Provider Orders

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


  • A lab draw/collection fee of $35 will be charged for lab visits.


  • Our ultrasound technician is available Wednesdays from 9:00am – 11:00am and rotates between our Black River Falls and Greenwood locations.
  • Pricing and scheduling are for singleton ultrasounds and include a radiology read. Contact us for scheduling.

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 35% discount is applied when payment is made on the same day of service.

OB Panel (CBC w/ Auto Diff, ABORH, Antibody Screen, Syphilis, Rubella, Hep B)80055$129.00
1hr Glucose Tolerance Screen (can bring own 100% grape juice if desired)82950$52.00
2hr Gestational Diabetes Test (can bring own 100% grape juice if desired)829547 + 82951$104.00
Hemoglobin A1C83036$68.00
Antibody Screen86850$73.00
Blood Typing (ABO/Rh)86900 + 86901$78.00
Complete Blood Count w/ Auto Differential85025$58.00
Group Beta Strep Culture87081$65.00
Quantitative hCG84702$84.00
Early Ultrasound <14 weeks (Transvaginal)76801$463.00
Fetal Anatomy Scan (18 – 22 weeks)76805$463.00
Follow Up / Limited Ultrasound (ex: fetal growth & position, AFI)76815$413.00
Newborn Circumcision (≤14 days old)54150$474.00