Average Medicaid Pregnancy & Prenatal Care Payments in Bloomington, IN: $92.76
Avg. Paid
$92.76
Range
$0.51 – $119.58
Total Claims
36,918
Providers
29
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 Bloomington, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John R Labban
2852 E Buick Cadillac Blvd |
$99.90 | 6,386 | 3,745 |
|
Brian William Cook
2920 Mcintire Drive |
$113.23 | 3,821 | 2,603 |
|
Michael Jay Stowell
1010 W 2Nd St |
$113.68 | 2,930 | 1,945 |
|
Alice B Wood
2920 Mcintyre Dr |
$102.35 | 2,853 | 1,790 |
|
Jonathan L. Larsen
2651 E Discovery Pkwy |
$63.34 | 2,776 | 1,636 |
|
Rachel D Manley
2920 S Mcintire Dr |
$115.73 | 2,407 | 1,699 |
|
Leslie Anne Foxlow
2651 E Discovery Pkwy |
$82.72 | 1,860 | 1,207 |
|
Rory F Miranda
2651 E Discovery Pkwy |
$71.69 | 1,858 | 1,494 |
|
Tashera Everlois Narcissa Perry
2920 S Mcintire Dr |
$95.59 | 1,703 | 1,247 |
|
Melissa Marie Watters
1010 W 2Nd St |
$119.58 | 1,530 | 1,109 |
|
Tina R Hendrick
2651 E Discovery Pkwy |
$70.87 | 1,421 | 993 |
|
Summer Leann Appling
2920 S Mcintire Dr |
$66.36 | 1,153 | 884 |
|
Lori L Munsie
2651 E Discovery Pkwy |
$74.99 | 1,087 | 553 |
|
Samantha Jo Crusenberry
650 S Walker St |
$77.49 | 1,031 | 682 |
|
Andy J. Stafford
2920 Mcintyre Dr |
$118.23 | 693 | 434 |
|
Donna Cutshall
2920 S Mcintire Dr |
$74.63 | 589 | 510 |
|
Kyleigh Michelle Strickland
2651 E Discovery Pkwy |
$76.92 | 552 | 463 |
|
Ahmed M Saleh
2651 E Discovery Pkwy |
$69.46 | 511 | 405 |
|
Kathleen E Jones
1010 W 2Nd St |
$72.87 | 408 | 294 |
|
Jyll Terese Hopkins
550 S Landmark Ave |
$79.24 | 309 | 248 |
|
Indiana University Health Southern Indiana Physicians, Llc
2651 E Discovery Pkwy |
$0.51 | 299 | 179 |
|
Heather Elizabeth Kill
2651 E Discovery Pkwy |
$52.38 | 171 | 131 |
|
Linda J Ebright
2920 S Mcintire Dr Ste 250 |
$41.10 | 129 | 106 |
|
Elizabeth Thies Mcdaniel
1010 W 2Nd St |
$69.68 | 115 | 105 |
|
Danielle Benedek
1010 W 2Nd St |
$64.91 | 94 | 85 |
|
James F Dupler
2651 E Discovery Pkwy |
$77.13 | 93 | 79 |
|
Lisa Marie Weiler
1010 W 2Nd St |
$54.41 | 54 | 19 |
|
Elaine D Dupler
2651 E Discovery Pkwy |
$70.47 | 48 | 46 |
|
Maryam Egenolf
2651 E Discovery Pkwy |
$74.21 | 37 | 31 |
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 Bloomington, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Bloomington, IN is $92.76 per claim, based on 36,918 claims from 29 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 Bloomington, IN?
There are 29 Medicaid providers offering Pregnancy & Prenatal Care related services in Bloomington, IN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Bloomington, IN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Bloomington, IN ranges from $0.51 to $119.58 per claim, with an average of $92.76. 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 Bloomington, IN
Office Visit
Avg $60.78
683,299 claims
Blood Work & Lab Tests
Avg $7.61
379,488 claims
Emergency Room Visit
Avg $110.18
347,588 claims
Psychiatric Evaluation
Avg $57.97
205,962 claims
Vaccines & Immunizations
Avg $10.73
164,676 claims
Durable Medical Equipment (DME)
Avg $22.32
130,220 claims
EKG / ECG (Electrocardiogram)
Avg $20.80
119,589 claims
Physical Therapy
Avg $33.46
119,387 claims