Average Medicaid Pregnancy & Prenatal Care Payments in Avon, IN: $93.84
Avg. Paid
$93.84
Range
$47.57 – $129.54
Total Claims
13,560
Providers
24
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 Avon, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marwan F Saleh
1111 Ronald Reagan Pkwy |
$88.00 | 3,459 | 2,170 |
|
Edmund Gomez
1115 Ronald Reagan Pkwy |
$89.43 | 2,010 | 1,270 |
|
Esther Mili Kim
1111 Ronald Reagan Pkwy Ste 2440 |
$129.54 | 1,481 | 1,213 |
|
Michael Charles Mondheim
1115 Ronald Reagan Pkwy Ste 266 |
$110.62 | 1,413 | 868 |
|
Tiffany J Fan
1115 Ronald Reagan Pkwy Ste 266 |
$90.50 | 1,068 | 729 |
|
Francis X Hussey
1115 Ronald Reagan Pkwy |
$81.21 | 939 | 570 |
|
Travis A Richardson
1111 Ronald Reagan Pkwy Ste 1400 |
$86.43 | 928 | 686 |
|
Kayla Marie Singleton
1115 Ronald Reagan Pkwy |
$92.87 | 311 | 276 |
|
Jessica Mae Healey
1115 Ronald Reagan Pkwy |
$88.95 | 302 | 224 |
|
Kyle Reece Mackey
1111 Ronald Reagan Pkwy Ste C1400 |
$92.05 | 290 | 220 |
|
Alyssa Michelle Zalenski
6911 E Us Highway 36 |
$83.40 | 288 | 180 |
|
Krystal Reynolds
6911 E Us Highway 36 |
$87.78 | 193 | 116 |
|
Laurie Marie Van Donselaar
6911 E Us Highway 36 |
$70.55 | 169 | 103 |
|
Amy Wynn Hardin
1115 Ronald Reagan Pkwy Ste 266 |
$47.57 | 137 | 110 |
|
Julia Lauren Ruckman-Long
6911 E Us Highway 36 |
$83.72 | 135 | 90 |
|
Andrea G Huffman
6911 E Us Highway 36 |
$77.95 | 102 | 55 |
|
Miriam Tyndall Krober
1111 Ronald Reagan Pkwy Ste C1400 |
$87.13 | 93 | 68 |
|
Mary Rebecca Haak
1111 Ronald Reagan Pkwy Ste C1400 |
$68.00 | 73 | 58 |
|
Blair S Dina
1115 Ronald Reagan Pkwy Ste 266 |
$81.14 | 56 | 43 |
|
Beatrice Soderholm
6911 E Us Highway 36 |
$68.15 | 38 | 26 |
|
Anita K Mazdai
6911 E Us Highway 36 |
$71.41 | 28 | 13 |
|
Robert E Grondahl
1111 Ronald Reagan Pkwy Ste 1400 |
$89.49 | 19 | 12 |
|
Grace C Badman
6911 E Us Highway 36 |
$65.71 | 16 | 12 |
|
Deborah E Latran
1111 Ronald Reagan Pkwy |
$83.26 | 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 Avon, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Avon, IN is $93.84 per claim, based on 13,560 claims from 24 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 Avon, IN?
There are 24 Medicaid providers offering Pregnancy & Prenatal Care related services in Avon, IN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Avon, IN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Avon, IN ranges from $47.57 to $129.54 per claim, with an average of $93.84. 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 Avon, IN
Behavioral & Mental Health Therapy
Avg $118.17
483,788 claims
Psychiatric Evaluation
Avg $51.44
353,769 claims
Case Management Services
Avg $39.52
256,079 claims
Office Visit
Avg $60.50
241,128 claims
Blood Work & Lab Tests
Avg $6.28
177,490 claims
Emergency Room Visit
Avg $116.74
171,821 claims
Substance Abuse Treatment
Avg $72.70
56,481 claims
Physical Therapy
Avg $32.63
53,503 claims