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Testing Menu & Fees

Urologist & Andrology Laboratory located in Great Neck, NY

We are here to help! If you need guidance please call, chat, or email us with any questions.

We only analyze and process one specimen at a time to make sure the best analysis and secure processing of your specimen is done.  When scheduling an appointment, please be courteous and only make an appointment you can keep.  Other patients are waiting for an appointment. If you need to reschedule your appointment, please give us at least three (3) business days' notice.

Specimens should be dropped off or produced at 900 Northern Blvd., Suite 230, Great Neck, NY 11021 (516) 487-2700.

Advanced testing options can be added to either a Basic or Comprehensive analysis. However, these optional tests need to be requested prior to specimen analysis.  The fees listed below are current as of July 1, 2023, and are subject to change without notice. 

We add the CPT number as guidance for patients. These codes do change regularly.  CPT is a Registered Trademark of the American Medical Association (AMA). Please check with the AMA for the most current CPT code.

Please review the Procedure For Semen Specimen Collection

SEMEN ANALYSIS TESTING MENU

$175 - Basic Semen Analysis (CPT 89321)

A Basic Semen Analysis is a cost-efficient way to know whether further evaluation is necessary. It is also the analysis used by men that need to follow the effect of treatment (eg, after vasectomy or chemotherapy). A Basic Semen Analysis consists of:

  • Volume - a measure of the amount of seminal fluid
  • Concentration - the number of sperm in a specified volume of ejaculate
  • Total Count - the total number of sperm in the specimen
  • Motility - how the sperm move. The test includes both the percent of motile sperm as well as a measure of how fast, and in what direction, they move.

$275 - Comprehensive Semen Analysis (CPT 89322)

A Comprehensive Semen Analysis is what you need if you are concerned about your fertility. Together with a consultation with a Male Fertility Specialist and Blood studies, it forms the basic evaluation of male fertility. We use manual and computer-assisted analysis to give the most accurate and diagnostic evaluation. A number of tests can be added. These optional tests need to be ordered before the specimen is analyzed.  A comprehensive semen analysis consists of the following:

  • Complete semen analysis, including
    • Volume - a measure of the amount of seminal fluid
    • Concentration - the number of sperm in a specified volume of ejaculate
    • Count - the total number of sperm in the specimen
    • Motility - how the sperm move. The test includes both the percent of motile sperm as well as a measure of how fast and in what direction, they move.
    • Morphology (including “Strict Criteria”) - how the sperm look. This has been correlated with how the sperm functions.

ADVANCED TESTING OPTIONS

$550 - DNA Fragmentation Assay (CPT 89398)

Please note: The specimen concentration and motility are required for this test. It is performed without any additional charge.

Sperm DNA Fragmentation Assay is important when semen analysis appears normal or when recurrent miscarriages occur. Also, it is often essential in older men and those men who have had gonadotoxic therapy such as chemotherapy, radiation therapy, or medications that are known to affect sperm quality or function.

Men can have a normal semen analysis yet still have impaired fertility due to DNA fragmentation. DNA is an organic molecule that consists of two strands of repeating building blocks called nucleotides. Each nucleotide consists of a sugar, a phosphate group, and a nitrogen base. The nucleotides in each strand are tightly bonded. The two strands, however, are loosely held together by weaker bonds. DNA fragmentation occurs when separations and breaks occur in these bonds. DNA fragmentation can impair the transmission of this genetic code, disrupting the cell’s ability to function. For a sperm cell, DNA fragmentation can prevent fertilization or proper development of an embryo if fertilization occurs. A DNA fragmentation assay can identify sperm with these defects and offer treatment options. 

$275 - Direct Antisperm Antibody Assay (requires a comprehensive analysis to be performed at the same time. CPT 89882)

The antisperm antibody test is Important when motility is low and/or agglutination is high. Men can have a normal semen analysis yet still have impaired fertility due to the presence of antisperm antibodies directed to the head, midpiece, and/or sperm of the ejaculated sperm. These antisperm antibodies can reduce the movement of sperm as well as prevent fertilization of the egg.

