Before any elective hospitalization, ask for an all-inclusive estimate and a pricing breakdown, and be sure you understand how the hospital calculates its bills. And once you’ve left the hospital, ask for an itemized bill and scrutinize it carefully.
Kerrschneider even joked with her husband that for that amount of money she could have had the baby at home, bought her own nitrous oxide machine and rented it out to other people afterward. Well, she was close. A new nitrous oxide delivery machine retails for around $6,500 and tank refills cost less than $50, according to CareStream America, a company that sells the equipment.
“There is no transparency or standardization,” Rooks said, noting that charges can vary widely for nitrous oxide during labor. The use of nitrous oxide has long been common during childbirth in the United Kingdom and Canada, in part because of its low cost. Many people in the U.S. have learned about the practice while watching the popular British period drama “Call the Midwife,” set in the 1950s. Epidural anesthesia largely displaced nitrous oxide in the U.S. in the ’70s.
But billing can change if nitrous oxide is administered or supervised by a physician or nurse anesthetist, which means the intervention can be assigned an anesthesia code.
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