Average Medicaid Pregnancy & Prenatal Care Payments in Dallas, TX: $513.76
Avg. Paid
$513.76
Range
$0.00 – $1,281
Total Claims
42,317
Providers
76
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 Dallas, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kristie R Wilburn Wren
5323 Harry Hines Blvd |
$591.70 | 3,362 | 3,147 |
|
David M. Owen
5223 Harry Hines Boulevard |
$578.23 | 3,233 | 2,979 |
|
Clarice Leavon Grimes
5323 Harry Hines Blvd |
$590.12 | 2,334 | 2,186 |
|
Kelly Milman Tobias
5323 Harry Hines Blvd |
$574.20 | 1,964 | 1,815 |
|
Frank Thomas Dean
3450 W Wheatland Rd Ste 440 |
$213.99 | 1,800 | 1,577 |
|
Alicia Kiszka
5323 Harry Hines Blvd |
$584.77 | 1,794 | 1,679 |
|
Julie Yu-Pu Lo
5323 Harry Hines Blvd |
$558.58 | 1,737 | 1,597 |
|
Kimberly M Spoonts
5323 Harry Hines Blvd |
$560.47 | 1,650 | 1,533 |
|
Robert Benjamin Martin
5323 Harry Hines Blvd |
$569.62 | 1,508 | 1,362 |
|
Keryn Marie Dias
5200 Harry Hines Blvd |
$568.70 | 1,464 | 1,326 |
|
Gabriele Duvernois
8160 Walnut Hill Ln Ste 200 |
$562.96 | 1,395 | 1,285 |
|
Anne Marie Ambia
5323 Harry Hines Blvd |
$575.15 | 1,356 | 1,245 |
|
Robert Stanley Mccrea
5323 Harry Hines Blvd |
$542.34 | 1,312 | 1,231 |
|
Christina Lynn Herrera
5323 Harry Hines Blvd |
$573.50 | 1,173 | 1,084 |
|
Emily Harris Adhikari
5323 Harry Hines Blvd |
$544.00 | 1,138 | 1,004 |
|
Elysia Moschos
5323 Harry Hines Blvd |
$558.58 | 1,109 | 1,039 |
|
Andrea S. Johnson
5323 Harry Hines Blvd |
$610.24 | 1,104 | 1,034 |
|
Jessica Ann Patterson Grubman
5200 Harry Hines Blvd |
$721.69 | 1,003 | 914 |
|
Vanessa L Rogers
5323 Harry Hines Blvd |
$563.14 | 924 | 843 |
|
Jeffrey Scott Sandate
1135 N Bishop Ave |
$392.96 | 875 | 868 |
|
Josiah Zachary Seth Hawkins
Parkland Hospital |
$571.01 | 847 | 775 |
|
Richard Downs Wagner
3801 Gaston Ave Ste 200 |
$161.31 | 742 | 708 |
|
Elaine Larissa Duryea
5323 Harry Hines Blvd |
$532.10 | 708 | 638 |
|
Sarah Happe Estrera
5323 Harry Hines Blvd |
$565.00 | 610 | 558 |
|
Humberto Angel De Los Santos
1411 N Beckley Ave |
$156.32 | 598 | 554 |
|
Robin Susan Rosen
5323 Harry Hines Blvd |
$598.27 | 588 | 562 |
|
Gonzalo Venegas
1135 N Bishop Ave |
$113.72 | 535 | 530 |
|
Jose L Rodriguez
8160 Walnut Hill Ln Ste 328 |
$121.45 | 488 | 435 |
|
Ingy Khattaby
5200 Harry Hines Blvd |
$668.42 | 414 | 373 |
|
David Bryan Nelson
5323 Harry Hines Blvd Dallas |
$558.41 | 414 | 380 |
|
Ralph Nicholas Burns
5323 Harry Hines Blvd Ste H6.106K |
$650.30 | 374 | 349 |
|
Barbara Lynn Hoffman
5323 Harry Hines Blvd |
$555.39 | 338 | 318 |
|
Robin L Davis
5201 Harry Hines Blvd |
$68.91 | 279 | 278 |
|
Lauren Tabor
5323 Harry Hines Blvd |
$82.11 | 273 | 246 |
|
Ralph Michael Steiger
122 W Colorado Blvd |
$50.58 | 273 | 214 |
|
Morris R Bryant
5323 Harry Hines Blvd |
$558.79 | 201 | 187 |
|
Scott William Roberts
5323 Harry Hines Blvd |
$574.17 | 180 | 169 |
|
Akshay Goswami
1135 N Bishop Ave |
$456.33 | 162 | 159 |
|
Dale William Stovall
122 W Colorado Blvd |
$479.29 | 157 | 147 |
|
Brandy Michelle Valentino
3450 W Wheatland Rd Ste 440 |
$80.39 | 142 | 127 |
|
Elaine Theresa Fleming
5200 Harry Hines Blvd |
$627.07 | 138 | 130 |
|
Saly Thomas
5201 Harry Hines Blvd |
$125.86 | 131 | 110 |
|
David Banh
122 W Colorado Blvd |
$512.87 | 117 | 109 |
|
Clayton Thomas Shaw
3453 Saint Francis Ave |
$101.26 | 112 | 112 |
|
Healing Hands Ministries Inc.
8515 Greenville Ave |
$0.00 | 97 | 81 |
|
Austin Barrett Plumlee
8194 Walnut Hill Ln Ste 100 |
$818.48 | 90 | 88 |
|
Emily Yvonne Eye
12201 Merit Dr Ste 350 |
$152.78 | 88 | 81 |
|
Michelle Summerall
3450 W Wheatland Rd |
$76.20 | 82 | 79 |
|
Patricia Cristina Santiago Munoz
5939 Harry Hines Blvd |
$546.93 | 78 | 73 |
|
Hena Tewari
6201 Harry Hines Blvd |
$584.62 | 69 | 66 |
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 Dallas, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Dallas, TX is $513.76 per claim, based on 42,317 claims from 76 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 Dallas, TX?
There are 76 Medicaid providers offering Pregnancy & Prenatal Care related services in Dallas, TX according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Dallas, TX?
Medicaid reimbursement for Pregnancy & Prenatal Care in Dallas, TX ranges from $0.00 to $1,281 per claim, with an average of $513.76. 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 Dallas, TX
Office Visit
Avg $47.45
3,693,999 claims
Blood Work & Lab Tests
Avg $8.85
3,062,549 claims
Dental Cleaning & Exam
Avg $40.86
1,984,728 claims
Emergency Room Visit
Avg $145.88
1,942,869 claims
Vaccines & Immunizations
Avg $6.15
1,940,547 claims
X-Ray
Avg $12.45
1,048,753 claims
Urinalysis & Urine Tests
Avg $7.08
949,406 claims
Dental Filling
Avg $87.64
876,814 claims