Cost of Infertility Treatment

Certain infertility treatments are covered by insurance, while others are not. The main treatments and tests for infertility are priced as follows. There may be slight variations in cost depending on additional treatments or individual responses to the procedures.

*An additional consultation fee will be charged if you visit for injections or examinations.
*Additional costs may be incurred for medications, tests, and other services provided.
*A handling fee of 220 yen (tax included: 242 yen) will be charged per injection.
*A prescription fee of 420 yen (tax included: 462 yen) will be charged per prescription.
*Fees are subject to change without prior notice. We appreciate your understanding.

*In accordance with the obligation to display total prices, we have listed the prices including tax. Please be aware that there may be minor discrepancies in the final amount at the time of payment.

Oocyte Pick-Up

Item Before Tax Including Tax
Oocyte Pick-Up (OPU) Cycle Management Fee
※This fee is incurred when we receive notification of the first day of menstruation.
※The fee will also be charged if the cycle is canceled midway.
¥20,000 ¥22,000
Basic Fee
※Chargeable when OPU procedure begins and follicles are punctured.
¥70,000 ¥77,000
Per Unit ¥4,000 ¥4,400
Cancellation Fee ¥40,000 ¥44,000
Oocyte Processing Fee Basic Fee
※ Chargeable when OPU procedure begins and follicles are punctured.
¥20,000 ¥22,000
Per Unit ¥1,000 ¥1,100
Gender Selection Percoll Method ¥60,000 ¥66,000
Cancellation Fee ¥30,000 ¥33,000
Culture Culture (up to Day 3 culture) ¥60,000 ¥66,000
Long Culture / Blastocyst Culture (Day 4-Day 6)※1 ¥30,000 ¥33,000
In Vitro Maturation (IVM) Culture In Vitro Culture of Immature Oocytes ¥100,000 ¥110,000
Cancellation Fee ¥45,000 ¥49,500

※1)An additional fee of 30,000 yen (tax included: 33,000 yen) will be charged if there is a need for extra culture medium exchanges or if culture extends beyond Day 6.

For information on egg freezing, click here >>
For egg freezing not related to infertility treatments, click here >>
For the egg freezing fee schedule (varies by quantity and duration), click here>>
For information on In Vitro Maturation (IVM) Culture, click here >>
For information on extended culture and blastocyst culture, click here >>

In Vitro Fertilization (IVF) and Intracytoplasmic Sperm Injection (ICSI)

Item Before Tax Including Tax
Conventional Fertilization Basic Fee ¥15,000 ¥16,500
Per 3 units ¥4,000 ¥4,400
Intracytoplasmic Sperm Injection (ICSI) Basic Fee ¥55,000 ¥55,000
Per 5 units ¥30,000 ¥33,000
Per unit (after the first 21 units) ¥5,000 ¥5,500
Cancellation fee for the above on the day (day before) of ICSI ¥15,000 ¥16,500
Fee for no decision on either ICSI or IVF the day before ¥15,000 ¥16,500
Sperm Processing Fee Per Sperm Collection ¥10,000 ¥11,000
Calcium Ionophore Basic Fee ¥15,000 ¥16,500
Per 5 units ¥5,000 ¥5,500
ICSI by PolScope Basic Fee ¥50,000 ¥55,000
Per 5 units ¥30,000 ¥33,000
Per unit (after the first 21 units) ¥5,000 ¥5,500
GM-CSF Supplemented Culture Medium Culture (up to Day 3 culture) ¥55,270 ¥60,797
Extended Culture (Day 4 - Day 7) ¥55,270 ¥60,797

For information on Intracytoplasmic Sperm Injection (ICSI), click here >>
For information on sperm freezing, click here >>
For the sperm freezing fee schedule (varies by quantity and duration), click here >>
For information on male infertility, click here >>
For information on Calcium Ionophore, click here >>

