Average Medicaid Pregnancy & Prenatal Care Payments in Edinburg, TX: $185.93
Avg. Paid
$185.93
Range
$54.25 – $800.24
Total Claims
6,515
Providers
10
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 Edinburg, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Padraic Chisholm
910 S Closner Blvd |
$270.62 | 2,474 | 2,399 |
|
Jesus M Garza-Tamez
5501 S Mccoll Rd |
$100.41 | 2,352 | 2,312 |
|
Rodolfo M. Lozano
2821 Michael Angelo |
$190.58 | 881 | 815 |
|
Luis A. Ramirez
2821 Michael Angelo Ste 100 |
$138.17 | 627 | 521 |
|
Jaime Rene Garza
5115 S Mccoll Rd |
$89.07 | 52 | 49 |
|
Anita Monique Madison
2821 Michaelangelo Dr |
$800.24 | 50 | 47 |
|
Maria Ruby Guajardo
5111 S Mccoll Rd |
$88.99 | 27 | 24 |
|
Heriberto Rodriguez Ayala
5419 S Mccoll Rd |
$89.70 | 24 | 24 |
|
Thiendella Diagne
4422 S Mccoll Rd |
$54.25 | 15 | 12 |
|
Kimberly Ann Gonzalez
5115 S Mccoll Rd |
$84.01 | 13 | 13 |
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 Edinburg, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Edinburg, TX is $185.93 per claim, based on 6,515 claims from 10 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 Edinburg, TX?
There are 10 Medicaid providers offering Pregnancy & Prenatal Care related services in Edinburg, TX according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Edinburg, TX?
Medicaid reimbursement for Pregnancy & Prenatal Care in Edinburg, TX ranges from $54.25 to $800.24 per claim, with an average of $185.93. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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Avg $91.13
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Avg $112.46
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Fresno, CA
Avg $14.81
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New York, NY
Avg $147.67
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Sacramento, CA
Avg $28.38
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Riverside, CA
Avg $77.93
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Fort Wayne, IN
Avg $74.47
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Avg $92.56
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Other Procedures in Edinburg, TX
Office Visit
Avg $39.60
1,601,805 claims
Blood Work & Lab Tests
Avg $8.03
994,855 claims
Personal Care Services
Avg $66.62
932,589 claims
Vaccines & Immunizations
Avg $6.07
492,039 claims
Dental Cleaning & Exam
Avg $43.69
427,789 claims
Physical Therapy
Avg $59.61
294,805 claims
Speech Therapy
Avg $81.81
279,480 claims
Urinalysis & Urine Tests
Avg $3.46
217,843 claims