Please call the Community Hospital North Business Office at 317-621-5315 for current fee information.
- Prepayment is required for all assisted fertility services unless insurance benefits have been verified.
- All payment arrangements must be made by CYCLE DAY 3 or start of ovulatory medication.
- To verify registration, please call the Community Hospital North Business Office at 317-621-5315.
We accept VISA, MasterCard, Discover and American Express. Payment can be made in person at 8040 Clearvista Drive, Suite 510, Indianapolis, IN 46256. Make checks payable to Community Health Network.
All plans include facility fees and standard lab fees. Please call 317-621-5315 for current fee information.
Plan 0—Billed to insurance/no prepayment required; prices will reflect actual costs incurred.
Plan 1—In vitro fertilization (IVF) with embryo transfer
Plan 2—Gamete intrafallopian transfer (GIFT)
Plan 3—Combo (GIFT/IVF) with embryo transfer
Plan 4—Frozen embryo transfer
Plan 5—In vitro fertilization (IVF) retrieval (no transfer)
Plan 6—In vitro fertilization (IVF) donor retrieval with recipient embryo transfer
The facility and lab fees exclude any diagnostic pre- or post-procedure testing as well as any services required as a result of complications. Community Hospitals of Indiana, Inc. does not provide take-home medical supplies or drugs. The hospital will bill patients for services that are not covered, including unscheduled additional lab fees. Payment in full will be due within 30 days of bill receipt.
Additional lab fees
Please call 317-621-5315 for current fee information.
The facility fee includes services associated with each cycle, operating room, perianesthesia areas, anesthesia drugs and medical supplies. The laboratory fee includes scientific lab services performed in the Assisted Fertility Services lab only, with the exception of the following services that will include additional lab procedures:
- Assisted hatching
- Blastocyst culture
- Cryopreservation of sperm
- Cryopreservation of embryos
- Embryo thaw
- Annual cryopreservation storage
Prepayment of additional lab fees is required if service is ordered by the physician at the start of the cycle.
The physician will not start the assisted fertility procedures until all fees are paid. The Assisted Fertility Services facility and lab fees do not include physician fees. All physicians will bill for his or her services separately.
Anesthesia prepayment of $500.00 is required. Please call Associates In Anesthesiology at one of the numbers below to make payment arrangements:
- Jenny Mayfield at 317-567-2180, ext. 123
- Kathy Langston at 317-567-2180, ext. 202
Insurance coverage information
Insurance coverage for assisted reproductive services varies among companies. At the patient's request, their insurance benefits will be evaluated. If the insurance coverage cannot be verified, payment of Assisted Fertility Services facility and lab fees should be made upon initiation of ovulatory medication or cycle day 3. Community Health Network will not bill insurance companies for services that are not covered and verified in advance. This process will be followed for any subsequent cycles.
There may be fees associated with Assisted Fertility Services, but not included in the flat rate or laboratory fees. These may include, but are not limited to, any unexpected procedure or care for complications. Fees for these services will be billed directly to the patient and due upon receipt of the statement.
The prepaid plan price must be paid in full and a signed contract on file with the Assisted Fertility Services Financial Coordinator prior to any services being rendered. Failure to meet both of these requirements will result in voiding the contract.
In the event Community Health Network changes its prices for this program or makes revisions to this program, these terms are only valid if accepted by an authorized hospital representative.