{
 "schema": 1,
 "id": "czechia",
 "type": "destination",
 "names": {
  "name": "Czechia",
  "aliases": [
   "Czech Republic",
   "Česko",
   "Česká republika"
  ],
  "said": "In the fertility trade Czechia means Prague and Brno, and it means donated eggs. In the border trade it means the Slovak, Polish and German patients who drive in for dentistry and surgery and drive home the same day."
 },
 "region": [
  "europe-central"
 ],
 "facets": {
  "iso2": "CZ",
  "direction": "both",
  "currency": "CZK",
  "languages": [
   "Czech",
   "English",
   "German",
   "Italian"
  ],
  "draws": [
   "ivf",
   "egg-donation",
   "icsi",
   "pgt",
   "dental-implant"
  ]
 },
 "text": {
  "what": "Europe's second workshop for donor-egg treatment, and a border country whose clinics are the destination for more authorised cross-border patients than anywhere else in the EU. Czech fertility clinics publish euro price lists, run waiting times for donated eggs measured in weeks rather than years, and draw patients from Germany, Italy, Britain and the Nordic countries. The country runs no prior-authorisation system of its own for care abroad.",
  "story": "In the ESHRE registry returns for 2019 the highest egg-donation volumes in Europe came from Spain, Czechia and Russia — registry counts of cycles reported by clinics, not a market estimate. The older ESHRE taskforce survey put numbers on who was in the waiting rooms: of 1,230 cross-border patients surveyed across six receiving countries in a single month in 2010, 20.5% were being treated in Czechia, and legal reasons at home dominated the answers of German patients at 80.2% and Italian patients at 70.6%.\n\nThe Commission's 2022 data shows the other half of the country's position. Czechia authorised no prior-authorisation regime at all — it is one of eight countries with none — received 440 reimbursement requests from its own insured and granted 380, and was the single most common country of treatment in the EU for authorised cross-border patients, with 513, most of them from Slovakia.\n\n*Trade practice —* what draws the fertility patient is anonymity and supply. Donation is anonymous on both sides in Czech practice, the donor pool is young, and the waiting time is short; this project did not read the Czech statute for this record and does not state its terms here. The distinction matters because the same patient would be turned away, or put on a years-long list, in the country she flew from.",
  "how": "Fertility clinics quote a programme rather than an operation: stimulation and laboratory work as one line, with medication, genetic testing and storage outside it. Donor programmes are sold with a guarantee attached to a number of embryos or attempts, which is a commercial term and not a clinical one. Payment is in euro, up front, and the treatment is timed to two short visits so that the patient can fly in for retrieval or transfer and fly home.",
  "today": "As of 16 September 2026 a Prague clinic lists IVF with the patient's own eggs from EUR 3,000 including basic laboratory methods, a guaranteed donor-egg programme from EUR 5,950, a frozen embryo transfer from EUR 990 and egg freezing for non-medical reasons from EUR 1,990, the last excluding medication and including two years of storage. Every one of those is a starting price: what the cycle costs depends on what the laboratory is asked to do."
