Average Medicaid Pregnancy & Prenatal Care Payments in Anaheim, CA: $87.26
Avg. Paid
$87.26
Range
$0.00 – $438.07
Total Claims
16,576
Providers
17
Typical Payment Range
Typical Medicaid Pregnancy & Prenatal Care payments fall between $70.83 and $584.62 per claim (median: $133.32). The top 10% of payments exceed $983.55.
Based on per-provider averages across all Medicaid claims in this category.
Prenatal care services monitor the health of the mother and developing baby throughout pregnancy, including routine exams, ultrasounds, and lab work.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Pregnancy & Prenatal Care in Anaheim, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George Ahad
947 S Anaheim Blvd |
$149.67 | 3,704 | 2,592 |
|
Amin R Fawwaz
3010 W Orange Ave |
$79.10 | 2,960 | 1,863 |
|
Nilima H Mamtora
531 S Harbor Blvd |
$66.14 | 2,708 | 1,585 |
|
Southern California Permanente Medical Group
441 N Lakeview Ave |
$1.18 | 2,316 | 2,314 |
|
Helen H Luong
1019 W La Palma Ave Unit B |
$74.53 | 1,000 | 723 |
|
Providence Medical Foundation
200 W Center Street Promenade Ste 100 |
$60.37 | 551 | 341 |
|
Cristina Hernandez O'Day
1211 W La Palma Ave |
$74.26 | 533 | 352 |
|
University Of California Irvine
2441 W La Palma Ave |
$49.97 | 529 | 344 |
|
George Ahad, Md, Inc
947 S Anaheim Blvd |
$254.73 | 483 | 382 |
|
Altamed Health Services Corp
1820 W Lincoln Ave |
$0.00 | 452 | 305 |
|
Jane K Hong
1174 N Euclid St |
$71.95 | 368 | 268 |
|
Yung Tae Kim
3010 W Orange Ave |
$438.07 | 285 | 282 |
|
Jacquelyn Diane Sammons
6200 E Canyon Rim Rd Ste 105B |
$74.39 | 265 | 162 |
|
Altamed Health Services Corp
1325 N Anaheim Blvd Ste 200 |
$0.00 | 189 | 148 |
|
Merlin Ann Sunny
710 N Euclid St Ste 107 |
$34.34 | 128 | 99 |
|
Central City Community Health Center Inc
2237 W Ball Rd |
$26.26 | 76 | 52 |
|
W 2 W Medical Group Inc
531 S Harbor Blvd |
$59.87 | 29 | 14 |
What to Expect: Pregnancy & Prenatal Care
Prenatal visits occur monthly in the first two trimesters, then more frequently. Early visits include a full health history, blood work, and dating ultrasound. Subsequent visits check blood pressure, weight, urine, and fetal heartbeat. Anatomy ultrasound is done around 20 weeks. Glucose screening occurs at 24-28 weeks. Visits become weekly in the final month.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 59425 | Antepartum care 4-6 visits | $61.80 | 3,944,438 | 4,039 |
| 59426 | Antepartum care 7+ visits | $128.57 | 1,377,597 | 2,059 |
| 59430 | Postpartum care only | $83.88 | 974,460 | 3,800 |
| 59409 | Vaginal delivery only | $603.80 | 683,557 | 3,289 |
| 59514 | Cesarean delivery only | $402.77 | 268,540 | 1,509 |
| 59400 | Routine obstetric care vaginal | $1,660 | 177,823 | 996 |
| 59410 | Vaginal delivery w/postpartum | $808.16 | 68,014 | 583 |
| 59515 | Cesarean delivery w/postpartum | $663.35 | 28,695 | 217 |
| 59510 | Routine obstetric care cesarean | $1,678 | 25,421 | 152 |
| 59612 | VBAC delivery only | $878.81 | 56 | 3 |
| 59620 | Repeat cesarean delivery only | $314.45 | 26 | 1 |
| 59610 | Routine OB care VBAC | — | — | — |
| 59614 | VBAC delivery w/postpartum | — | — | — |
| 59618 | Routine OB care repeat cesarean | — | — | — |
| 59622 | Repeat cesarean w/postpartum | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Pregnancy & Prenatal Care cost in Anaheim, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Anaheim, CA is $87.26 per claim, based on 16,576 claims from 17 providers. Typical payments fall between $70.83 and $584.62. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Pregnancy & Prenatal Care in Anaheim, CA?
There are 17 Medicaid providers offering Pregnancy & Prenatal Care related services in Anaheim, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Anaheim, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Anaheim, CA ranges from $0.00 to $438.07 per claim, with an average of $87.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
Indianapolis, IN
Avg $91.13
294,166 claims · 246 providers
Bakersfield, CA
Avg $112.46
262,587 claims · 74 providers
Fresno, CA
Avg $14.81
153,894 claims · 79 providers
New York, NY
Avg $147.67
132,979 claims · 61 providers
Sacramento, CA
Avg $28.38
124,581 claims · 68 providers
Riverside, CA
Avg $77.93
123,836 claims · 33 providers
Fort Wayne, IN
Avg $74.47
106,706 claims · 71 providers
San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Other Procedures in Anaheim, CA
Office Visit
Avg $31.75
2,783,225 claims
Blood Work & Lab Tests
Avg $2.57
1,593,947 claims
Vaccines & Immunizations
Avg $4.48
800,352 claims
Urinalysis & Urine Tests
Avg $1.66
603,546 claims
Behavioral & Mental Health Therapy
Avg $81.57
593,525 claims
Dental Cleaning & Exam
Avg $54.57
564,581 claims
Physical Therapy
Avg $18.60
557,320 claims
Substance Abuse Treatment
Avg $41.56
539,605 claims