Average Medicaid Pregnancy & Prenatal Care Payments in Elmhurst, NY: $178.77
Avg. Paid
$178.77
Range
$61.88 – $1,203
Total Claims
987
Providers
6
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 Elmhurst, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margaret Therese Re
80Th St & 41St Ave |
$64.68 | 432 | 388 |
|
Ikbal Halim Ghanim-Alali
7901 Broadway |
$68.69 | 334 | 302 |
|
Aren Leslie Gottlieb
7901 Broadway |
$1,203 | 98 | 98 |
|
Nancy Ngok
7820 41St Ave |
$61.88 | 84 | 75 |
|
Rachel O'Hearn
7901 Broadway |
$62.08 | 26 | 26 |
|
Paola A Giraldo
7901 Broadway |
$63.62 | 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 Elmhurst, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Elmhurst, NY is $178.77 per claim, based on 987 claims from 6 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 Elmhurst, NY?
There are 6 Medicaid providers offering Pregnancy & Prenatal Care related services in Elmhurst, NY according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Elmhurst, NY?
Medicaid reimbursement for Pregnancy & Prenatal Care in Elmhurst, NY ranges from $61.88 to $1,203 per claim, with an average of $178.77. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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Other Procedures in Elmhurst, NY
Office Visit
Avg $64.45
2,285,070 claims
Physical Therapy
Avg $33.44
894,667 claims
Blood Work & Lab Tests
Avg $8.15
883,814 claims
Vaccines & Immunizations
Avg $13.86
562,216 claims
Dental Cleaning & Exam
Avg $29.12
403,178 claims
Psychiatric Evaluation
Avg $123.56
288,848 claims
Emergency Room Visit
Avg $153.64
259,838 claims
Substance Abuse Treatment
Avg $28.14
205,988 claims