Patient Registration Form Page 15

ADVERTISEMENT

Prenatal care and delivery is charged as a flat fee rate that is billed at the time of delivery.
Prenatal care INCLUDES:
Office calls pertaining to maternity after the initial visit
Delivery of your baby
Postpartum checkup through six weeks
This fee EXCLUDES:
Ultrasounds (routinely two ultrasounds are done)
Non-Stress tests
Lab work (this is usually sent to the laboratory of pathology)
Office visits for infections and other illnesses
Injections and Blood draws
Hospital charges, anesthesia charges and pediatric fees
You will need to pre-register about six weeks before your due date with the hospital.
They can also answer questions regarding hospital and anesthesia fees. The hospital costs are not
included in our fee.
CREDIT AND INSURANCE POLICY
Our global fee is $3700.00 for a vaginal delivery; $4100.00 for a cesarean section or vaginal birth after
previous C-section. An assistant surgeon is required for C-sections; that fee is $740.00. High-risk
pregnancy may have an additional charge, these conditions may include: hypertension, twins, diabetes,
excessive weight, etc.
Our office policy is that you pay the portion not covered by your insurance prior to your eighth month of
pregnancy. We will set you up on a monthly payment plan and send you statements as a reminder to
make your payment. If you do not have maternity coverage, you will need to pay 1/3 of the flat fee at
your first and monthly payments on the balance so that our fee is paid in full prior to your eighth month.
An estimate of your expected flat fee rate will be applied to your account after the first visit. This fee is
not charged to your insurance company until after you deliver. Interest will not be charged until 60 days
after delivery.
In the event that you are scheduled off-site for an ultrasound such as Valley Diagnostic Imaging you will
receive three separate bills from their office. These charges are not included in your global fee. You can
contact their office for a personalized estimate at 253-661-4750.

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical
Patient Registration Form Patient Registration Form Medical

Related Categories

Parent category: Medical
Download
Go
Page of 16