Average Medicaid Pregnancy & Prenatal Care Payments in Cincinnati, OH: $268.86
Avg. Paid
$268.86
Range
$37.82 – $1,300
Total Claims
8,479
Providers
43
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 Cincinnati, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Nathaniel Dhanraj
375 Dixmyth Ave |
$293.22 | 1,380 | 1,334 |
|
Kaylie Lauren Snyder
10475 Reading Rd Ste 307 |
$117.40 | 1,343 | 967 |
|
University Of Cincinnati Medical Center, Llc
3188 Bellevue Avenue |
$72.39 | 1,175 | 1,053 |
|
Tatiana Giordano
3188 Bellevue Ave |
$201.29 | 730 | 491 |
|
Valerie Jane Bullock
6400 E Galbraith Rd |
$82.56 | 522 | 451 |
|
Amirah Davis
3636 Springdale Rd |
$37.82 | 487 | 467 |
|
Clare Evans Algeo
234 Goodman St |
$537.26 | 451 | 398 |
|
William James Moravec
3130 Highland Ave |
$602.38 | 415 | 396 |
|
Brett Ryan Goldman
375 Dixmyth Ave Ste 867.2 |
$682.02 | 199 | 196 |
|
Michael Ray Holbert
375 Dixmyth Ave |
$641.90 | 146 | 139 |
|
Becky Lynn Martin
375 Dixmyth Ave |
$43.36 | 146 | 146 |
|
Christopher Tad Carls
4460 Red Bank Rd Ste 220 |
$58.74 | 140 | 99 |
|
Amy M. Thompson
222 Piedmont Ave |
$504.13 | 138 | 134 |
|
Warren Lee Metherd
440 Ray Norrish Dr |
$655.27 | 106 | 102 |
|
Joel D Pranikoff
2123 Auburn Ave |
$670.17 | 79 | 72 |
|
Maggie Marie Pelle
3590 Lucille Dr |
$61.36 | 79 | 77 |
|
Molly Carey
222 Piedmont Ave |
$639.90 | 74 | 70 |
|
Rocco Rossi
234 Goodman St |
$604.64 | 67 | 63 |
|
Brian Scott Miller
222 Piedmont Ave |
$648.03 | 61 | 60 |
|
Susan Maria Tensing
3130 Highland Ave Fl 1 |
$42.54 | 52 | 48 |
|
Rebecca Saroyan
7502 State Rd Ste 4410 |
$44.22 | 50 | 24 |
|
Clarence E Lamb
6014 Ridge Ave |
$606.67 | 47 | 40 |
|
Alan P Altman
440 Ray Norrish Dr |
$613.15 | 43 | 37 |
|
Julie Renne Vieta
375 Dixmyth Ave |
$616.46 | 42 | 40 |
|
Priya R Gursahaney
222 Piedmont Ave |
$630.34 | 42 | 42 |
|
Michael Roy Boldt
3130 Highland Ave |
$655.05 | 41 | 40 |
|
Maureen Downing
3130 Highland Ave |
$626.86 | 40 | 38 |
|
John A O'Connor
222 Piedmont Ave |
$339.51 | 39 | 38 |
|
Amanda Marie Von Hoene
375 Dixmyth Ave |
$658.66 | 33 | 27 |
|
Robert Murray
440 Ray Norrish Dr |
$698.80 | 32 | 32 |
|
Kathy G Mcclish
4357 Ferguson Dr |
$44.17 | 30 | 30 |
|
Kara Beth Markham
3130 Highland Ave |
$670.71 | 29 | 27 |
|
Salena Cecil
3130 Highland Ave |
$74.28 | 28 | 26 |
|
Emily Michelle Turner
2123 Auburn Ave |
$1,255 | 27 | 24 |
|
Meredith Jenny Pensak
3130 Highland Ave |
$648.35 | 27 | 27 |
|
Jane Morris
3590 Lucille Dr |
$664.65 | 27 | 27 |
|
Edouard Feghali
3440 Burnet Ave |
$53.48 | 26 | 26 |
|
Melissa Stec
3188 Bellevue Ave |
$1,300 | 17 | 15 |
|
Ashley Mitchell
375 Dixmyth Ave |
$617.32 | 15 | 14 |
|
William Buckley
8245 Northcreek Dr |
$506.90 | 15 | 12 |
|
Ronald Merkel
375 Dixmyth Ave |
$590.10 | 14 | 12 |
|
Emily Jane Leonard
7502 State Rd Ste 4410 |
$79.83 | 13 | 12 |
|
Elizabeth Lynn Geiger
3130 Highland Ave |
$49.90 | 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 Cincinnati, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Cincinnati, OH is $268.86 per claim, based on 8,479 claims from 43 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 Cincinnati, OH?
There are 43 Medicaid providers offering Pregnancy & Prenatal Care related services in Cincinnati, OH according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Cincinnati, OH?
Medicaid reimbursement for Pregnancy & Prenatal Care in Cincinnati, OH ranges from $37.82 to $1,300 per claim, with an average of $268.86. 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 Cincinnati, OH
Blood Work & Lab Tests
Avg $7.16
12,933,390 claims
Office Visit
Avg $57.26
6,244,164 claims
Emergency Room Visit
Avg $94.36
2,312,527 claims
Home Health Visit
Avg $67.23
2,297,701 claims
Behavioral & Mental Health Therapy
Avg $87.07
2,275,452 claims
Substance Abuse Treatment
Avg $55.29
2,244,339 claims
Psychiatric Evaluation
Avg $79.56
1,780,978 claims
Urinalysis & Urine Tests
Avg $2.81
1,707,210 claims