After-Hours In Vitro Fertilization (IVF) Fee

  Oocyte Pick-Up (OPU) Embryo Transfer (ET) Injection Examination
Before Tax Including Tax Before Tax Including Tax Before Tax Including Tax Before Tax Including Tax
Sundays · Holidays
New Year’s (12/ 29- 1/ 3)
¥1,500 ¥1,650 ¥1,500 ¥1,650 - -
Saturdays ¥1,500 ¥1,650 ¥1,500 ¥1,650 - -
After-Hours*1
<When a specific time is requeste>
(Surcharges apply for weekends, holidays,
and the year-end/New Year period
in addition to the above fees)
17:00 until ¥15,000 ¥16,500 ¥5,000 ¥5,500 ¥1,000
(each time)
¥1,100
(each time)
¥3,000
(each time)
¥3,300
(each time)
17:00 and after ¥10,000 ¥11,000

*1)After-hours consultations, injections, and procedures must be discussed with staff in advance.
* Certain services may not be available depending on the situation.

Embryo Transfer

Item Before Tax Including Tax
Embryo Transfer (ET) and Frozen Embryo Thawing and Transfer Cycle Management Fee (Frozen Embryo Transfer Only)
* This fee is incurred upon notification of the first day of menstruation.
* The fee will also be charged if the cycle is canceled midway.
¥5,000 ¥5,500
Basic Fee ¥50,000 ¥55,000
Cancellation Fee ¥5,000 ¥5,500
Assisted Hatching (AHA)
Laser Method
Basic Fee ¥40,000 ¥44,000
In addition to the above, per unit ¥10,000 ¥11,000
Embryo Glue ¥12,000 ¥13,200

胚凍結についてはコチラ >>
胚の凍結保管料金表はコチラ(数量・期間により月単価が異なります) >>
Assisted Hatching (AHA) Laser Method, click here >>

Others

Item Before Tax Including Tax
G-CSF Injection (Filgrastim BS Injection) ¥31,540 ¥34,694
HCG Injection 500 units ¥2,710 ¥2,980
Uterine Injection Handling Fee ¥8,000 ¥8,800
Hormone Test (LH・FSH・E2・PRL)
* Cost may vary depending on the test items and other factors. Urinary LH
¥6,750 ¥7,425
Urinary LH ¥1,220 ¥1,342
Cryopreservation Fee Fee Schedule Here>>
Frozen Embryo and Egg Thawing Fee Fee Schedule Here>>
Thawing and Culture Cycle Management Fee
* This fee is incurred on the day CD1 is registered or when thawing is confirmed.
* The fee will also be charged if the cycle is canceled midway.
Oocyte ¥20,000 ¥22,000
Sperm ¥5,000 ¥5,500
Self-Injection Management Fee*2 2,000円 2,200円

*2)This fee applies when self-injection is performed.
*Fees for tests requiring assessment and specimen collection are included in the total cost.

Medications Used for IVF Cycle

Internal Medicine

Medication name Before Tax Including Tax
Clomid Tablet ¥100 ¥110
Sexovit Tablet ¥30 ¥33
Letrozole Tablet ¥70 ¥77
Femara Tablet 2.5mg ¥220 ¥242
Relumina Tablet ¥860 ¥946
Premarin Tablet ¥30 ¥33
Julina Tablet ¥50 ¥55
Provera Tablet ¥20 ¥22
Hislon Tablet ¥30 ¥33
Duphaston Tablet ¥30 ¥33
Lutoral Tablet ¥30 ¥33
UvelaTablet ¥10 ¥11
Planovar Tablet ¥20 ¥22
Primperan Tablet ¥10 ¥11
Bufferin Tablet ¥10 ¥11
Cabergoline Tablet ¥50 ¥55