 },
 "geo": {
  "lat": 50.0755,
  "lon": 14.4378,
  "precision": "country",
  "source": "s:natural-earth"
 },
 "metrics": {
  "note": "513 authorised cross-border patients were treated in Czechia in 2022, the highest of any country of treatment in the EU that year, most of them Slovak. That counts only patients whose home system authorised the trip in advance; the fertility trade this country is known for sits almost entirely outside it, paid privately.",
  "as_of": "2022",
  "source": "s:ec-crossborder-2022"
 },
 "prices": [
  {
   "procedure": "ivf",
   "country": "CZ",
   "city": "Prague",
   "amount": 3000,
   "currency": "EUR",
   "as_of": "2026-09-16",
   "kind": "package",
   "includes": [
    "the cycle with the patient's own eggs",
    "basic laboratory methods"
   ],
   "excludes": [
    "medication",
    "genetic testing",
    "storage",
    "travel"
   ],
   "source": "s:pronatal-prices",
   "url": "https://www.pronatal.cz/en/price-list/",
   "note": "PRONATAL, Prague, stated as a starting price. Medication is the line most often left out of a fertility comparison and can run to four figures on its own.",
   "tier": "cited",
   "usd": 3461.0,
   "usd_high": null,
   "rate_date": "Wed, 16 Sep 2026"
  },
  {
   "procedure": "egg-donation",
   "country": "CZ",
   "city": "Prague",
   "amount": 5950,
   "currency": "EUR",
   "as_of": "2026-09-16",
   "kind": "package",
   "includes": [
    "donor egg programme with guarantee",
    "basic laboratory methods"
   ],
   "excludes": [
    "medication",
    "genetic testing",
    "storage",
    "travel"
   ],
   "source": "s:pronatal-prices",
   "url": "https://www.pronatal.cz/en/price-list/",
   "note": "the guarantee is a commercial term set out by the clinic, not a clinical prediction; what it promises is defined on the clinic's own page.",
   "tier": "cited",
   "usd": 6865.0,
   "usd_high": null,
   "rate_date": "Wed, 16 Sep 2026"
  },
  {
   "procedure": "egg-freezing",
   "country": "CZ",
   "city": "Prague",
   "amount": 1990,
   "currency": "EUR",
   "as_of": "2026-09-16",
   "kind": "package",
   "includes": [
    "retrieval and vitrification",
    "two years of storage"
   ],
   "excludes": [
    "medication",
    "storage beyond two years",
    "any later thaw and transfer"
   ],
   "source": "s:pronatal-prices",
   "url": "https://www.pronatal.cz/en/price-list/",
   "note": "the two-year storage window is the term that sets the next bill; the thaw and transfer are priced separately, from EUR 990 on the same list.",
   "tier": "cited",
   "usd": 2296.0,
   "usd_high": null,
   "rate_date": "Wed, 16 Sep 2026"
  }
 ],
 "kin": [
  {
   "to": "prague",
   "as": "Where most of the clinics and the euro price lists are.",
   "rel": "part"
  },
  {
   "to": "egg-donation",
   "as": "The treatment this country is known for across Europe.",
   "rel": "procedure"
  },
  {
   "to": "ivf",
   "as": "Sold here as a programme in euro, priced from a published list.",
   "rel": "procedure"
  },
  {
   "to": "donor-anonymity-law",
   "as": "The rule that decides whether a patient must travel for a donor at all.",
   "rel": "governed-by"
  },
  {
   "to": "spain",
   "as": "The larger donor-egg destination it is measured against.",
   "rel": "contrast"
  },
  {
   "to": "germany",
   "as": "The neighbour whose restrictions send its patients across this border.",
   "rel": "contrast"
  },
  {
   "to": "poland",
   "as": "The source of the busiest patient flow into this country in the EU data.",
   "rel": "contrast"
  },
  {
   "to": "reproductive-exile",
   "as": "The word for what a patient does when the treatment is lawful next door and not at home.",
   "rel": "term"
  },
  {
   "to": "eshre",
   "as": "The society whose registry counts these cycles, clinic by clinic.",
   "rel": "org"
  }
 ],
 "links": [
  {
   "label": "ART in Europe, 2019 — ESHRE registry report",
   "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10694409/"
  }
 ],
 "sources": [
  "s:eshre-eim-2019",
  "s:shenfield-2010",
  "s:ec-crossborder-2022",
  "s:pronatal-prices",
  "s:natural-earth"
 ],
 "provenance": {
  "default": {
   "tier": "cited"
  },
  "fields": {
   "text.story": {
    "tier": "cited",
    "source": "s:eshre-eim-2019",
    "note": "registry and Commission figures are cited; the closing paragraph is marked trade practice because the Czech statute was not read for this record"
   },
   "text.how": {
    "tier": "tradition",
    "note": "the standard shape of a Czech fertility programme; the prices below are cited to the clinic's page"
   },
   "geo": {
