Footprints offers a number of ancillary services including labs, ultrasound, and newborn circumcision. We can bill the insurance companies listed on the order form. We also offer discounted rates for self-pay patients that pay on the date of service. Additional services may be available upon request.
Payment and Scheduling Considerations
Labs
- A lab draw/collection fee of $35 will be charged for lab visits.
Ultrasound
- Our ultrasound technician is available Wednesdays from 9:00am – 11:00am and rotates between our Black River Falls and Greenwood locations.
- Upcoming 2021 Black River Falls Dates: 07/07, 07/27, 08/04, 08/18, 09/01, 09/15, 09/29, 10/13, 10/27, 11/10, 11/24, 12/08, 12/22
- Upcoming 2021 Greenwood Dates: 06/30, 07/14, 07/28, 08/11, 08/25, 09/08, 09/22, 10/06, 10/20, 11/03, 11/17, 12/01, 12/15, 12/29
- Pricing and scheduling are for singleton ultrasounds and include a radiology read. Contact us for multiple gestation.
Newborn Circumcision
- Infant must be no older than 14 days.
- Call our office as soon as possible after delivery to ensure scheduling availability for circumcision.
A 25% discount is applied when payment is made on the same day of service.
Test/Procedure | CPT | Price |
OB Panel (CBC w/ Auto Diff, ABORH, Antibody Screen, Syphilis, Rubella, Hep B) | 80055 | $103.00 |
1hr Glucose Tolerance Screen (can bring own 100% grape juice if desired) | 82950 | $41.00 |
2hr Gestational Diabetes Test (can bring own 100% grape juice if desired) | 829547 + 82951 | $82.00 |
Hemoglobin A1C | 83036 | $54.00 |
Antibody Screen | 86850 | $58.00 |
Blood Typing (ABO/Rh) | 86900 + 86901 | $62.00 |
Complete Blood Count w/ Auto Differential | 85025 | $46.00 |
Group Beta Strep Culture | 87081 | $52.00 |
Quantitative hCG | 84702 | $67.00 |
Hemoglobin | 85018 | $42.00 |
Progesterone | 84144 | $89.00 |
Early Ultrasound <14 weeks (Transvaginal) | 76801 | $370.00 |
Fetal Anatomy Scan (18 – 22 weeks) | 76805 | $370.00 |
Follow Up / Limited Ultrasound (ex: fetal growth & position, AFI) | 76815 | $330.00 |
Newborn Circumcision (≤14 days old) | 54150 | $255.00 |