Camelback Women's Health Obstetric Package for Uninsured Patients

Normal Vaginal Delivery…………………….………$2,800.00

C-Section Delivery………………………….........… $3,100.00
C-Section Delivery w/Tubal Ligation……….........$3,600.00
Delivery of Multiples……………………………......$3,750.00

PAYMENT SCHEDULE:

• $500 due at First Prenatal Visit
• $350 payment due at each prenatal visit until paid in full
• Fees for additional service due at time of service

• Prenatal visits – 13-15 visits
• Routine Prenatal Labs
• Pap Smear
• Vaginal Cultures
• Rubella, Blood Type, Antibody Screen, Hep B profile
• Urinalysis & Urine Culture
• Triple Screen
• 1 Hr. Glucose Tolerance Testing
• Hbg & Hct
• 1st Trimester Dating Ultrasound
• 2nd Trimester Ultrasound & Fetal Survey (at DVR ONLY!!)
• Delivery of Infant
• Hospital Visits
• Post-Partum Exam w/ Pap Smear

ADDITIONAL SERVICES & FEES NOT COVERED IN PRENATAL PACKAGE

• Visits unrelated to pregnancy - $75
• 3D Ultrasounds by Fetal & Women’s Center/Dr. Nyberg: $150 additional
• Non- Routine/Specialty Lab Tests
• Cystic Fibrosis Screening
• Progesterone
• Thyroid profile
• HIV testing
• Quad Screen
• Nuchal Lucency
• Fetal Non Stress Testing- $60
• Amniocentesis- Procedure & Supplies-  $175
• RhoGam Injection with Administration:  $125
• IV Hydration w/Anti-emetic medications:  Cost Dependant
• Cephalic Version for Breech Presentation:  $200
• Hospital Visits:  Cost Dependant
• Hospital Fees:  Contact hospital directly for information
• Assistant Surgeon Fees- (for C/Section): $250
• Epidural/Anesthesiologist Fees:  Contact hospital directly for information

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