![]() ![]() Most insurance companies have interpreted the Affordable Care Act’s requirements on prenatal coverage with no cost-sharing to exclude ultrasounds. Certain tests are mentioned in the legislation and subsequent guidance, including screening for gestational diabetes, however, no specific mention is made of radiology, which is the category that includes ultrasounds. That means, no deductible, no copay, no-coinsurance, literally no out-of-pocket cost to the insured beyond the premium. To comply with the Affordable Care Act, health insurers must cover preventive care including "many services necessary for prenatal care" with no cost-sharing, according to the U.S. The FDA and several medical groups like the American Medical Association and The American College of Obstetricians and Gynecologists warn women against "keepsake sonograms," which may be offered by private companies. You could ask them if you can negotiate the cost or set-up a payment plan, as well. If you are uninsured, you will need to ask your medical provider upfront. Make sure to stay in-network to minimize your costs. If you want to know how much your first ultrasound will cost, call your provider to find out the cost. Large hospitals with higher administrative costs may charge more for a sonogram than a doctor’s office or stand-alone clinic would. ![]() The amount you’re charged can also vary dramatically depending on your provider. According to Healthcare Bluebook, a fetal ultrasound in New Jersey could cost around $350 but in Oklahoma, it drops to $175. This amount may vary, depending on the city or state of the mother. Healthcare Bluebook, which estimates fair prices of medical procedures in various parts of the country, suggests that a reasonable cost for a fetal ultrasound is $202. The "sticker price" of having an ultrasound can vary dramatically, depending on where you live, and who’s providing the service. How much does a pregnancy ultrasound cost? communities to offer a single ultrasound examination at 18 to 20 weeks' gestation, even if dating confirmation is not needed." The American Academy of Family Physicians says, "It is the standard of care in most U.S. ![]()
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