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Based on public Medicaid payment data.

Average Medicaid Pregnancy & Prenatal Care Payments in Cleveland, OH: $229.51

Avg. Paid

$229.51

Range

$26.54 – $928.30

Total Claims

4,259

Providers

33

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 Cleveland, OH

Provider Avg. Paid Claims Patients
The Metrohealth System

2500 Metrohealth Dr

 $97.58 2,372 2,065
Amy L Coleman

11100 Euclid Ave

 $547.78 288 275
Rachel N Kay

11100 Euclid Ave

 $531.57 216 202
William J Todia

2500 Metrohealth Dr

 $173.12 169 162
Emily Biehl

2500 Metrohealth Dr

 $74.37 123 119
Kelly Smith Gibson

2500 Metrohealth Dr

 $342.70 120 112
Sarah Alhaddad Tout

11100 Euclid Ave

 $654.48 117 114
Clodagh Redahan Mullen

11100 Euclid Ave

 $519.18 114 104
Maureen M Suster

2500 Metrohealth Dr

 $85.71 94 92
University Hospitals Cleveland Medical Center

11100 Euclid Ave

 $119.69 82 71
Sybil Sarah Sailofsky

2500 Metrohealth Dr

 $688.69 62 53
Mokhtar M Eldeeb

9500 Euclid Ave

 $93.54 60 57
Steven A Weight

2500 Metrohealth Dr

 $73.88 55 55
Sarah Ayesha Nazeer

18101 Lorain Ave

 $916.42 42 39
Joel Escobedo

2500 Metrohealth Dr

 $500.13 37 37
Susan J Lasch

11100 Euclid Ave

 $597.22 37 36
The Metrohealth System

2500 Metrohealth Dr

 $291.58 29 29
Kia Natasha Hollis

11100 Euclid Ave

 $77.84 24 24
Jose Alberto Garcia

2500 Metrohealth Dr

 $594.55 21 14
Lulu X Zhao

11100 Euclid Ave

 $625.77 16 15
Christina Krudy

2500 Metrohealth Dr

 $455.88 16 14
Barbara B Rhoads

2500 Metrohealth Dr

 $661.53 15 13
Sarah Marie Caril

6835 Broadway Ave

 $539.09 15 13
Ali Mcgregor

11100 Euclid Ave

 $669.61 14 14
Jill Elizabeth Minger

2500 Metrohealth Dr

 $628.61 14 14
Maria Elena Shaker

5805 Euclid Ave

 $128.09 14 14
Houry Gebeshian

18101 Lorain Ave

 $67.13 14 13
Phillip Michael Shuffer

2500 Metrohealth Dr

 $49.44 14 12
Amy-Elizabeth Bertram

11100 Euclid Ave

 $43.98 14 14
Sherrie Thompson

11100 Euclid Ave

 $26.54 14 12
Tyler Jessica Katz

11000 Euclid Ave

 $684.79 13 12
Connie Moreland

2500 Metrohealth Dr

 $928.30 12 12
Edward K Chien

9500 Euclid Ave

 $672.27 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 Cleveland, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Cleveland, OH is $229.51 per claim, based on 4,259 claims from 33 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 Cleveland, OH?

There are 33 Medicaid providers offering Pregnancy & Prenatal Care related services in Cleveland, OH according to public payment data.

What is the price range for Pregnancy & Prenatal Care in Cleveland, OH?

Medicaid reimbursement for Pregnancy & Prenatal Care in Cleveland, OH ranges from $26.54 to $928.30 per claim, with an average of $229.51. 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 Cleveland, OH

Blood Work & Lab Tests

Avg $5.86

7,265,730 claims

Office Visit

Avg $41.74

4,839,931 claims

Home Health Visit

Avg $54.94

3,518,961 claims

Emergency Room Visit

Avg $98.94

3,436,346 claims

Behavioral & Mental Health Therapy

Avg $95.38

2,548,278 claims

X-Ray

Avg $8.95

2,124,741 claims

Substance Abuse Treatment

Avg $65.51

1,764,305 claims

Vaccines & Immunizations

Avg $8.45

1,524,000 claims