Injection

Medication Name Before Tax Including Tax
Folyrmon-P 150 Units※3 ¥2,450 ¥2,695
HCG 5000 Units※3 ¥2,710 ¥2,981
Ganirelix Injection 0.25mg Syringe ¥8,910 ¥9,801
Cetrotide 0.25mg ¥9,060 ¥9,966
Proge Hormone 25mg ¥140 ¥154
Proge Depot 125mg ¥180 ¥198
Heparin Injection 5000 Units ¥530 ¥583
Ovidrel 250μg(Self-Injection) ¥2,910 ¥3,201
HMG Injection 150 Units「F」※3 ¥1,760 ¥1,936
Gonal F Subcutaneous Injection 75※4 ¥2,840 ¥3,124
Gonal F Subcutaneous Injection 150※4 ¥3,720 ¥4,092
Gonal F 150 Units (pen type) ¥6,370 ¥7,007
Gonal F 300 Units (pen type) ¥11,700 ¥12,870
Gonal F 450 Units (pen type) ¥16,310 ¥17,941
Gonal F 900 Units (pen type) ¥30,010 ¥33,011
Rekovelle Pen for S.C. Injection 12μg ¥10,510 ¥11,561
Rekovelle Pen for S.C. Injection 36μg ¥26,020 ¥28,622
Rekovelle Pen for S.C. Injection 72μg ¥45,040 ¥49,544
Folyrmon Injection: 300 IU Cartridge ¥11,410 ¥12,551
Folyrmon Injection: 600 IU Cartridge ¥21,010 ¥23,111
Folyrmon Injection: 900 IU Cartridge ¥30,010 ¥33,011

※3)Even if the number of units in the injection is less than the units listed on the fee schedule, the amounts above will be charged.
※4)Due to the manufacturer discontinuing the product, it will be available only while supplies last in the clinic.

External Medicine

Medicine Name Before Tax Including Tax
Estrana Tape ¥80 ¥88
L’estrogel (80g)※5 ¥1,620 ¥1,782
Lutinus Vaginal Tablets ¥370 ¥407
Utrogestan Vaginal Capsule ¥370 ¥407
One Crinone Vaginal Gel ¥1,090 ¥1,199
Glomin ¥3,600 ¥3,960
Luteum Vaginal Suppository 400mg ¥550 ¥605

Other Medicine

Medicine Name Before Tax Including Tax
Voltaren Suppository 25mg ¥30 ¥33
Voltaren Suppository 50mg ¥30 ¥33
Local Anesthesia ¥10,000 ¥11,000
Intravenous Anesthesia ¥20,000 ¥22,000
Acelio Bag for Intravenous Injection 1000mg ¥310 ¥341
Buserelin Nasal Spray※5 ¥4,760 ¥5,236

※5)The L’estrogel and Buserelin Nasal Spray can be refunded if returned unopened to our clinic by the return deadline (for egg retrieval cycles: the day of retrieval, and for embryo transfer cycles: within 1 month of receipt).Please note that refunds cannot be processed if the return deadline is missed.

Consultations and Tests

Item Before Tax Including Tax
Consultation Fee 1 time ¥750 ¥825
Injection Handling Fee 1 time ¥220 ¥242
Prescription Fee 1 time ¥420 ¥462
Follicle Check (Ultrasound Examination) 1 time ¥4,770 ¥5,247

Supplements

Item Before Tax Including Tax
DHEA (25mg×180 tablets) ¥7,380 ¥8,118
L-Arginine (700mg×180 tablets) ¥7,700 ¥8,470
Folate (400mg×90 tablets) ¥3,140 ¥3,454
Zinc (15mg×180 tablets) ¥5,420 ¥5,962
Vitamin D3 (1000mg×120 tablets) ¥4,240 ¥4,664
Inositol (250g) ¥7,930 ¥8,723

