How Much Does Ob US Follow-up per Fetus Cost?
Also known as: Ob us follow-up per fetus (CPT 76816)
A follow-up obstetric ultrasound for a pregnancy that has already had a complete anatomy scan.
Ob US Follow-up per Fetus (CPT 76816) costs $111 at Medicare rates.
The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.
Patient Guide: Ob US Follow-up per Fetus
What you need to know before your appointment
What to Expect
A focused ultrasound to check on baby growth, position, and specific findings that need monitoring, such as fluid levels or placenta position.
How Long Does It Take?
20-30 minutes
Common Reasons Doctors Order This
Growth monitoring, checking baby position before delivery, placenta location follow-up, fluid level check
How to Prepare
Wear comfortable, two-piece clothing. No special preparation usually needed for follow-up scans.
Procedures Commonly Done Together
These procedures are frequently performed alongside Ob us follow-up per fetus
How to Reduce Your Cost for Ob us follow-up per fetus
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (3.33) x CF ($33.40) = $111
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Ob us follow-up per fetus cost?
The Medicare facility rate for Ob us follow-up per fetus is $111. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Ob us follow-up per fetus cost without insurance?
Without insurance, the cost of Ob us follow-up per fetus can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Ob us follow-up per fetus?
Most commercial health insurance plans and Medicare cover Ob us follow-up per fetus when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.