Average Medicaid Pregnancy & Prenatal Care Payments in Chicago, IL: $201.75
Avg. Paid
$201.75
Range
$0.00 – $1,818
Total Claims
35,631
Providers
86
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 Chicago, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erie Family Health Center, Inc
1701 W Superior St |
$196.90 | 5,966 | 5,077 |
|
Fatima Hina
3000 N Halsted St Ste 309 |
$80.85 | 5,611 | 3,212 |
|
Access Community Health Network
600 W Fulton St |
$143.77 | 4,251 | 3,309 |
|
Lawndale Christian Health Center
3860 W Ogden Ave |
$175.99 | 4,084 | 3,187 |
|
Roberto David Rodriguez Jerez
821 S Leavitt St Fl 1 |
$31.26 | 3,227 | 2,957 |
|
Cherrell Lanae Triplett
3000 N Halsted St Ste 309 |
$75.23 | 1,392 | 821 |
|
Lubov A Klemine
2222 W Division St |
$728.83 | 1,332 | 1,223 |
|
Alivio Medical Center, Inc.
2355 S. Western Ave. |
$385.24 | 1,067 | 805 |
|
Tapestry 360 Health
1301 W Devon Ave |
$4.10 | 1,018 | 859 |
|
Sirina Keesara
5841 S Maryland Ave # Mc2050 |
$40.53 | 651 | 508 |
|
Joelle Lindner
1645 W Jackson Blvd |
$94.14 | 579 | 469 |
|
Access Community Health Network
2653 W Ogden Ave |
$0.05 | 511 | 391 |
|
Alivio Medical Center, Inc.
966 W. 21St Street |
$0.20 | 507 | 452 |
|
Sunayana Srinivasan
1801 W Taylor St |
$1,492 | 362 | 353 |
|
Access Community Health Network
3303 W 26Th St |
$0.00 | 343 | 295 |
|
Bethany Ann Cluskey
676 N Saint Clair St |
$76.48 | 293 | 182 |
|
The Board Of Trustees Of The University Of Illinois
1220 S. Wood Street |
$16.41 | 272 | 247 |
|
Mark Kosanovich
2525 S Michigan Ave |
$1,006 | 265 | 248 |
|
Charles Clifford Alston
2017 W 95Th St |
$896.07 | 258 | 250 |
|
Jessica E Cherikos
1725 W Harrison St |
$54.01 | 230 | 205 |
|
Amy Kathryn Caldwell
5841 S Maryland Ave # Mc2050 |
$319.16 | 208 | 177 |
|
Esperanza Health Centers
2001 S. California Ave |
$5.18 | 196 | 183 |
|
Cynthia L Tran
1276 N Clybourn Ave |
$119.11 | 181 | 161 |
|
Erie Family Health Center Inc
1701 W Superior St |
$0.00 | 175 | 130 |
|
Thana Tarsha
2222 West Division |
$974.05 | 171 | 151 |
|
Jennifer T Paul
5841 S Maryland Ave |
$892.57 | 145 | 137 |
|
Friend Family Health Center Inc
6250 S Cottage Grove Ave |
$4.86 | 134 | 127 |
|
Barbara Ann Zimmerman Minnich
5401 S Wentworth Ave |
$4.41 | 125 | 110 |
|
Sapanjot K Bajwa
1044 N Francisco Ave |
$911.60 | 123 | 119 |
|
Access Community Health Network
2701 W 68Th St |
$0.00 | 113 | 85 |
|
Infant Welfare Society Of Chicago
3600 W Fullerton Ave |
$6.42 | 108 | 107 |
|
Esperanza Health Centers
4700 S California Ave |
$7.21 | 104 | 103 |
|
Michelle Vondielingen Quinn
7447 W Talcott Ave Ste 418 |
$141.51 | 99 | 84 |
|
Erie Family Health Center Inc
2418 W Division St |
$0.00 | 94 | 92 |
|
Amarpreet Everest
2750 W North Ave |
$182.27 | 89 | 89 |
|
Chicago Family Health Center, Inc.
9119 S. Exchange Ave. |
$924.45 | 80 | 25 |
|
Natasha Harvey
2525 S Michigan Ave |
$776.46 | 77 | 72 |
|
General Hood
2103 W Webster Ave |
$897.66 | 75 | 68 |
|
Tracy L Vera
2001 S California Ave |
$1,104 | 73 | 63 |
|
Simone E Rowen
1701 W Superior St Fl 2 |
$632.39 | 57 | 56 |
|
Erie Family Health Center Inc
5215 N California Ave Ste F700 |
$0.00 | 53 | 50 |
|
Near North Health Service Corporation
1276 N Clybourn Ave |
$13.40 | 43 | 38 |
|
Paula Cavens
3229 W 47Th Pl |
$907.54 | 41 | 38 |
|
Carrie Smith
5841 S Maryland Ave |
$888.85 | 41 | 39 |
|
Sarika Arora
University Of Illinois Outpatient Care Center |
$926.88 | 38 | 37 |
|
Alissa Renee Carlson
1701 W Superior St |
$924.45 | 37 | 37 |
|
Mary A Dean Onayemi
1701 W Monterey Ave |
$871.43 | 34 | 33 |
|
Elizabeth O'Day Mckelvey
1701 W Superior St |
$943.40 | 32 | 25 |
|
Nkeiruka O. Dara
1555 W Howard St |
$897.61 | 31 | 24 |
|
Elizabeth Torres
30 N Michigan Ave |
$95.13 | 30 | 24 |
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 Chicago, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Chicago, IL is $201.75 per claim, based on 35,631 claims from 86 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 Chicago, IL?
There are 86 Medicaid providers offering Pregnancy & Prenatal Care related services in Chicago, IL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Chicago, IL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Chicago, IL ranges from $0.00 to $1,818 per claim, with an average of $201.75. 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 Chicago, IL
Office Visit
Avg $30.31
13,989,780 claims
Blood Work & Lab Tests
Avg $5.03
10,887,691 claims
Dental Cleaning & Exam
Avg $29.66
4,929,791 claims
Emergency Room Visit
Avg $84.83
4,391,753 claims
Vaccines & Immunizations
Avg $3.36
3,818,199 claims
X-Ray
Avg $8.48
2,515,281 claims
Urinalysis & Urine Tests
Avg $2.23
2,467,995 claims
Substance Abuse Treatment
Avg $93.51
2,283,492 claims