Average Medicaid Pregnancy & Prenatal Care Payments in Escondido, CA: $129.42
Avg. Paid
$129.42
Range
$0.00 – $667.13
Total Claims
10,951
Providers
12
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 Escondido, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roger A Smith
1121 E Washington Ave |
$60.40 | 4,784 | 3,162 |
|
Lali Reddy
1121 E Washington Ave |
$59.41 | 3,926 | 2,260 |
|
Branislav Cizmar
488 E Valley Pkwy |
$661.94 | 678 | 661 |
|
Paul William Hinshaw
488 E Valley Pkwy |
$667.13 | 430 | 430 |
|
Anne Lilian Allen
555 E Valley Pkwy |
$0.53 | 341 | 326 |
|
Therese O'Neill
555 E Valley Pkwy |
$1.51 | 320 | 307 |
|
Duane Buringrud
488 E Valley Pkwy |
$455.14 | 295 | 293 |
|
Dap Health, Inc.
1121 E Washington Ave |
$28.64 | 46 | 40 |
|
Shannon Lynn Hart
488 E Valley Pkwy |
$266.76 | 37 | 30 |
|
Jennifer C Trujillo
488 E Valley Pkwy |
$60.48 | 36 | 25 |
|
Jorge Armando Otanez Cervantes
1121 E Washington Ave |
$0.00 | 34 | 34 |
|
Gregory Alan Langford
488 E Valley Pkwy |
$460.82 | 24 | 24 |
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 Escondido, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Escondido, CA is $129.42 per claim, based on 10,951 claims from 12 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 Escondido, CA?
There are 12 Medicaid providers offering Pregnancy & Prenatal Care related services in Escondido, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Escondido, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Escondido, CA ranges from $0.00 to $667.13 per claim, with an average of $129.42. 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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Bakersfield, CA
Avg $112.46
262,587 claims · 74 providers
Fresno, CA
Avg $14.81
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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 Escondido, CA
Office Visit
Avg $15.11
974,226 claims
Blood Work & Lab Tests
Avg $25.59
881,752 claims
Substance Abuse Treatment
Avg $86.46
266,008 claims
Urinalysis & Urine Tests
Avg $6.73
239,275 claims
Dental Cleaning & Exam
Avg $51.46
214,719 claims
Emergency Room Visit
Avg $199.96
182,324 claims
Psychiatric Evaluation
Avg $36.59
169,226 claims
Eye Exam
Avg $27.00
132,412 claims