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
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 Austin, TX
Blood Work & Lab Tests
Avg $7.09
4,048,248 claims
Personal Care Services
Avg $51.29
3,439,018 claims
Office Visit
Avg $39.88
1,367,991 claims
X-Ray
Avg $5.51
1,081,382 claims
Vaccines & Immunizations
Avg $3.40
861,990 claims
Dental Cleaning & Exam
Avg $37.36
759,881 claims
Emergency Room Visit
Avg $125.71
658,275 claims
Urinalysis & Urine Tests
Avg $2.52
612,948 claims