Average Medicaid Pregnancy & Prenatal Care Payments in Berkeley, CA: $240.05
Avg. Paid
$240.05
Range
$0.00 – $307.68
Total Claims
3,438
Providers
9
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 Berkeley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arzou D Ahsan
2915 Telegraph Ave |
$307.68 | 2,545 | 2,529 |
|
Kara Cunningham
3100 San Pablo Ave Ste 310 |
$0.00 | 481 | 388 |
|
Carol Livingston
2450 Ashby Ave Ste 3040 |
$59.18 | 111 | 109 |
|
Kylie Brookes
2450 Ashby Ave Ste 3040 |
$220.64 | 76 | 76 |
|
Laura Todaro
2450 Ashby Ave |
$68.31 | 68 | 57 |
|
Eva L. Goodfriend-Reano
2216 Mcgee Ave |
$59.77 | 66 | 50 |
|
Diana Nemirovsky
2450 Ashby Ave Rm 3040 |
$31.63 | 39 | 30 |
|
Ilana Rose Pearlman
2450 Ashby Ave |
$161.19 | 39 | 39 |
|
Valerie Dawn Curtis
2450 Ashby Ave |
$216.19 | 13 | 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 Berkeley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Berkeley, CA is $240.05 per claim, based on 3,438 claims from 9 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 Berkeley, CA?
There are 9 Medicaid providers offering Pregnancy & Prenatal Care related services in Berkeley, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Berkeley, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Berkeley, CA ranges from $0.00 to $307.68 per claim, with an average of $240.05. 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 Berkeley, CA
Blood Work & Lab Tests
Avg $7.21
1,019,482 claims
Office Visit
Avg $20.12
524,956 claims
Urinalysis & Urine Tests
Avg $3.28
377,997 claims
Substance Abuse Treatment
Avg $34.05
269,177 claims
Emergency Room Visit
Avg $72.88
161,073 claims
Culture & Microbiology Tests
Avg $3.59
144,863 claims
EKG / ECG (Electrocardiogram)
Avg $11.90
127,855 claims
Pathology & Lab Services
Avg $47.12
108,103 claims