Self Pay Obstetric Charges

Black Hills Obstetrics & Gynecology LLC

SELF-PAY OBSTETRIC CARE CHARGES

OB Deposit: $500 due at first OB visit/ $100 due at each prenatal visit, plus Ultrasound charges done for that appointment.

The following charges are an estimate only and subject to change without notice.

Ultrasound Services
Initial Transvaginal (76817) $300
Anatomy Scan (20 wk) (76805) $450
OB Limited (76815) $245
OB Biophysical w/NST (76818) $335
OB Biophysical w/o NST (76819) $230
Non Stress Test (59025) $140
Individual Charges OB Transfer example of charges
Antepartum visits (3 or less) New Patient $270 Established $210 2nd & 3rd Visits $150
Antepartum 4-6 visits (59425) $1000
Antepartum 7+ (59426) $2100
Postpartum Visit (59430) $500
T-Dap Injection (90715) $60
Flu Vaccine (90658) $25
Pregnancy Test (81025) $30
Global OB Care Doctors Fees Only Does not include ultrasounds, non-stress tests or lab fees.
Antepartum, delivery fee, postpartum care Vaginal (59400) $4600
Antepartum, delivery fee, postpartum care Cesarean (59510) $5300
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