yospermtest.com sells an at home test that is basically a magnifying lens and collection tray that attaches to your phone, and an app to analyze the sample.

edit: Yes, the referral thing is absurd. People answering the phones at medical offices when I've called trying to give them money will act confused or even offended if you ask how much things cost. Thankfully there are some new businesses like this chipping away at the edges.