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Pelvic Ultrasound (Sonogram) Date: _____________ Time: _____________ Check-in: _____________ 700 Ironwood Drive, Suite 175 Coeur d’Alene, Idaho 83814 208.625.6300 tel 1300 E. Mullan Ave, Suite 700 Post Falls, Idaho 83854 208.625.5564 tel What is a Pelvic Ultrasound (Sonogram)? A pelvic ultrasound is an imaging procedure used to examine organs in the pelvis including the uterus, fallopian tubes, ovaries, cervix, and bladder. Ultrasound uses high-frequency sound waves that reflect off of a body structure to form an image. Pelvic Ultrasounds are Performed to: • Assess health of pelvic organs • Diagnose or evaluate endometriosis, ovarian cysts, fibroids, lesions or an ectopic pregnancy • Evaluate response to fertility medications • Diagnose bladder tumors or other urinary disorders • Diagnose ovarian or uterine cancer • Assess abnormal bleeding or menstrual pain How is it Performed? A clear water-based gel is applied to the area of the body being studied to help the transducer make smooth even contact with the body and eliminate air pockets. The ultrasound technologist then presses the transducer against the skin and glides it over the area of interest. The ultrasound examination is usually completed within 30 minutes to an hour. How to Prepare A full bladder is necessary to get good ultrasound image. First empty your bladder, then drink 32 ounces of water (four/8 ounce glasses). Finish drinking water one hour before your exam. Do not urinate until you have been advised by the technologist to do so. While it is slightly uncomfortable to have a full bladder, it helps the technologist to better visualize the pelvic organs. Tell your doctor if you have had a barium enema or a series of Upper GI (gastrointestinal) tests within the past two days. Barium remains in the intestines and can interfere with the ultrasound test. Insurance & Billing Information Kootenai Outpatient Imaging patients will receive two statements, one for technical services from Kootenai Health and the other for radiologist interpretation from Kootenai Imaging. Billing Questions? Kootenai Health customer service: 208.625.6199 or 888.974.1235 toll free • kh.org and click on Pay My Bill Online Kootenai Imaging customer service: 877.318.7270 • peryourhealth.com Insurance plans may require a referral, deductible, co-payment or preauthorization. It is the patient’s responsibility to be aware of these requirements. Your insurance contract is between you, your employer and your insurance carrier. Please contact your insurance carrier with questions on your specific coverage. All domestic insurance carriers will be billed. Patients with contracted insurance carriers may benefit from a contractual rate adjustment. Submitting Your Payment Payments for Kootenai Health can be made: • In person: 1221 W. Ironwood Drive, Coeur d’Alene, ID 83814, M-F, 7:30 a.m. – 4:30 p.m. • By mail: Kootenai Outpatient Imaging, 2003 Kootenai Health Way, Coeur d’Alene, ID 83814 • By phone: 208.625.6199 or 888.974.1235 toll free M-F, 7:30 a.m. – 4:30 p.m. • Online: Visit www.kh.org and click on Pay My Bill Online Coeur d’Alene, ID AmeriTel Inn Shopko Shari’s Wells Fargo Albertsons U.S. 95 (Lincoln Way) Kootenai Health Way Exit 12 McGrane Center Health Resource Center Imaging Services Parking Garage Ironwood Dr. 90 Lakew ood D r. Exit 11 Northw est Blv d. Ironwood Dr. 1919 Lincoln Way Kootenai Outpatient Imaging