$250 - Leukocyte Assay (requires a comprehensive analysis to be performed at the same time (CPT 89398,  and CPT 89322 when performed with a comprehensive semen analysis)

The leukocyte assay assesses the presence of white blood cells (leukocytes) in semen. Elevated levels of leukocytes can indicate an underlying infection or inflammation in the male reproductive system. This information is vital in diagnosing conditions such as prostatitis, epididymitis, or other genital tract infections that might affect fertility or overall reproductive health.

Leukocytes are generally not present in semen in significant amounts, their presence could affect sperm quality and function. They can produce reactive oxygen species (ROS) that may damage sperm cells, reducing their motility and viability, thereby impacting fertility. Identifying and addressing any infection or inflammation indicated by high leukocyte levels can be critical in managing male infertility issues and improving the chances of conception.

$50 - Semen Culture (this is a processing fee only. You will be billed separately by the lab that performs the culture)

A semen culture is typically performed when there's suspicion of a bacterial infection in the reproductive system, particularly in cases of infertility or suspected genital tract infections. It involves testing a semen sample to identify and determine the type of bacteria present. This culture helps in diagnosing conditions like prostatitis, epididymitis, or other infections that might affect sperm quality or cause fertility issues.

$75 - Viability Testing (requires a basic or comprehensive analysis to be performed at the same time (CPT 89398)

Viability testing on a semen specimen is usually conducted to assess the functional ability of sperm cells within the semen sample. This test determines the percentage of live and motile sperm present, which is crucial in assessing male fertility.

Viability testing is often performed in cases of infertility, particularly when the motility of the sperm is poor or when evaluating the quality of sperm for assisted reproductive techniques such as in vitro fertilization (IVF) or intrauterine insemination (IUI). It helps in determining the sperm's ability to fertilize an egg and can provide insights into potential fertility issues.

$75 - Fructose Test (CPT 82757)

A fructose test on a semen specimen is typically conducted when investigating male infertility cases. Fructose is a sugar found in seminal fluid, and its absence can indicate a problem with the seminal vesicles or ejaculatory ducts. These glands produce a significant portion of the fluid in semen, and the presence of fructose is an indicator of their proper functioning.

A fructose test is particularly useful in diagnosing conditions where there might be an obstruction or absence of these glands, such as in cases of congenital absence of the vas deferens or obstruction due to infection or other issues. Low or absent fructose levels in semen can contribute to infertility, and this test helps in diagnosing such underlying cause

$200 - Post-Ejaculatory Urine Analysis (CPT 81015, CPT 89331 if a comprehensive semen analysis and retrograde urine analysis are performed together)

A post-ejaculatory test, also known as a post-ejaculatory urinalysis, is performed to check for the presence of sperm in the urine after ejaculation. This test is usually conducted when there are concerns about retrograde ejaculation, a condition in which semen enters the bladder instead of being expelled through the urethra during ejaculation.

Retrograde ejaculation can be associated with certain medical conditions or surgeries that affect the nerves or muscles that control the bladder neck. It can also occur in men with diabetes, multiple sclerosis, or after certain surgical procedures, such as prostate surgery.

By analyzing a urine sample collected immediately after ejaculation, the presence of sperm in the urine can be assessed, confirming whether retrograde ejaculation is occurring. This test helps in diagnosing the underlying cause of infertility or ejaculatory issues in men

Centrifugation of Semen Specimens

Our lab does this routinely when sperm are not seen initially. It might also be performed when the seminal fluid contains a large amount of debris, making analysis difficult.

PLEASE SEE OUR SPERM BANKING FEES

We store (Cryopreserve) sperm and perform eligibility testing for:

Client Depositors - Men storing sperm for use with a sexually intimate partner

Directed Donors Eligibility Determination - Men storing sperm for use with a known recipient

Male Eligibility Determination - Men storing sperm for use in creating an embryo that will be carried by a gestational carrier.