    "tier": "harvested",
    "source": "s:natural-earth"
   }
  }
 },
 "x_commons_files": [
  "File:Prague Old Town Square panorama.jpg"
 ],
 "needs_verification": true,
 "confidence": "medium",
 "updated": "2026-09-16",
 "blurb": "Europe's second workshop for donor-egg treatment, and a border country whose clinics are the destination for more authorised cross-border patients than anywhere else in the EU.",
 "region_terms": [
  {
   "key": "europe-central",
   "name": "Central Europe",
   "note": "Poland, Czechia, Hungary, Slovakia, Slovenia, Croatia"
  }
 ],
 "kin_out": [
  {
   "to": "prague",
   "type": "hub",
   "name": "Prague",
   "as": "Where most of the clinics and the euro price lists are.",
   "rel": "part"
  },
  {
   "to": "egg-donation",
   "type": "procedure",
   "name": "Egg donation",
   "as": "The treatment this country is known for across Europe.",
   "rel": "procedure"
  },
  {
   "to": "ivf",
   "type": "procedure",
   "name": "In vitro fertilisation",
   "as": "Sold here as a programme in euro, priced from a published list.",
   "rel": "procedure"
  },
  {
   "to": "donor-anonymity-law",
   "type": "rule",
   "name": "Donor anonymity",
   "as": "The rule that decides whether a patient must travel for a donor at all.",
   "rel": "governed-by"
  },
  {
   "to": "spain",
   "type": "destination",
   "name": "Spain",
   "as": "The larger donor-egg destination it is measured against.",
   "rel": "contrast"
  },
  {
   "to": "germany",
   "type": "destination",
   "name": "Germany",
   "as": "The neighbour whose restrictions send its patients across this border.",
   "rel": "contrast"
  },
  {
   "to": "poland",
   "type": "destination",
   "name": "Poland",
   "as": "The source of the busiest patient flow into this country in the EU data.",
   "rel": "contrast"
  },
  {
   "to": "reproductive-exile",
   "type": "term",
   "name": "Reproductive exile",
   "as": "The word for what a patient does when the treatment is lawful next door and not at home.",
   "rel": "term"
  },
  {
   "to": "eshre",
   "type": "org",
   "name": "European Society of Human Reproduction and Embryology",
   "as": "The society whose registry counts these cycles, clinic by clinic.",
   "rel": "org"
  }
 ],
 "source_list": [
  {
   "id": "s:eshre-eim-2019",
   "kind": "web",
   "title": "ART in Europe, 2019: results generated from European registries by ESHRE",
   "publisher": "Human Reproduction (Oxford University Press) for the European IVF-monitoring Consortium of ESHRE",
   "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10694409/",
   "accessed": "2026-09-16",
   "note": "Smeenk J, Wyns C, De Geyter C, et al., Human Reproduction 2023;38(12):2321–2338, doi:10.1093/humrep/dead197. Registry returns, not a market estimate: 1,077,813 cycles from 1,488 clinics in 40 countries for 2019. Spain reported 137,276 cycles, second in Europe after Russia, from 244 IVF clinics; the highest egg-donation volumes came from Spain, Czechia and Russia."
  },
  {
   "id": "s:shenfield-2010",
   "kind": "paper",
   "title": "Cross border reproductive care in six European countries",
   "publisher": "Human Reproduction 25(6):1361-1368, ESHRE Taskforce on Cross Border Reproductive Care",
   "url": "https://academic.oup.com/humrep/article/25/6/1361/2915759",
   "accessed": "2026-09-16"
  },
  {
   "id": "s:ec-crossborder-2022",
   "kind": "report",
   "title": "Member State data on cross-border patient healthcare following Directive 2011/24/EU — reference year 2022",
   "publisher": "European Commission, DG Health and Food Safety, Unit B.3; written by PredictBy Research and Consulting and Baltic Media; Publications Office of the European Union",
   "url": "https://health.ec.europa.eu/document/download/69e33702-c7cc-4f0e-afc0-f3cf13e127ab_en?filename=crossborder_2022_patient-healthcare_data_en.pdf",
   "license": "CC BY 4.0",
   "accessed": "2026-09-16",
   "note": "final version January 2024, ISBN 978-92-68-14858-7. 23 countries reported 547,890 reimbursement requests for care not needing prior authorisation in 2022, of which France 300,254 and Germany 160,647 are 84%; Poland 14,176, Slovakia 13,904, Ireland 1,841, Romania 889, Czechia 440, Croatia 192, Lithuania 131, Greece 56, Cyprus 44, Portugal 27 (all refused), Spain 9. Total reimbursed EUR 86,462,491. For care needing prior authorisation, 4,552 requests and EUR 7,708,041. Belgium and Hungary could not report; Czechia, Cyprus, Latvia, Lithuania, the Netherlands, Finland, Sweden and Norway run no prior-authorisation system; only Denmark and Romania have a mechanism to limit inflow."
