Chinese hospitals have introduced a hands-free sperm extractor that also plays videos to "help" along men who may have a difficult time producing a sample manually. Cost? $2,800. Here's the machine in action (sans penis):
Having worked as a grad student in the archives of a sex research institute in a well respected university, I was aware of a product called Fleshlight, which is essentially a fake vagina used for masturbatory purposes. Curious, I googled to see if there was an automatic version & there is: Autoblow, which sells for about $100 for the standard model.
Granted there is no video screen on the Autoblow, but how hard would it be to just leave a laptop in an exam room so the guy could search for his favorite porn online? Lord knows there's enough of it out there for free. Obviously both "sperm extractors" would need to be sanitized between uses; I assume there must be some sort of condom-like collection device involved for collection too. Also, while the Chinese device requires the man to stand, the hand-held one can be used in any number of positions since most guys don't "flog the dolphin" while upright. And finally, $2800 versus $100 is a huge price difference for the same procedure (if you will). I guess if you call something a medical device you truly can charge anything you want! In the case of infertility, certainly nothing is cheap anyways. :/