Financial

We invite you to visit us at Village Obstetrics for a complimentary meet-and-greet appointment. We can accommodate most patients within a few days.

Debbie Aglietti is our onboarding manager. She will be your point person for any questions about cost and insurance.

We are not in-network with any insurance plans. However, we will assist you in understanding your insurance and submitting your claims for insurance reimbursement if you have out-of-network benefits. Our billing is dependent on the service(s) provided and the medical complexity. Our prices are set to 95% of Fair Health for our zip codes, 10011 and 10128. Our experience has been that patients with out-of-network benefits get some, but not all of their pregnancy costs at Village Obstetrics reimbursed directly to them by their insurance company.

fairhealthconsumer.org

“FAIR Health is a national, independent nonprofit organization whose mission is to bring transparency to healthcare costs and health insurance information through comprehensive data products, consumer resources, and the support of health services research. FAIR Health uses its database of billions of billed medical and dental services to power an award-winning, free website that enables consumers to estimate and plan their medical and dental expenditures.”

CPT (Current Procedural Terminology) common codes for obstetrical services:


CPT 59400 Global Maternity Care with vaginal delivery
CPT 59618 Global Maternity Care with cesarean delivery
CPT 59610 Global Maternity Care prior c-section with vaginal delivery (Vaginal Birth After Cesarean – VBAC)
CPT 59510 Global Maternity Care prior c-section with repeat
cesarean delivery
CPT 59409 Vaginal delivery only (non-global)
CPT 59514 Cesarean delivery only (non-global)
CPT 59612 VBAC delivery only (non-global)
CPT 59620 Prior C-section with repeat c-section, delivery only (non-global)
CPT 99205 Comprehensive New Patient First Visit (not part of global)
CPT 99215 Comprehensive Prior VOB Patient First Visit (not part of global)
CPT 99213, 99214 Non-routine office visits
CPT 99243, 99245 Maternal -Fetal Medicine Consultations
CPT 76815 Limited sonogram
CPT 76816 Growth sonogram
CPT 76817 Transvaginal sonogram/cervical length
CPT 76857 GYN sonogram
CPT 76830 GYN transvaginal songram
CPT 76819 BPP
CPT 76818 BPP with NST
CPT 76820 Color doppler sonogram
CPT 59025 Nonstress test (NST)

Mount Sinai Hospital participates with most insurance providers. We suggest you verify with your health plan that Mount Sinai Hospital is considered an in-network hospital (NPI 1932103413).

Pregnancy care is covered by most insurance plans. However, out-of-pocket costs (or the portion not covered by insurance) vary depending on your plan and benefits package. Generally, coverage falls into these categories:

 

– Pregnancy care and office ultrasounds (billed by Village Obstetrics)
– Routine testing, genetic screening, outside ultrasounds (billed by the lab or imaging center)
– Hospital facility fee (billed by Mount Sinai Hospital)
– Other common ancillary services such as doula care, nutrition, or acupuncture (billed by that service provider)

Debbie Aglietti, Onboarding Manager at Village Obstetrics
Debbie Aglietti, Onboarding Manager at Village Obstetrics

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