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Package

Obstetric panel

Package

Obstetric panel

An obstetric panel is a group of blood tests performed early in pregnancy to check the health of both the pregnant person and the developing baby. The tests screen for blood type, Rh factor, anemia, and infections such as hepatitis B, HIV, and syphilis, as well as immunity to diseases like rubella. Only a single blood draw is needed, typically during the first prenatal visit. Results help your doctor identify any risks and plan appropriate care throughout the pregnancy.
You'd pay up to
$1,523 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$1,523

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$595
Highest
$1,751
Cash price
up to $1,523

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Obstetric panel Standard Service Package (SSP LA010). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS 87591 Facility Fee Amplified probe technique for neisseria gonorrhoeae DNA/RNA detection
HCPCS 87086 Facility Fee Quantitative analysis of bacterial colonies in urine culture
HCPCS 81001 Facility Fee Automated urinalysis with dip stick/tablet reagent and microscopy
HCPCS 80055 Facility Fee Obstetric Panel: Cbc+diff, Hbsag, Rubella, Vdrl/Rpr/art, Rbc Antibody Screen, Abo+rh Typing
HCPCS 86803 Facility Fee Antibodies which indicate hepatitis c infection
HCPCS 87491 Facility Fee Chlamydia testing using amplified probe technique
HCPCS 86696 Facility Fee Filler - Change Overwrite This
HCPCS 86695 Facility Fee Test for Antibodies Specific to Herpes Simplex Virus Type 1
HCPCS 36415 Facility Fee Collection of blood from a vein via puncture
HCPCS 87389 Facility Fee HIV-1/2 antigen and antibody test (ELISA/EIA)
HCPCS 80055 Professional Fee Obstetric Panel: Cbc+diff, Hbsag, Rubella, Vdrl/Rpr/art, Rbc Antibody Screen, Abo+rh Typing
HCPCS 87389 Professional Fee HIV-1/2 antigen and antibody test (ELISA/EIA)
HCPCS 87491 Professional Fee Chlamydia testing using amplified probe technique
HCPCS 87591 Professional Fee Amplified probe technique for neisseria gonorrhoeae DNA/RNA detection
HCPCS 86803 Professional Fee Antibodies which indicate hepatitis c infection
HCPCS 87086 Professional Fee Quantitative analysis of bacterial colonies in urine culture
HCPCS 86696 Professional Fee Filler - Change Overwrite This
HCPCS 86695 Professional Fee Test for Antibodies Specific to Herpes Simplex Virus Type 1
HCPCS 81001 Professional Fee Automated urinalysis with dip stick/tablet reagent and microscopy
HCPCS 36415 Professional Fee Collection of blood from a vein via puncture

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$1,523 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Obstetric panel
Service Codes HCPCS 87591, HCPCS 87086, HCPCS 81001, HCPCS 80055, HCPCS 86803
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Obstetric panel I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS 87591, HCPCS 87086, HCPCS 81001, HCPCS 80055, HCPCS 86803. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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