Average Medicaid Pregnancy & Prenatal Care Payments in Charlotte, NC: $390.82
Avg. Paid
$390.82
Range
$16.79 – $1,627
Total Claims
19,905
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 Charlotte, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Vanitha Banajjar Revanasiddappa
1718 E 4Th St Ste 907 |
$119.33 | 4,360 | 2,762 |
|
Lynn Christine Pitson
1350 S Kings Dr |
$623.28 | 4,125 | 3,658 |
|
Petronela Meszaros
1350 S Kings Dr |
$593.42 | 3,539 | 3,158 |
|
Kristin M. Russo-Rivera
1350 S Kings Dr |
$597.67 | 2,116 | 1,922 |
|
Monica Nitin Modi
1025 Morehead Dr #400 |
$57.15 | 825 | 543 |
|
Timothy David Keeler
10628 Park Rd |
$390.46 | 765 | 727 |
|
Sasha Zeenat Davenport
1350 S Kings Dr |
$183.99 | 617 | 553 |
|
Ada Maria Ventura-Braswell
1350 S Kings Dr |
$76.99 | 591 | 510 |
|
Melissa Cheree Congdon
251 Eastway Dr |
$78.58 | 402 | 378 |
|
Kathryn Ruth Shreve
1350 S Kings Dr |
$73.07 | 294 | 263 |
|
Rachel Elizabeth Zigler
1350 S Kings Dr |
$368.77 | 230 | 214 |
|
Holly Usher Byrne
1350 S Kings Dr |
$75.36 | 192 | 159 |
|
Janice Sherrill Smith
1350 S Kings Dr |
$84.74 | 181 | 133 |
|
Pamela Cobb Pettis
251 Eastway Dr |
$76.96 | 169 | 137 |
|
Mary Kathleen Finnigan
905 Kenilworth Ave |
$80.37 | 169 | 154 |
|
Melissa Brunner Woolworth
1350 S Kings Dr |
$467.68 | 153 | 132 |
|
Susan Bliss
1025 Morehead Medical Dr |
$628.11 | 143 | 132 |
|
John Mcnamara
1350 S Kings Dr |
$493.15 | 121 | 102 |
|
Radhika Tirumala
10628 Park Rd |
$657.31 | 115 | 109 |
|
Michael Shane Miller
1901 E 5Th St |
$580.86 | 95 | 86 |
|
Jennifer Lane
251 Eastway Dr |
$73.57 | 93 | 88 |
|
Jonathan Scott Seibert
1350 S Kings Dr |
$654.55 | 91 | 86 |
|
Sierra Sharri Singleton
6324 Fairview Rd Ste 430 |
$83.80 | 88 | 86 |
|
Lynn Amy Boardman
1350 S Kings Dr |
$47.83 | 68 | 61 |
|
Heather Elaine Bane
2100 S. Tryon St. |
$410.61 | 59 | 51 |
|
Sarah Nicole Baker
251 Eastway Dr |
$79.32 | 45 | 37 |
|
Lorene Atkins Temming
905 Kenilworth Ave |
$629.17 | 41 | 39 |
|
Cyrita Jai Taylor
251 Eastway Dr |
$17.73 | 35 | 24 |
|
Eleanor Mark Mccurdy
6324 Fairview Rd Ste 430 |
$526.03 | 34 | 27 |
|
Shraddha Shrestha Mehta
251 Eastway Dr |
$82.25 | 30 | 28 |
|
Curtis Lee Flood
1901 E 5Th St |
$1,490 | 26 | 26 |
|
Elizabeth Bates Ausbeck
1718 E 4Th St Ste 404 |
$1,191 | 16 | 16 |
|
Macie Lynn Champion
1718 E 4Th St |
$1,138 | 14 | 13 |
|
James L Pinto
11530 Providence Rd |
$924.45 | 13 | 13 |
|
Meghan Louise Valentine
1350 S Kings Dr |
$634.98 | 13 | 12 |
|
Keenya Lazette Little
101 E W T Harris Blvd |
$16.79 | 13 | 12 |
|
Cheryl Nnenna Onwuchuruba
2711 Randolph Rd |
$1,627 | 12 | 12 |
|
Jennifer Bromley Philips
905 Kenilworth Ave |
$578.78 | 12 | 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 Charlotte, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Charlotte, NC is $390.82 per claim, based on 19,905 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 Charlotte, NC?
There are 38 Medicaid providers offering Pregnancy & Prenatal Care related services in Charlotte, NC according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Charlotte, NC?
Medicaid reimbursement for Pregnancy & Prenatal Care in Charlotte, NC ranges from $16.79 to $1,627 per claim, with an average of $390.82. 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 Charlotte, NC
Office Visit
Avg $61.85
3,946,873 claims
Emergency Room Visit
Avg $128.07
2,244,542 claims
Blood Work & Lab Tests
Avg $16.30
2,079,260 claims
Dental Cleaning & Exam
Avg $31.09
1,646,826 claims
Vaccines & Immunizations
Avg $15.07
1,337,104 claims
Psychiatric Evaluation
Avg $70.83
1,075,777 claims
X-Ray
Avg $8.29
999,508 claims
Speech Therapy
Avg $52.62
918,554 claims