CONSULTATIONS
| First appointment | 70.00 |
| Repeated appointment | 60.00 |
| Monitoring of ovarian stimulation | 35.00 |
| Ultrasound diagnostics | 50.00 |
| Ultrasound diagnostics with physiological saline | 60.00 |
| Appointment with gynaecologist-endocrinologist | 60.00 |
| On-line consultation 30 min | 50.00 |
| Short appointment (documents, prescriptions) | 20.00 |
| Appointment with embryologist | 50.00 |
| Appointment with anaesthesiologist | 60.00 |
| Appointment with urologist | 60.00 |
| Repeated appointment with urologist | 50.00 |
| First consultation with a nutritionist (60 min) | 45.00 |
| Repeated consultation with a nutritionist (45 min) | 35.00 |
| First consultation with body composition analysis (bioimpedance) | 50.00 |
| Repeated nutrition consultation with body composition analysis (bioimpedance) (45 min) | 40.00 |
MANIPULATIONS
| Transvaginal puncture in ultrasound control | 150.00 |
| Tubal patency test with contrast medium in ultrasound control | 100.00 |
| IUD placement | 50.00 |
| IUD removal | 25.00 |
| Cervical biopsy | 30.00 |
| Endometrial biopsy | 25.00 |
| Removal of stitches | 15.00 |
| Cervical dilatation | 114.00 |
| Sperm activation with Swim up method | 40.00 |
| Postcoital test | 30.00 |
| ERA test Igenomic (Spain) | 750.00 |
| ERA test Tartu (Estonia) | 420.00 |
| ER-Complete Test (ERPeak+ERBiome/USA) | 620.00 |
| IV (intravenous) system | 25.00 |
| Application of nitric oxide for analgesia | 400.00 |
| IV (intravenous) anaesthesia | 180.00 |
| Blood test taking | 5.00 |
| Wound bandage | 20.00 |
| Injection (intramuscular) | 5.00 |
| Injection (intravenous) | 10.00 |
| Colposcopy | 75.00 |
| Colposcopy with biopsy | 100.00 |
| Histology | 45.00 |
| Biocon Femoflor 16 (biocenosis, endometrium) test | 50.00 |
| Biocon Femoflor 16 (vaginal biocenosis, smear) test | 45.00 |
| Biocon STS-7 test | 31.00 |
| Biocon STS -10 test | 45.00 |
| Biocon Androflor test | 60.00 |
| Immunohistochemistry | 60.00 |
| Cytology | 10.00 |
| Medication abortion | 300.00 |
| Endometrial reconstruction therapy | 300.00 |
MEDICAL FERTILIZATION
| Intrauterine insemination with partner`s sperm | 300.00 |
| Intrauterine insemination with donor`s sperm | 800.00 |
| PICSI procedure | 250.00 |
| ICSI procedure | 1830.00 |
| The total price consists of the following manipulations: | |
| Egg collection | 460.00 |
| Sperm injection into egg cytoplasm | 500.00 |
| Embryo cultivation up to day 3 | 540.00 |
| Embryo transfer | 150.00 |
| IV (intravenous) anaesthesia | 180.00 |
| IVF procedure | 1330.00 |
| The total price consists of the following manipulations: | |
| Egg collection | 460.00 |
| Embryo cultivation up to day 3 | 540.00 |
| Embryo transfer | 150.00 |
| IV (intravenous) anaesthesia | 180.00 |
| IVF procedure with donor sperm | 1830.00 |
| TESA (Sperm aspiration from the testicle) | 450.00 |
| Payment for donor`s sperm | 500.00 |
| Comfort service – more than 2 h in the day patient ward under the supervision of medical personnel | 140.00 |
| Blastocyst cultivation (3rd – 5th day) | 300.00 |
| Cryo ET Frozen / thawed embryo cultivation and embryo transfer | 600.00 |
| Cryo don ET Frozen / thawed embryo cultivation and embryo transfer (donor egg and donor sperm) | 2300.00 |
| Preparation of embryo implantation into the uterine cavity (assisted hatching) | 180.00 |
| Donor egg program with IVF or ICSI | 5700.00 |
| Vitrified donor eggs (10 oocytes) | 4000.00 |
| Embryo/egg/sperm transportation | 100.00 |
GENETIC TESTING
| Embryo biopsy for PGT | 430.00 |
| PGT-A (PGS) one embryo screening | 440.00 |
| NIPT test NIPTIFY | 275.00 |
| Genera NIPT “Panorama” test | 390.00 |
| Genera DNA test | 110.00 |
FREEZING of genetic material
| Embryo freezing – vitrification of 1-2 straws | 275.00 |
| Embryo freezing – vitrification of 3-4 straws | 375.00 |
| Embryo freezing – vitrification of 5-7 straws | 475.00 |
