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Re: Ultrasound screening in adavanced maternal age.From: R.Daniel Braun, MD FACOG (rbraun@netdirect.net)Thu Oct 30 21:07:30 1997
At Thu, 30 Oct 1997, DMECNM@aol.com wrote: > >In a message dated 97-10-30 16:27:11 EST, you write: > ><< If a patient declines amnio, do you recommend an ultrasound. > > If you recommend ultrasound, do you: Do it in your office > Send the patient to > radiology > Send the patient to >an > MFM (if available) > >> > >In "our" practice, all AMA pts are referred to genetic consultation with a >Perinatal Group. My OB does not do amnios. There, if the pt declines amnio, >she is offered ultrasound. Knocked me out of my shoes when I found out that >they charge $1800 for the amnio alone. Is that the going rate for >amniocentesis? WOW!!! The consultation is $171.60. Why that figure? I >haven't a clue. > >Denise, CNM I uspect the $171.60 is what th insurance companies in your area have established as the fee for a Level 5 consultation visit. Docs don't set their fees any more, the insurance companies do. Usually the fee that one can get paid for doing an amniocentesis is in the range of $140-250. I would guess that the $1800 includes the Laboratory fee. If all they are doing is a karyotype, that seems alittle excessive at least for the fees that I am aware of in Texas and also around here.
-- R.Daniel Braun, MD
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