Average Medicaid Pregnancy & Prenatal Care Payments in Columbia, SC: $707.18
Avg. Paid
$707.18
Range
$68.50 – $1,145
Total Claims
5,385
Providers
24
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 Columbia, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Todd M. Kraemer
460 Clemson Rd |
$677.39 | 1,456 | 1,423 |
|
Orson Ravenell
3 Richland Medical Park |
$954.73 | 1,119 | 1,075 |
|
James David Ferguson
1301 Taylor St |
$135.49 | 911 | 561 |
|
Jonathan O Nwanagu
1333 Taylor St Ste 3J |
$1,067 | 420 | 402 |
|
Ruth Elaine Baker
1333 Taylor St Ste 2D |
$921.81 | 355 | 273 |
|
Cynthia Tallent Fields
2 Medical Park Rd Ste 107 |
$1,118 | 213 | 203 |
|
Sabrina Blocker
1801 Sunset Dr Ste 200 |
$79.63 | 139 | 139 |
|
Nita Thapa
1228 Harden St |
$959.29 | 122 | 94 |
|
Pamela Tucker
4500 Stuart St |
$377.28 | 117 | 112 |
|
Kendreia Dickens-Carr
2 Medical Park Rd Ste 107 |
$716.15 | 116 | 109 |
|
Shannon R Poole
2 Medical Park Rd Ste 107 |
$1,145 | 102 | 96 |
|
Mojmir J Sonek
1301 Taylor St |
$1,088 | 59 | 56 |
|
Lawrence A Robillard
2 Medical Park Rd Ste 107 |
$925.25 | 49 | 41 |
|
Xaviera Maya Carter
9 Richland Medical Park Dr Ste 620 |
$1,094 | 38 | 37 |
|
Thomas James Carzoli
1301 Taylor St |
$162.42 | 32 | 32 |
|
Kristen Jeffers Matthews
2 Medical Park Rd Ste Range |
$144.75 | 26 | 26 |
|
Jill Marie Johnson
460 Clemson Rd |
$1,010 | 18 | 18 |
|
Patricia Mae Seal
4311 Hard Scrabble Rd |
$1,113 | 18 | 13 |
|
Elizabeth Bassett Nodelman
2 Medical Park Rd Ste 107 |
$994.62 | 13 | 12 |
|
Lindsey Carol Maxwell
2 Medical Park Rd Ste 107 |
$1,138 | 13 | 13 |
|
Wendy Joanne Hartshorne
2 Medical Park Rd Ste Ll9/10 |
$1,125 | 13 | 13 |
|
Caitlin Rae Mckay
2 Medical Park Rd Ste 107 |
$139.46 | 12 | 12 |
|
Debra L Nelson
1801 Sunset Dr Fl 2 |
$68.50 | 12 | 12 |
|
April Leanne Rogers
111 Doctor Cir |
$115.27 | 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 Columbia, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Columbia, SC is $707.18 per claim, based on 5,385 claims from 24 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 Columbia, SC?
There are 24 Medicaid providers offering Pregnancy & Prenatal Care related services in Columbia, SC according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Columbia, SC?
Medicaid reimbursement for Pregnancy & Prenatal Care in Columbia, SC ranges from $68.50 to $1,145 per claim, with an average of $707.18. 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 Columbia, SC
Office Visit
Avg $72.57
2,249,167 claims
Blood Work & Lab Tests
Avg $34.82
1,311,438 claims
Emergency Room Visit
Avg $72.77
1,188,627 claims
Case Management Services
Avg $52.18
1,047,210 claims
Behavioral & Mental Health Therapy
Avg $63.05
790,433 claims
Dental Cleaning & Exam
Avg $34.66
777,605 claims
Psychiatric Evaluation
Avg $122.40
643,281 claims
Home Health Visit
Avg $65.66
600,597 claims