Average Medicaid Pregnancy & Prenatal Care Payments in Carmel, IN: $77.27
Avg. Paid
$77.27
Range
$37.20 – $114.87
Total Claims
9,127
Providers
17
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 Carmel, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Matthew Benjamin Main
310 Medical Drive |
$59.26 | 2,513 | 1,406 |
|
Bradley Weber
11725 Illinois St Ste 350 |
$114.10 | 1,684 | 958 |
|
Andreina Zambrano
13420 N Meridian St Ste 420 |
$57.27 | 1,061 | 581 |
|
Amanda Lynn Born
13420 N Meridian St #300 |
$61.36 | 834 | 492 |
|
Jody Elizabeth Stohs
13420 N Meridian St Ste 300 |
$114.87 | 637 | 514 |
|
Stephanie M Crowell
13420 N Meridian St Ste 420 |
$74.22 | 618 | 440 |
|
Thomas Charles Wisler
13500 N Meridian St |
$86.18 | 563 | 385 |
|
Jessi Green
12400 N Meridian St Ste 100 |
$79.24 | 378 | 327 |
|
Taylor Twiggs Sutter
13420 N Meridian St Ste 300 |
$79.91 | 265 | 157 |
|
Maram A Said
13420 N Meridian St Ste 300 |
$49.03 | 228 | 118 |
|
Mandy M Caban
5017 Surrey Lane |
$76.02 | 133 | 128 |
|
Victoria Kimberely Floyd
10859 Weston Dr |
$63.13 | 83 | 64 |
|
Gwendolyn Ann Aviah-Gyebi
13420 N Meridian St Ste 300 |
$55.05 | 44 | 30 |
|
Samantha Rae Neff
13420 N Meridian St Ste 300 |
$37.20 | 27 | 12 |
|
Amy L Moon
12400 N Meridian St Ste 100 |
$55.11 | 26 | 15 |
|
Adrienne Rasbach
13420 N Meridian St Ste 300 |
$70.91 | 18 | 14 |
|
Elizabeth S Cottongim
13420 N Meridian St |
$59.35 | 15 | 13 |
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 Carmel, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Carmel, IN is $77.27 per claim, based on 9,127 claims from 17 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 Carmel, IN?
There are 17 Medicaid providers offering Pregnancy & Prenatal Care related services in Carmel, IN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Carmel, IN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Carmel, IN ranges from $37.20 to $114.87 per claim, with an average of $77.27. 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 Carmel, IN
Office Visit
Avg $63.62
374,748 claims
Blood Work & Lab Tests
Avg $10.77
336,257 claims
Substance Abuse Treatment
Avg $89.04
289,866 claims
Behavioral & Mental Health Therapy
Avg $120.09
256,526 claims
Physical Therapy
Avg $31.20
136,368 claims
Eye Exam
Avg $36.01
119,079 claims
Case Management Services
Avg $33.88
109,381 claims
Psychiatric Evaluation
Avg $46.75
105,700 claims