Average Medicaid Pregnancy & Prenatal Care Payments in Denver, CO: $332.65
Avg. Paid
$332.65
Range
$110.61 – $676.07
Total Claims
1,539
Providers
19
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 Denver, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martha E Merrill-Hall
1960 Ogden St |
$405.04 | 12 | 12 |
|
Jorge Armando Garibay
1960 N Ogden St Ste 340 |
$676.07 | 13 | 13 |
|
Mona B Krull
777 Bannock St |
$437.01 | 14 | 12 |
|
Spencer Mcclelland
777 Bannock Street |
$211.60 | 15 | 15 |
|
Katlynn Adkins
777 Bannock St |
$260.06 | 17 | 12 |
|
Kylie Elizabeth Culp
777 Bannock St |
$527.10 | 19 | 13 |
|
Samantha Sinclair Ridgeway Fulton
777 Bannock St |
$523.86 | 25 | 24 |
|
Stefka E. Fabbri
777 Bannock |
$446.03 | 26 | 25 |
|
Sarah Kingsley Hong Barker
777 Bannock St |
$294.77 | 30 | 24 |
|
Nicole Marie Wong
7155 E 38Th Ave |
$110.61 | 30 | 27 |
|
Cristina Rabaza
3055 Roslyn St |
$134.79 | 31 | 29 |
|
Ashleigh Raechel Shiffler
790 Delaware St |
$339.40 | 33 | 29 |
|
Jennifer Susan Hyer
777 Bannock St |
$308.71 | 37 | 25 |
|
Nguyet Anh Nguyen
777 Bannock St |
$366.80 | 49 | 41 |
|
Sarah Helen Vanarendonk
777 Bannock St |
$551.16 | 72 | 66 |
|
Elizabeth H Burelle
777 Bannock St |
$390.78 | 72 | 60 |
|
Kristin Mabel Elizabeth Powell-Sellers
777 Bannock St |
$555.44 | 72 | 69 |
|
Pedro Miranda-Seijo
777 Bannock St |
$337.87 | 141 | 105 |
|
Mitchell A Adler
4567 E 9Th Ave |
$285.79 | 831 | 771 |
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 Denver, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Denver, CO is $332.65 per claim, based on 1,539 claims from 19 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 Denver, CO?
There are 19 Medicaid providers offering Pregnancy & Prenatal Care related services in Denver, CO according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Denver, CO?
Medicaid reimbursement for Pregnancy & Prenatal Care in Denver, CO ranges from $110.61 to $676.07 per claim, with an average of $332.65. 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 Denver, CO
Non-Emergency Medical Transportation
Avg $26.40
71,876,674 claims
Ambulance Transport
Avg $23.52
11,577,287 claims
Office Visit
Avg $89.80
3,664,561 claims
Blood Work & Lab Tests
Avg $6.48
3,027,459 claims
Substance Abuse Treatment
Avg $93.12
2,728,510 claims
Home Health Visit
Avg $313.41
1,547,478 claims
Emergency Room Visit
Avg $97.09
1,116,435 claims
Dental Cleaning & Exam
Avg $31.66
1,066,803 claims