Average Medicaid Pregnancy & Prenatal Care Payments in Atlanta, GA: $357.31
Avg. Paid
$357.31
Range
$76.72 – $1,092
Total Claims
3,436
Providers
10
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 Atlanta, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bradley Stetzer
550 Peachtree St Ne Ste 1275 |
$293.26 | 2,358 | 2,281 |
|
Jasmaine Coleman
550 Peachtree St Ne |
$262.77 | 418 | 405 |
|
Benjamin Andrew Bush
550 Peachtree St Ne |
$690.78 | 252 | 247 |
|
Southside Medical Center, Inc.
1046 Ridge Ave Sw |
$688.61 | 188 | 183 |
|
Michael K. Lindsay
80 Jesse Hill Jr Dr Se |
$586.83 | 109 | 85 |
|
Margaret Mary Shiver
80 Jesse Hill Jr. Dr |
$76.72 | 42 | 41 |
|
Maritza Amaly Rivera Montalvo
Emory Hosiptal 69 Jesse Hill Jr Dr Se |
$1,092 | 29 | 26 |
|
Laura Ramirez-Caban
1365 Clifton Rd Ne Bldg A4Th |
$199.24 | 14 | 14 |
|
Carl Donnell Zollicoffer
3495 Piedmont Rd Ne |
$938.53 | 14 | 14 |
|
Natalie Levey Neff
1000 Johnson Ferry Rd |
$673.10 | 12 | 12 |
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 Atlanta, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Atlanta, GA is $357.31 per claim, based on 3,436 claims from 10 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 Atlanta, GA?
There are 10 Medicaid providers offering Pregnancy & Prenatal Care related services in Atlanta, GA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Atlanta, GA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Atlanta, GA ranges from $76.72 to $1,092 per claim, with an average of $357.31. 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 Atlanta, GA
Non-Emergency Medical Transportation
Avg $10.41
3,368,719 claims
Emergency Room Visit
Avg $261.11
1,736,171 claims
Office Visit
Avg $65.00
1,497,277 claims
Blood Work & Lab Tests
Avg $9.49
1,059,338 claims
X-Ray
Avg $19.60
1,038,179 claims
Ultrasound
Avg $89.22
645,444 claims
Physical Therapy
Avg $100.84
350,460 claims
EKG / ECG (Electrocardiogram)
Avg $11.82
326,821 claims