Obstetrical & Prenatal Care

Our unique prenatal care allows you to tailor your obstetrical care to your personal and financial needs without sacrificing the quality of your care (i.e. not all patients would choose to pursue genetic testing, or the associated cost, whereas some practices recommend it “for everyone”). At the beginning of your prenatal care you will meet with one of our financial planners to tailor your care to your needs. They will explain what is included in your global fee and what “extra” services are available. Laboratory tests performed in our office offer great savings compared to the same tests performed at the hospital.

 

Routine prenatal care includes up to 13 visits. If your pregnancy becomes complicated (i.e. gestational diabetes, hypertension, etc.), more visits may be required. During the 1st half of pregnancy (up to 22 weeks) you are seen every 4 weeks. Between 22-32 weeks, every 3 weeks.  Between 32-36 weeks, every 2 weeks. After 36 weeks, every week until delivery.

Prenatal Care Pricing

Service
Price
First visit with the nurse for blood tests
$395 (BCBS $84)
Second visit (1st with doctor) – Full exam with pap smear, cultures and ultrasound
$200
22-week ultrasound (Level II) to see baby’s organs and check sex of baby
$750
Third trimester blood tests at 26-29 weeks to check for anemia & gestational diabetes
$103
Ultrasound at 32 weeks to check growth of baby
$300
Vaginal Culture prior to delivery to check for Group B Strep
$50
Vaginal Delivery
$4100
Cesarean Delivery
$4600

Surgical Services

Services include hysterectomy, laparoscopy, hysteroscopy, sterilization (to prevent future pregnancies), colposcopy and treatment of abnormal pap smears. We also perform many other procedures including surgery for urine incontinence, vaginal prolapse and vaginal reconstruction to name a few. Please call the office to obtain a quote for these procedures as they can vary.

Hysterectomy
can be accomplished by a number of different “routes” which vary in costs and recovery time. The majority of our hysterectomies are performed on an outpatient basis, saving the cost of inpatient services at a hospital. Further savings can be accomplished by having your hysterectomy at a surgery center rather than a hospital (i.e. hysterectomy fees at a surgery center are $6,000 and hospital can range from $12,000-$18,000 or more). Unfortunately, some insurance companies dictate how and where your hysterectomy will be performed.
Hysterectomy Options
Price
Total Laparoscopic Hysterectomy (TLH)
$3700
TLH with removal of ovaries
$4175
Total Vaginal Hysterectomy
$3275
Total Abdominal Hysterectomy
$3800
Total Abdominal Hysterectomy with removal of ovaries
$3800
Laparoscopic Assisted Vaginal Hysterectomy
$3575

Hysteroscopy
is a surgical procedure when a camera is placed through the vagina, then the cervix, and into the uterus to help diagnose or treat problems of the uterus (i.e. heavy periods, uterine tumors or polyps). It can be used for sterilization by placing coils in the fallopian tubes to block them. The most popular use of the hysteroscopy is to burn the lining of the uterus to stop or lessen a heavy or irregular period. There is minimal pain and recovery is generally 24-48 hours. This is called endometrial ablation.
Hysterocopy Options
Price
Hysteroscopy with biopsy (or D&C)
$1950
Skyla – 3 years (has progesterone) Hysteroscopy for endometrial ablation
$2200
Hysteroscopy for tumor removal
$2950
Hysteroscopy for essure tubal occlusion
$2880
Diagnostic Hysteroscopy
$1070

Laproscopy
is a surgery where a camera is placed (usually through the navel “belly button”) into the abdomen which allows the surgeon to see and fix problems of the patient’s ovaries, fallopian tubes, and pelvis (i.e. endometriosis). Many times it is used for diagnosis (to see “what’s going on”), but can also be used for sterilization, to burn the fallopian tubes (tubal ligation) or remove them.
Laproscopy Options
Price
Diagnostic Laparoscopy
$1850
Laparoscopic Tubal Ligation
$2025
Laparoscopic removal of fallopian tubes
$2975
Laparoscopic removal of ovary(s)
$2975
Laparoscopic treatment of endometriosis
$2860
Laparoscopic treatment of pelvic scarring
$2860
Laparoscopic treatment of ovarian cyst(s)
$3250

Colposcopy
uses a camera/telescope to evaluate the cervix when you have had an abnormal pap smear. Biopsies can be performed at this time.
Colposcopy Options
Price
Colposcopy with biopsy of cervix
$365
Colposcopy with biopsy and endocervical curettage
$430

LEEP
$450
Loop Electrode Excision Procedure is performed when the colposcopy reveals abnormal cervical cells that have the potential to change into cancer. It is performed in the clinic to save the costs of a cone biopsy performed in a hospital setting.

Birth Control Methods

Condoms and Spermicide
Condoms should always be utilized to prevent sexually transmitted diseases. When combined with vaginal suppositories, they can provide an effective means of birth control.
Birth Control Pills
use estrogen and progesterone hormones to stop ovulation (release of the egg from the ovary). They are 99% effective when used correctly.
Depo Provera
is a long acting progesterone injection that is repeated every 3 months.
Nuva Ring
is a vaginally inserted ring that releases estrogen and progesterone (the same hormones as pills).
Nexplanon
is a subdermal (placed under the skin) long acting, 3-year implant.
Nexplanon Device & Services
Price
Insertion Fee
$430
Device
$1004

Intrauterine Device
Long term contraception (3 year, 5 year, 10 year options) placed within the uterus.
Intrauterine Devices & Services
Price
Insertion Fee
$405
Skyla – 3 years (has progesterone)
$845
Mirena – 5 years (has progesterone)
$1005
Paragard – 10 years (no hormone)
$961