Average Medicaid Pregnancy & Prenatal Care Payments in Elkhart, IN: $67.08
Avg. Paid
$67.08
Range
$59.59 – $84.02
Total Claims
18,066
Providers
18
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 Elkhart, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James P Mauck
2405 West Lexington Avenue |
$64.00 | 2,635 | 1,817 |
|
Rosalie L Mcbride
2405 W Lexington Ave |
$66.09 | 2,626 | 1,843 |
|
Timothy E Morgan
2405 West Lexington Avenue |
$63.99 | 2,570 | 1,714 |
|
Samantha Lynn Jester
1215 Lawn Ave Ste 100 |
$65.42 | 1,818 | 1,517 |
|
Heather A. Hostetler
1215 Lawn Ave Ste 100 |
$65.86 | 1,817 | 1,550 |
|
Lora D Defreese
1215 Lawn Ave Ste 100 |
$69.13 | 1,691 | 1,429 |
|
Lindsey K Troyer
2405 W Lexington Ave |
$59.59 | 899 | 719 |
|
Tara Christine Jones
1215 Lawn Ave |
$73.31 | 890 | 722 |
|
Starla D Graber
2405 West Lexington Avenue |
$66.02 | 875 | 630 |
|
Thalia Raya Pachiyannakis
1545 Cassopolis St |
$82.49 | 666 | 462 |
|
Patricia Jo Chapman
1215 Lawn Ave |
$74.38 | 471 | 347 |
|
Enrique Eduardo Infante
1215 Lawn Ave |
$84.02 | 431 | 283 |
|
Rocio Ahuja
2405 W Lexington Ave |
$64.55 | 227 | 190 |
|
Ashley Dawn Ruiz
2405 W Lexington Ave |
$76.92 | 204 | 164 |
|
Aisha Siddiqui
2405 W Lexington Ave |
$66.62 | 172 | 140 |
|
Darren Robert Dolly
1215 Lawn Ave Ste 100 |
$65.87 | 47 | 44 |
|
Stephen P Hollenberg
2405 W Lexington Ave |
$77.77 | 14 | 14 |
|
Kathrin Marie Parisi
1215 Lawn Ave Ste 110 |
$77.00 | 13 | 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 Elkhart, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Elkhart, IN is $67.08 per claim, based on 18,066 claims from 18 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 Elkhart, IN?
There are 18 Medicaid providers offering Pregnancy & Prenatal Care related services in Elkhart, IN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Elkhart, IN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Elkhart, IN ranges from $59.59 to $84.02 per claim, with an average of $67.08. 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
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Fort Wayne, IN
Avg $74.47
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San Bernardino, CA
Avg $92.56
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Other Procedures in Elkhart, IN
Emergency Room Visit
Avg $101.82
355,194 claims
Office Visit
Avg $49.36
323,807 claims
Blood Work & Lab Tests
Avg $4.55
309,110 claims
Psychiatric Evaluation
Avg $46.11
120,775 claims
EKG / ECG (Electrocardiogram)
Avg $19.76
97,844 claims
Vaccines & Immunizations
Avg $8.44
94,806 claims
Urinalysis & Urine Tests
Avg $1.93
70,876 claims
Speech Therapy
Avg $41.25
61,659 claims