Average Medicaid Pregnancy & Prenatal Care Payments in Fairfield, CA: $169.09
Avg. Paid
$169.09
Range
$46.92 – $355.22
Total Claims
2,183
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 Fairfield, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frederick C Blair
1234 Empire St |
$355.22 | 678 | 519 |
|
Andrew Peter Lin
1860 Pennsylvania Ave |
$87.70 | 481 | 398 |
|
Northbay Healthcare Group
1200 B Gale Wilson Blvd |
$46.92 | 349 | 221 |
|
Marlene H Freeman
2702 Low Ct |
$100.00 | 293 | 237 |
|
Sutter Valley Medical Foundation
2720 Low Ct |
$99.63 | 211 | 127 |
|
Shanna Rose Snow
1860 Pennsylvania Ave |
$87.70 | 61 | 46 |
|
Parveen Khan
1860 Pennsylvania Avenue |
$60.48 | 52 | 46 |
|
Deborah Lynn Swift
1860 Pennsylvania Ave |
$287.07 | 31 | 24 |
|
Rachel M. Villalon
1860 Pennsylvania Ave |
$87.70 | 14 | 12 |
|
Ruth A Hahn
1255 Travis Blvd |
$60.48 | 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 Fairfield, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Fairfield, CA is $169.09 per claim, based on 2,183 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 Fairfield, CA?
There are 10 Medicaid providers offering Pregnancy & Prenatal Care related services in Fairfield, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Fairfield, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Fairfield, CA ranges from $46.92 to $355.22 per claim, with an average of $169.09. 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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Avg $74.47
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Avg $92.56
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Other Procedures in Fairfield, CA
Office Visit
Avg $27.55
518,052 claims
Substance Abuse Treatment
Avg $53.40
393,102 claims
Emergency Room Visit
Avg $100.97
361,307 claims
Blood Work & Lab Tests
Avg $8.51
337,542 claims
Psychiatric Evaluation
Avg $103.03
117,861 claims
Urinalysis & Urine Tests
Avg $3.47
106,605 claims
X-Ray
Avg $24.02
103,717 claims
Dental Cleaning & Exam
Avg $50.77
98,261 claims