wash / preparation

IUI

Preparing and concentrating sperm for IUI or IVF.

Usually a separate small charge on an IUI quote.

Vague / catch-all

Miscellaneous / other charges

Vague

An unlabelled catch-all with no breakdown.

Ask your clinic to itemise exactly what this covers before paying it.

The 44-term reference was last reviewed .