※Reduced tax rate applies

Other

Item Before Tax Including Tax
Pregnancy Test ¥400 ¥440

Special Tests

Item Before Tax Including Tax
Endometrial Biopsy (SER) ※6 With Examination Pathology ¥27,440 ¥30,184
Without Examination Pathology ¥17,540 ¥19,294
Intrauterine Fiberscope & Curettage of the Endometrium (IFCE)※6 Patients undergoing IVF at our clinic
Patients that transfer to our clinic from another clinic/hospital with fertilized embryos※7
¥35,600 ¥39,160
Patients, other than the above ¥90,000 ¥99,000
Endometrial Receptivity Analysis
(ERA) Test
Patients undergoing IVF at our clinic Number of Samples Collected 1 Sample 1st Cycle ¥123,880 ¥136,268
Re-examination※8 ¥100,070 ¥110,077
2 Samples ¥223,950 ¥246,345
Patients, other than the above Number of Samples Collected 1 Sample 1st Cycle ¥223,880 ¥246,268
Re-examination※8 ¥200,070 ¥220,077
2 Samples ¥323,950 ¥356,345
ERA-EMMA-ALICE Test 3 tests at the same time ※9 ¥150,350 ¥165,385
EMMA-ALICE Test The same fee applies even if only the EMMA test is requested. ¥59,850 ¥65,835
ALICE Test ALICE Test only ¥45,000 ¥49,500
Endometrial Regeneration PRP Therapy Patients undergoing IVF at our clinic ¥80,000 ¥88,000
Patients, other than the above
※These charges are in addition to the base fee listed above.
Technical Service Fee ¥40,000 ¥44,000
External Patient Management Fee
※Required for each consultation
¥10,000 ¥11,000
Fee for cancellation after blood collection Patients undergoing IVF at our clinic ¥20,000 ¥22,000
Patients, other than the above ¥40,000 ¥44,000
Endometrial Flora Testing ¥42,860 ¥47,146

※6)Antibiotics are not included and will incur an additional cost.
※7)Handling fee will be charged for transferring embryos.
※8)Re-examination is sometimes required for precise results.
※9)The displayed price for ERA-EMMA-ALICE (3 tests simultaneously) reflects the discounted amount. Please note that when undergoing all 3 tests simultaneously as part of advanced medical care, the discount does not apply and the cost will differ from the above price.

For information about the Endometrial Receptivity Analysis (ERA) test, click here >>

Male Infertility

Item Before Tax Including Tax
Microsurgical Testicular Sperm Extraction Surgery (MD-TESE) ¥240,000 ¥264,000
Intravesical Retrograde Sperm Collection ¥25,000 ¥27,500
IMSI Basic Fee ¥50,000 ¥55,000
Per 5 Units ¥30,000 ¥33,000
Per unit (after the first 21 units) ¥5,000 ¥5,500
Hyaluronic Acid Sperm Selection Method Basic Fee ¥15,000 ¥16,500
Per 5 Units ¥5,000 ¥5,500
Y Chromosome Microdeletion Analysis ¥39,700 ¥43,670

For information about IMSI, click here >>
For information about the Hyaluronic Acid Sperm Selection Method, click here >>

Advance Payment

About Advance Payment, click here >>

Item Advance Payment
In Vitro Fertilization
(IVF-ET)
Short Protocol, Long Protocol, Antagonist Protocol (HMG-Cetro Method), HMG-MPA Method, Moderate Stimulation Protocol ¥500,000
Clomid Protocol, Letrozole Protocol, HRT-OPU Protocol, Natural Protocol, Natural Cycle IVF ¥350,000
Frozen Embryo Transfer (FET) ¥150,000
Oocyte Freezing Short Protocol, Long Protocol, Antagonist Protocol (HMG-Cetro Method), HMG-MPA Method, Moderate Stimulation Protocol ¥300,000
Clomid Protocol, Letrozole Protocol, HRT-OPU Protocol, Natural Protocol, Natural Cycle IVF ¥250,000
OocyteThawing ICSI OocyteThawing ICSI, Oocyte Thawing ICSI + Embryo Transfer ¥500,000
Oocyte thawing and ICSI (without transplantation) ¥350,000
Endometrial Receptivity Analysis (ERA) Test Patients undergoing IVF at our clinic Number of Samples Collected 1 Sample 1st cycle ¥130,000
Re-examination※8 ¥130,000
2 Samples ¥230,000
Patients, other than the above Number of Samples Collected 1 Sample 1st cycle ¥230,000
Re-examination※8 ¥230,000
2 Samples ¥330,000

※8)Re-examination is sometimes required for precise results.

  • Advance payment is collected before starting the cycle treatment. The amount will be adjusted against the actual cost at the time of settlement.
  • If the advance payment is made by credit card and a refund is issued during settlement, a 5% processing fee will be applied to the refunded amount.
  • <Settlement Date>
    Pregnancy Test Date・Oocyte Pick-Up (OPU): Oocyte Explanation Date・Test Results Explanation Date・For Mid-cycle Cancellations: From the 8th Day After the Cancellation

<Distance In Vitro Fertilization (IVF)>

Pregnancy Test Date・Oocyte Pick-Up (OPU): Oocyte Explanation Date・Test Results Explanation Date・For Mid-cycle Cancellations: From the 8th Day After the Cancellation

Other

Transfer fee for frozen embryos, frozen sperm, or frozen eggs.

