Average Medicaid Pregnancy & Prenatal Care Payments in Birmingham, AL: $979.96
Avg. Paid
$979.96
Range
$0.00 – $2,081
Total Claims
17,808
Providers
38
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 Birmingham, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Sinkey
1717 6Th Ave S |
$1,225 | 13 | 13 |
|
Kimberly Hoover
1717 6Th Ave S |
$1,128 | 13 | 12 |
|
Justin Aldred
2006 Brookwood Medical Ctr Dr Ste 402 |
$1,430 | 13 | 12 |
|
Ayodeji Ajao Sanusi
619 19Th St S |
$1,128 | 13 | 12 |
|
Brookwood Womens Health Pc
2006 Brookwood Medical Ctr Dr |
$0.00 | 15 | 12 |
|
Jesanna Carolan Cooper
832 Princeton Ave Sw |
$0.00 | 16 | 13 |
|
Akila Subramaniam
1717 6Th Ave S |
$837.30 | 17 | 13 |
|
William S Mckenzie
2006 Brookwood Medical Ctr Dr |
$1,033 | 18 | 13 |
|
Richard O Davis
619 19Th Street South |
$827.08 | 18 | 12 |
|
Ludwig Ivan Francillon
48 Medical Park Dr E Ste 355 |
$929.71 | 18 | 13 |
|
Sharp & Stone Ob/Gyn, P.C.
2700 10Th Ave S |
$0.00 | 18 | 13 |
|
Ashley Wright
1717 6Th Ave S |
$650.92 | 18 | 12 |
|
Deepti Sharma
1700 6Th Ave S, Wic10261 |
$682.92 | 19 | 12 |
|
Amy N Boone
1700 6Th Ave S |
$722.60 | 20 | 13 |
|
Sarah Dunk
619 19Th St S |
$698.56 | 21 | 12 |
|
Shweta Patel
1717 6Th Ave S |
$473.63 | 23 | 15 |
|
Alan Thevenet Tita
1500 6Th Ave S |
$871.47 | 31 | 24 |
|
Lewis Robert Schulman
3686 Grandview Parkway |
$313.87 | 31 | 18 |
|
Alice R Goepfert
619 19Th Street South |
$823.91 | 36 | 26 |
|
Lindsay Speros Robbins
619 19Th St S |
$1,101 | 40 | 37 |
|
Meredith Mills Gray
625 19Th St S |
$725.83 | 44 | 24 |
|
Rubymel Jijon Knupp
1500 6Th Ave S |
$1,069 | 47 | 43 |
|
Birmingham Obstetrics Gynecology, P.C.
800 Saint Vincents Dr |
$0.00 | 89 | 64 |
|
Brian M Casey
1500 6Th Avenue South |
$1,120 | 114 | 105 |
|
Chase Cawyer
619 19Th St S |
$1,036 | 124 | 110 |
|
Simon-Williamson Clinic, P.C.
832 Princeton Ave Sw |
$0.00 | 132 | 75 |
|
Dale M Greene
3686 Grandview Pkwy Ste 320 |
$356.59 | 165 | 77 |
|
Brandy Rene Patterson
2006 Brookwood Medical Ctr Dr Ste 202 |
$302.98 | 170 | 96 |
|
Vincentian Physician Services Llc
810 Saint Vincent'S Drive |
$0.00 | 173 | 134 |
|
Ob-Gyn Associates Of Alabama P C
800 Saint Vincents Dr |
$0.00 | 233 | 206 |
|
Affinity Physician Services Llc
3686 Grandview Pkwy Ste 820 |
$19.89 | 262 | 214 |
|
Alabama Womens Specialists Pc
2006 Brookwood Medical Ctr Dr |
$3.50 | 744 | 572 |
|
Eli L Brown M D P C
2006 Brookwood Medical Ctr Dr |
$0.00 | 1,087 | 637 |
|
Eastern Obstetrics And Gynecology, P.C.
48 Medical Park Dr E |
$1.90 | 1,374 | 993 |
|
Together Women'S Health Medical Group Of Alabama Pc
2006 Brookwood Medical Ctr Dr |
$7.16 | 1,408 | 1,084 |
|
Henderson & Walton Womens Center Pc
806 St Vincents Drive |
$9.92 | 1,471 | 1,108 |
|
Eastside Women'S Specialists, P.C.
48 Medical Park Dr E |
$0.00 | 1,753 | 1,218 |
|
Alabama Maternity, Inc.
417 20Th St N |
$2,081 | 8,007 | 6,937 |
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 Birmingham, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Birmingham, AL is $979.96 per claim, based on 17,808 claims from 38 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 Birmingham, AL?
There are 38 Medicaid providers offering Pregnancy & Prenatal Care related services in Birmingham, AL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Birmingham, AL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Birmingham, AL ranges from $0.00 to $2,081 per claim, with an average of $979.96. 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 Birmingham, AL
Blood Work & Lab Tests
Avg $7.02
11,525,259 claims
Office Visit
Avg $74.46
1,976,328 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Emergency Room Visit
Avg $80.96
1,417,392 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims