| Service Description | Charge per Case |
|---|---|
| CESAREAN SECTION W CC/MCC | $23,487.36 |
| CESAREAN SECTION W/O CC/MCC | $17,785.65 |
| FULL TERM NEONATE W MAJOR PROBLEMS | $51,894.00 |
| NEONATE W OTHER SIGNIFICANT PROBLEMS | $8,582.00 |
| NORMAL NEWBORN | $5,328.00 |
| PREMATURITY W/O MAJOR PROBLEMS | $25,172.00 |
| VAGINAL DELIVERY W COMPLICATING DIAGNOSES | $11,202.51 |
| VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C | $16,012.00 |
| VAGINAL DELIVERY W STERILIZATION &/OR D&C | $13,621.44 |
| VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES | $10,224.00 |
Maternity