| Embryo freezing – vitrification of 8-10 straws | 575.00 |
| Storage of frozen sperm, eggs, embryos in nitrogen (month) up to 3 years | 15.00 |
| Storage of frozen sperm, eggs, embryos in nitrogen (month) over 3 years | 20.00 |
| Storage of frozen sperm, eggs, embryos in nitrogen (per month) up to 3 years (for contracts until April 30, 2023) | 10.00 |
| Storage of frozen sperm, eggs, embryos in nitrogen (per month) over 3 years (for contracts until April 30, 2023) | 15.00 |
| Sperm freezing | 200.00 |
| Egg freezing | 1000.00 |
THAWING of genetic material
| Thawing of embryos or oocytes (1-2 cryocarriers) | 210.00 |
| Thawing of embryos or oocytes (3-4 cryocarriers) | 340.00 |
| Thawing of embryos or oocytes (5-6 cryocarriers) | 480.00 |
| Thawing of embryos or oocytes (>6 cryocarriers, 6 cryo carriers, for each additional carrier) | 140.00 |
PREGNANCY CARE
| First appointment for pregnant women | 60.00 |
| Appointment for pregnant women | 50.00 |
| Fetal echocardiography /Dr.Lubaua/ | 65.00 |
| Multiple fetal echocardiography /Dr.Lubaua/ | 80.00 |
| Gynaecological US ultrasound /Dr. Ezeriņa/ | 55.00 |
| Repeated gynaecological US ultrasound /Dr. Ezeriņa/ | 30.00 |
| US ultrasound without prior appointment /Dr. Ezeriņa/ | 90.00 |
| US ultrasound with an additional consultation /Dr. Ezeriņa/ | 30.00 |
| Foetal US ultrasound (after week 12) /Dr. Ezeriņa/ | 60.00 |
| Foetal US ultrasound in twin pregnancy /Dr. Ezeriņa/ | 90.00 |
| Foetal US ultrasound in triplets pregnancy /Dr. Ezeriņa/ | 110.00 |
| Foetal US ultrasound and Doppler investigation /Dr. Ezeriņa/ | 75.00 |
| BFP or single organ control /Dr. Ezeriņa/ | 30.00 |
| Recording on a CD /Dr. Ezeriņa/ | 15.00 |
| Foetal Doppler without an ultrasound /Dr. Ezeriņa/ | 35.00 |
| Recalculation of the first trimester /Dr. Ezeriņa/ | 50.00 |
| CTG (foetal cardiotocography) | 20.00 |
| Consultation on the results of genetic screening | 30.00 |
SURGERIES
| Gynaecological surgeries | |
| Diagnostic laparoscopy | 940.00 |
| Laparoscopic salpingectomy | 1000.00 |
| Laparoscopic ovarian drilling | 1000.00 |
| Laparoscopic adhesiolysis | 1020.00-1600.00 |
| Laparoscopic excision of endometriosis | 1050.00-2000.00 |
| Laparoscopic myomectomy | 1100.00-2500.00 |
| Laparoscopic tubal ligation | 1000.00 |
| Diagnostic hysteroscopy | 540.00 |
| Hystero-resectoscopy (resection of myoma, polypectomies) | 710.00-960.00 |
| Dilatation and Curettage | 380.00 |
| Cervical conization | 390.00 |
| Legal abortion | 380.00 |
| Excision papilloma | 450.00 |
| Bartholin abscess drainage | 380.00 |
| Bartholin’s gland excision | 760.00 |
| Mini-hysteroscopy dg (application of nitric oxide for analgesia) | 350.00 |
| Mini – hysteroresectoscopy | 580.00 |
| Removal of endometrial polyps using shaver | 580.00 – 710.00 |
| Front and back perineum, vaginal plastic surgery | 1700.00 |
| Plastic surgery of the labia minora | 1000.00 |
| Micro-invasive plastic surgery with threads | 1200.00 |
| Day patient ward costs | 60.00 |
| Overnight accommodation service under the supervision of a nurse | 100.00 |
| Additional payment for the use of high technology during the operation | from 160.00 |
| Eye surgeries | |
| Squint surgery, 1 muscle, general anesthesia in day patient ward | 870.00 |
| Squint surgery, 2 muscles, general anesthesia in day patient ward | 970.00 |
Health care services paid by the National Health Service
Patient contribution amount
(Appendix to the Cabinet of Ministers Regulations No. 692 of June 30, 2009 as amended by the Cabinet of Ministers Regulations No. 1630 of December 22, 2009; Cabinet of Ministers Regulations No. 573 of August 21, 2012)
| Health care service | Patient contribution amount, EUR |
| Patient contribution | 4.00 |
| Egg collection | 21.00 |
| Embryo transfer | 21.00 |
| TESA | 21.00 |
Approved: Riga, 11.09.2023.
Member of the Board: Gints Treijs
