|
ABORTION PROCEDURE FEES |
|
Early Surgical Abortion ( 6-12 Weeks ) |
| |
|
Cash |
ADC |
| Methotrexate |
|
$395.00 |
$395.00 |
| RU |
|
$475.00 |
$450.00 |
| Local Anesthesia |
|
$355.00 |
$330.00 |
| Sedation Anesthesia |
|
$455.00 |
$430.00 |
| MAC |
|
$505.00 |
$480.00 |
| |
|
|
|
Late Surgical Abortion ( 13-14 Weeks ) |
| Local Anesthesia |
|
$465.00 |
$440.00 |
| Sedation Anesthesia |
|
$565.00 |
$540.00 |
| MAC |
|
$615.00 |
$590.00 |
| |
|
|
|
Late Surgical Abortion ( 15-16 Weeks ) |
| Sedation Anesthesia |
|
$665.00 |
$640.00 |
| MAC |
|
$715.00 |
$690.00 |
| |
|
|
|
Late Surgical Abortion ( 17-18 Weeks ) |
| Sedation Anesthesia |
|
$865.00 |
$840.00 |
| MAC |
|
$915.00 |
$890.00 |
| |
|
|
|
Late Surgical Abortion ( 19 -20Weeks ) |
| Sedation Anesthesia |
|
$1020.00 |
$995.00 |
| MAC |
|
$1070.00 |
$1045.00 |
| |
|
|
|
Late Surgical Abortion ( 21 -22Weeks ) |
| Sedation Anesthesia |
|
$1500.00 |
|
| MAC |
|
$1625.00 |
|
| |
|
|
|
Early Medical Abortion ( 3-7 Weeks ) |
|
|
$395.00 |
$395.00 |
| |
|
|
|
OTHER SERVICE FEES |
|
RhoGam Injection |
|
1ST Trimester Abortion |
|
$45.00 |
|
2nd Trimester Abortion |
|
$100.00 |
| |
|
|
|
Urine Pregnancy Test |
|
|
FREE |
| |
|
|
|
Ultrasound Only |
|
|
$150.00 |
| |
|
|
|
Decision Counseling |
|
|
$85.00 |
| |
|
|
|
Pap Test |
|
|
$75.00 |
| |
|
|
|
Office Visit (Established) |
|
|
$50.00 |
| |
|
|
|
Family Planning Visit |
|
|
$85.00 |
| |
|
|
|
Depoprovera with Pap Test ( 1st Visit ) |
|
|
$150.00 |
| |
|
|
|
Depoprovera After Abortion Procedure |
|
|
$85.00 |
| |
|
|
|
Depoprovera ( 2nd Visit ) |
|
|
$60.00 |
| |
|
|
|
Sedation Anesthesia for RU-486 Re-suction |
|
|
$80.00 |
| |
|
|
|
General Anesthesia for RU-486 Re-suction |
|
|
$125.00 |
| |
|
|
