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Based on public Medicaid payment data.

Average Medicaid Pregnancy & Prenatal Care Payments in Austin, TX: $101.26

Avg. Paid

$101.26

Range

$17.10 – $1,480

Total Claims

13,847

Providers

47

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 Austin, TX

Provider Avg. Paid Claims Patients
People'S Community Clinic, Inc.

1101 Camino La Costa

$17.17 2,940 2,519
Central Texas Community Health Centers

1210 W. Braker Lane

$26.29 2,666 2,402
Central Texas Community Health Centers

2901 Montopolis Dr

$28.78 1,946 1,762
Paola A Rosa

11111 Research Blvd Ste 475

$60.29 648 581
Central Texas Community Health Centers

211 Comal St

$24.51 611 542
Central Texas Community Health Centers

7112 Ed Bluestein Blvd Ste 105

$34.69 574 532
Fiona Claire Esfandiari

12200 Renfert Way Ste 100

$196.85 574 522
Central Texas Community Health Centers

2237 E Riverside Dr Ste 101C

$37.78 561 502
Sarita Maradani

4207 James Casey St Ste 315

$161.05 509 455
Clive Polon

900 E 30Th St

$594.88 309 282
Nicholas Ryan Spencer

12200 Renfert Way Ste G-3

$646.21 288 279
Robert Sorin

900 E 30Th St

$37.95 225 211
Joanne Jorissen Chiwaula

People'S Community Clinic

$36.14 205 188
Shayla T Matthews-Jackson

12201 Renfert Way Ste 220

$563.61 197 193
Rachael L Ferrero

4201 Marathon Blvd Ste 300

$77.39 183 138
Amanda Christine Halle

12200 Renfert Way

$123.12 167 159
Marcos Sosa

211 Comal St

$595.84 120 108
Central Texas Community Health Centers

2410 E Riverside Dr Ste 105

$17.10 116 102
Julia Gutierrez

12200 Renfert Way Ste 100

$213.21 102 99
Angela Christine Desantis

2909 N I-35 Service Rd

$37.48 99 90
Molly Lisa Singer

1301 W 38Th St Ste 705

$547.19 76 69
Aspen Nicole Green

919 E 32Nd St

$460.28 69 64
Deisy Ali Jaimes-Jaimes

2909 N Ih 35

$88.61 59 57
Nina F Abrishami

2909 N Interstate 35 Apt 2307

$90.77 48 44
Margaret Wall

2909 N I H 35

$66.91 47 42
Jennifer L Arce

5555 N. Lamar Blvd

$58.08 39 38
Karla E Maguire

1301 W 38Th St Ste 705

$1,480 39 38
Judith Sanders

2909 N Ih 35

$63.79 38 38
Hannah Michelle Crement

919 E 32Nd St

$459.61 37 35
Lisa M Sunden

313 E 12Th St

$521.53 36 36
Lorie Michelle Harper

1301 W 38Th St Ste 705

$1,135 31 29
Teshira Davis

12221 N Mopac Expy

$89.01 31 29
Alyson Danelle Garcia

12200 Renfert Way

$84.58 27 24
Mamaram Ceesay

1301 W 38Th St Ste 705

$383.79 27 27
Sasan Askari

4007 James Casey St

$91.84 26 26
Peter E Diaz

9835 N Lake Creek Pkwy

$559.39 25 25
Bergen Christine Vardell

12174 N Mopac Expy Ste A

$434.80 16 14
Melissa Guzman Winn

2911 Medical Arts St

$126.64 16 14
Robert S Crumb

901 W Ben White Blvd

$539.03 16 16
Christina Elizabeth Sebestyen

12221 Renfert Way

$87.63 15 13
Traci Michelle Craft

1301 W 38Th St Ste 705

$80.66 14 13
Felix --- Hull

2911 Medical Arts St Ste 16

$71.53 14 12
Kimberly Carter

911 W 38Th St Ste 202

$672.28 13 13
Danielle Frances Duquette

12221 Renfert Way

$537.20 12 12
Carrie Culbertson

12221 Renfert Way Ste 330

$203.22 12 12
Ashley Harrison Choucroun

601 E 15Th St

$592.24 12 12
Max Holtz

1301 W 38Th St Ste 705

$652.03 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 Austin, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Austin, TX is $101.26 per claim, based on 13,847 claims from 47 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 Austin, TX?

There are 47 Medicaid providers offering Pregnancy & Prenatal Care related services in Austin, TX according to public payment data.

What is the price range for Pregnancy & Prenatal Care in Austin, TX?

Medicaid reimbursement for Pregnancy & Prenatal Care in Austin, TX ranges from $17.10 to $1,480 per claim, with an average of $101.26. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Pregnancy & Prenatal Care in Other Cities

Other Procedures in Austin, TX