Average Medicaid Pregnancy & Prenatal Care Payments in Bronx, NY: $212.73
Avg. Paid
$212.73
Range
$0.00 – $1,746
Total Claims
22,525
Providers
56
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 Bronx, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie Rachel Kaplan
1695 Eastchester Rd |
$1,746 | 12 | 12 |
|
Marleny Erazo
70 W Burnside Ave |
$154.45 | 12 | 12 |
|
Odessa Fynn
1400 Pelham Pkwy S |
$64.00 | 12 | 12 |
|
Deborah Anne Smith
1400 Pelham Pkwy S |
$62.33 | 12 | 12 |
|
Suzannah Johnston
3424 Kossuth Ave |
$62.33 | 12 | 12 |
|
Anastasia Libovich
1065 Southern Blvd |
$198.64 | 13 | 13 |
|
Ruchi Upadhyay
234 E 149Th St |
$64.38 | 13 | 13 |
|
Denise Wharton
1400 Pelham Pkwy S |
$62.85 | 13 | 12 |
|
Valerie C Nelson
1400 Pelham Pkwy S |
$64.00 | 14 | 13 |
|
Seth L Stern
1400 Pelham Pkwy S |
$60.43 | 14 | 12 |
|
Danielle Zeidman
1400 Pelham Pkwy S |
$0.00 | 14 | 14 |
|
Brittany Hayes
1650 Grand Concourse Fl 5 |
$62.33 | 15 | 12 |
|
Madhury Yasmeen Khan-Ali
111 E 210Th St |
$1,384 | 16 | 15 |
|
Elan Elyachar-Stahl
1650 Grand Concourse |
$62.12 | 16 | 15 |
|
Elizabeth Detroyer
3424 Kossuth Ave |
$62.53 | 17 | 12 |
|
Joy Wessman
1400 Pelham Parkway South |
$60.67 | 18 | 15 |
|
Mark Alan Rosing
4422 3Rd Ave |
$60.58 | 19 | 15 |
|
Deborah Ann Kendrick
3 River Rd |
$102.50 | 25 | 12 |
|
St. Barnabas Hospital
4422 Third Avenue |
$130.86 | 26 | 26 |
|
Hsun-Ming Lu
234 E 149Th St Dept Obgyn |
$87.06 | 27 | 24 |
|
Union Community Health Center, Inc.
260 E 188Th St |
$47.88 | 27 | 27 |
|
Andrew D. Corwin
234 E 149Th St # 5-18 |
$342.96 | 28 | 26 |
|
Vanessa J Louis
4422 3Rd Ave |
$79.28 | 28 | 26 |
|
Paris Thomas
4422 3Rd Ave |
$89.42 | 29 | 25 |
|
Emilie Fitzmaurice Rosner
4487 3Rd Ave |
$63.83 | 29 | 24 |
|
Harriet Mckinley
1400 Pelham Pkwy S |
$63.84 | 31 | 30 |
|
Ramses Posso Penas
4487 3Rd Ave |
$80.12 | 32 | 26 |
|
Chloe Jane Pulido
4422 3Rd Ave |
$63.05 | 42 | 35 |
|
Mary Evelyn Carroll
234 E 149Th St |
$60.16 | 44 | 42 |
|
Meryl Grimaldi
4422 3Rd Ave |
$63.90 | 46 | 27 |
|
Eleanor Thayer Timreck
1650 Grand Concourse |
$61.12 | 52 | 50 |
|
Juan Sanchez
111 E 210Th St |
$160.82 | 53 | 49 |
|
Helana Callard
70 W Burnside Ave |
$82.16 | 63 | 26 |
|
Manisha Jain
234 E 149Th St # 5-18 |
$61.34 | 64 | 52 |
|
Kimberley Downer
4422 3Rd Ave |
$77.88 | 65 | 52 |
|
Dilfuza Nuritdinova
234 E 149Th St |
$66.37 | 66 | 58 |
|
Tammy R Gruenberg
70 W Burnside Ave |
$179.21 | 69 | 68 |
|
Sandra Alexis Semple
234 E 149Th St |
$65.82 | 76 | 64 |
|
Kiyasha Latonya Spencer
234 E 149Th St |
$51.06 | 76 | 61 |
|
Paulathena Stone
4422 3Rd Ave |
$61.84 | 92 | 80 |
|
Sun River Health Inc
1543-1545 Inwood Avenue |
$195.31 | 128 | 120 |
|
Theodore M Hale
234 E 149Th St Rm 5-18 |
$248.88 | 129 | 116 |
|
Adinah Wieder
234 E 149Th St |
$46.80 | 173 | 154 |
|
Sharwon Boateng
1650 Grand Concourse Fl 5 |
$61.72 | 220 | 194 |
|
Wilfrido Castillo
1065 Southern Blvd |
$216.71 | 231 | 230 |
|
Jacqueline Biggs
4422 3Rd Ave |
$79.94 | 299 | 246 |
|
Patrina Natasha Phillip
234 E 149Th St |
$97.01 | 323 | 169 |
|
Caroline Wilson
4422 3Rd Ave |
$64.77 | 355 | 298 |
|
Ronit B Friedman
Centennial Women'S Center |
$412.61 | 566 | 256 |
|
Lisa Renee Modell
1400 Pehham Pkwy So. |
$64.07 | 667 | 591 |
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 Bronx, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Bronx, NY is $212.73 per claim, based on 22,525 claims from 56 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 Bronx, NY?
There are 56 Medicaid providers offering Pregnancy & Prenatal Care related services in Bronx, NY according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Bronx, NY?
Medicaid reimbursement for Pregnancy & Prenatal Care in Bronx, NY ranges from $0.00 to $1,746 per claim, with an average of $212.73. 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 Bronx, NY
Home Health Visit
Avg $150.53
23,767,796 claims
Office Visit
Avg $82.40
13,626,712 claims
Blood Work & Lab Tests
Avg $9.72
7,432,399 claims
Substance Abuse Treatment
Avg $38.59
6,144,578 claims
Non-Emergency Medical Transportation
Avg $52.94
4,662,523 claims
Physical Therapy
Avg $33.00
3,372,618 claims
Dental Cleaning & Exam
Avg $31.12
3,317,284 claims
Emergency Room Visit
Avg $138.65
3,278,500 claims