  },
  {
   "id": "s:pronatal-prices",
   "kind": "web",
   "title": "Price list",
   "publisher": "PRONATAL, Prague",
   "url": "https://www.pronatal.cz/en/price-list/",
   "accessed": "2026-09-16",
   "note": "read 16 September 2026: IVF with own eggs from EUR 3,000 including basic laboratory methods; donor egg programme with guarantee from EUR 5,950 including basic laboratory methods; frozen embryo transfer from EUR 990; egg freezing for non-medical reasons from EUR 1,990, which excludes medication and includes two years of storage; IUI from EUR 400; donor embryo transfer from EUR 1,850"
  },
  {
   "id": "s:natural-earth",
   "kind": "dataset",
   "title": "Natural Earth — Admin 0 Countries, 1:110m",
   "publisher": "Natural Earth",
   "url": "https://www.naturalearthdata.com/",
   "license": "Public domain",
   "accessed": "2026-09-16"
  }
 ],
 "tiers": {
  "text.what": {
   "tier": "cited"
  },
  "text.story": {
   "tier": "cited",
   "source": "s:eshre-eim-2019",
   "note": "registry and Commission figures are cited; the closing paragraph is marked trade practice because the Czech statute was not read for this record"
  },
  "text.how": {
   "tier": "tradition",
   "note": "the standard shape of a Czech fertility programme; the prices below are cited to the clinic's page"
  },
  "text.today": {
   "tier": "cited"
  },
  "geo": {
   "tier": "harvested",
   "source": "s:natural-earth"
  },
  "prices": {
   "tier": "cited"
  },
  "metrics": {
   "tier": "cited"
  }
 },
 "primary_image": null,
 "tag_facts": [],
 "recognition_facts": [],
 "acclaim": 0,
 "kin_in": [
  {
   "from": "germany",
   "type": "destination",
   "name": "Germany",
   "as": "Where German patients cross for dentistry and for treatment German law restricts.",
   "rel": "contrast"
  },
  {
   "from": "poland",
   "type": "destination",
   "name": "Poland",
   "as": "Where Polish patients themselves cross for care, the busiest flow in the EU reimbursement data.",
   "rel": "contrast"
  },
  {
   "from": "spain",
   "type": "destination",
   "name": "Spain",
   "as": "The other big donor-egg destination, cheaper and smaller.",
   "rel": "contrast"
  },
  {
   "from": "prague",
   "type": "hub",
   "name": "Prague",
   "as": "The country whose egg-donation volume this city carries most of.",
   "rel": "whole"
  },
  {
   "from": "abdominoplasty",
   "type": "procedure",
   "name": "Abdominoplasty",
   "as": "Where the mini and the full operation are priced a line apart.",
   "rel": "destination"
  },
  {
   "from": "breast-augmentation",
   "type": "procedure",
   "name": "Breast augmentation",
   "as": "A European price list for the same operation, in koruna.",
   "rel": "destination"
  },
  {
   "from": "egg-donation",
   "type": "procedure",
   "name": "Egg donation",
   "as": "Where a published cycle price names the donor's compensation among its inclusions.",
   "rel": "destination"
  },
  {
   "from": "facelift",
   "type": "procedure",
   "name": "Facelift",
   "as": "Where the price names the layer of the face it lifts.",
   "rel": "destination"
  },
  {
   "from": "ivf",
   "type": "procedure",
   "name": "In vitro fertilisation",
   "as": "Where the cheapest published cycle on this page is sold.",
   "rel": "destination"
  },
  {
   "from": "liposuction",
   "type": "procedure",
   "name": "Liposuction",
   "as": "Where the price is published per area, with the area count on the page.",
   "rel": "destination"
  },
  {
   "from": "rhinoplasty",
   "type": "procedure",
   "name": "Rhinoplasty",
   "as": "The European price list this record reads, in koruna.",
   "rel": "destination"
  }
 ]
}