Transferring Procedures are required in cases when you are transferring Frozen Embryos / Sperm / Oocytes from another clinic to ours and vise-versa. In these situations the following will be charged.

Item Before Tax Including Tax
Receiving from another clinic Transfer Handling Fee Basic Fee ¥27,000 ¥29,700
1 unit each ¥1,000 ¥1,100
Dry Shipper Rental Fee Basic Fee※10
(flat rate - within 7 days)
¥42,500 ¥46,750
Extension Fee (daily charge) ¥1,000 ¥1,100
Liquid Nitrogen ¥7,500円 ¥8,250円
Shipping Fee Actual Cost Actual Cost
Document Posting Fee Actual Cost Actual Cost
Receiving from an Oak Clinic satellite branch Transfer Handling Fee Basic Fee ¥0 ¥0
1 unit each ¥0 ¥0
Dry Shipper Rental Fee Basic Fee(flat rate - within 7 days) ¥0 ¥0
Extension Fee (daily charge)
Liquid Nitrogen ¥0 ¥0
Shipping Fee ¥0 ¥0
Document Posting Fee Actual Cost Actual Cost

※10)A refund will be given for those returned on time without damage.

Item Before Tax Including Tax
Shipping to another clinic Transfer Handling Fee Basic Fee ¥37,000 ¥40,700
1 unit each ¥1,000 ¥1,100
Dry Shipper Rental Fee Basic Fee(flat rate – within 7 days) ¥42,500 ¥46,750
Extension Fee(daily charge) ¥1,000 ¥1,100
Liquid Nitrogen ¥7,500 ¥8,250
Document Fee Japanese (other than Oak Clinic’s format) ¥10,000 ¥11,000
English (other than Oak Clinic’s format) ¥50,000 ¥55,000
Shipping Fee Actual Cost Actual Cost
Document Posting Fee Actual Cost Actual Cost
Shipping to an Oak Clinic satellite branch
※11
Transfer Handling Fee Basic Fee ¥27,000 ¥29,700
1 unit each ¥1,000 ¥1,100
Dry Shipper Rental Fee Basic Fee(flat rate - within 7 days) ¥0 ¥0
Extension Fee(daily charge)
Liquid Nitrogen ¥7,500 ¥8,250
Shipping Fee ¥0 ¥0
Document Posting Fee Actual Cost Actual Cost

※11)If there is a specific date and time requested, this rate will not apply. The shipping fee to external parties will be applied instead.

Remote IVF (IVF) Administrative Fee

For Those Seeking Distance In Vitro Fertilization (IVF) >>

This is the fee for remote treatment. The cost varies depending on where follicle measurement and injections are performed.

Item Before Tax Including Tax
Clinic Location for Follicle Measurement and Injections
Distance IVF Administrative Fee for Treatment at Oak Clinic, Sumiyoshi Oak Clinic, Sumiyoshi or Partner Clinic + Self-Injections Home charge for self-injection ¥2,000 ¥2,200
Distance IVF Administrative Fee for Treatment at Oak Clinic, Ginza Oak Clinic, Ginza or Partner Clinic + Self-Injections Home charge for self-injection ¥2,000 ¥2,200

IVF Stay (Oak Clinic, Sumiyoshi)

Click here for details >>

Item Before Tax IncludingTax Details
Day Procedure ¥10,000 ¥11,000 For resting before and after Oocyte Pick-Up (OPU) or Embryo Transfer (ET) procedures.
1 night, 2 days (including meals) ¥12,000 ¥13,200 For accommodation before and after oocyte pick-up (OPU) or embryo transfer (ET).

Counseling Outpatient Services

Item Before Tax Including Tax
Counseling (30 minutes) ¥25,000 ¥27,500