Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Maternity Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Maternity.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
MATERNITY9420094781HC CAR SEAT TST EACH ADDL 30 MIN (OP/OBS) $ 46.00
3
MATERNITY9420094780HC CAR SEAT TST 60 MINS (OP/OBS) $ 192.00
4
MATERNITY9200059025HC NON STRESS TEST $ 329.00
5
MATERNITY9200159025HC NON STRESS TEST $ 329.00
6
MATERNITY9200159020HC FETAL MONITOR $ 408.00
7
MATERNITY4020076814HC US OB NUCHAL MEASUREMENT EA ADDL FETUS $ 447.00
8
MATERNITY9200059020HC FETAL MONITOR $ 473.00
9
MATERNITY4020076820HC US OB DOPPLER UMBILICAL ARTERY $ 597.00
10
MATERNITY4020076802HC US OB FIRST TRIMESTER <14 WKS EA ADDL FETUS $ 649.00
11
MATERNITY4020076821HC US OB DOPPLER MIDDLE CEREBRAL ARTERY $ 719.00
12
MATERNITY4020076815HC US OB LIMITED $ 806.00
13
MATERNITY4500059200HC INSRT CERVICAL DILATOR FOR INDUCTION $ 809.00
14
MATERNITY4710092586HC INFANT HEARING TEST LIMITED $ 819.00
15
MATERNITY4020076817HC US OB TRANSVAGINAL $ 827.00
16
MATERNITY2330099467HC NICU TRANSPORT ADDL 30 MIN $ 852.00
17
MATERNITY4020076816HC OB US FOLLOW UP $ 861.00
18
MATERNITY4020076813HC US OB NUCHAL MEASUREMENT $ 862.00
19
MATERNITY4020076810HC US OB 2ND/3RD TRIM >14 WKS EA ADDL FETUS $ 885.00
20
MATERNITY4020076819HC US OB BIOPHYSICAL PROFILE WO NST $ 886.00
21
MATERNITY4020076812HC US OB DETAILED EA ADDL FETUS $ 922.00
22
MATERNITY4020076826HC US OB ECHOCARDIOGRAPHY FETAL FU/REPEAT $ 941.00
23
MATERNITY4020076831HC S&I SONOHYSTEROGRAM INCLUDES CF DOPPLER $ 1,018.00
24
MATERNITY4020076830HC US TRANSVAGINAL NON-OB $ 1,062.00
25
MATERNITY4020076818HC US OB BIOPHYSICAL PROFILE WITH NST $ 1,096.00
26
MATERNITY4020076801HC US PREG UTRS <14 WKS 0 DAYS-SNGL/1ST GEST (76801) $ 1,174.00
27
MATERNITY7200099465HC NEWBORN RESUSCITATION $ 1,254.00
28
MATERNITY4020076805HC US OB 2ND/3RD TRIMESTER >14 WKS $ 1,270.00
29
MATERNITY2330099466HC NICU TRANSPORT 1ST HOUR $ 1,703.00
30
MATERNITY4020076811HC US OB DETAILED $ 1,722.00
31
MATERNITY7220059412HC EXTERNAL CEPHALIC VERSION $ 1,821.00
32
MATERNITY4020076825HC US OB ECHOCARDIOGRAPHY FETAL $ 1,879.00
33
MATERNITY7200059320HC CERCLAGE OF CERVIX VAGINAL $ 3,793.00
34
MATERNITY4500059414HC DELIVERY OF PLACENTA (SEPARATE PROC) $ 5,946.00
35
MATERNITY4500059409HC VAGINAL LABOR & DELIVERY $ 6,827.00
36
MATERNITY7220059514HC CESAREAN DELIVERY ONLY $ 6,827.00
37
MATERNITY7220159514HC C/SECTION WITH LABOR $ 6,827.00
38
MATERNITY4500059612HC VBAC DELIVERY $ 7,586.00
39
MATERNITY7220059620HC ATTEMPT VBAC DELIVERY $ 7,586.00