Average Medicaid Pregnancy & Prenatal Care Payments in Gadsden, AL: $1,604
Avg. Paid
$1,604
Range
$0.00 – $1,998
Total Claims
4,246
Providers
7
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 Gadsden, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Quality Of Life Health Services,Inc
1411 Piedmont Cutoff |
$1,998 | 3,188 | 3,013 |
|
Womens Health Partners Llc
1026 Goodyear Ave |
$0.00 | 383 | 368 |
|
Xavier Leondis Smith
1026 Goodyear Ave |
$521.14 | 277 | 243 |
|
Mark Allen Manning
1026 Goodyear Ave |
$1,057 | 148 | 116 |
|
Sarah Lindsay Prophet Frederick
1026 Goodyear Ave Ste 302B |
$320.81 | 118 | 104 |
|
James R Phillips
1026 Goodyear Ave |
$861.64 | 102 | 79 |
|
Marian Suzanne Gilliland
1026 Goodyear Ave |
$435.60 | 30 | 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 Gadsden, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Gadsden, AL is $1,604 per claim, based on 4,246 claims from 7 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 Gadsden, AL?
There are 7 Medicaid providers offering Pregnancy & Prenatal Care related services in Gadsden, AL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Gadsden, AL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Gadsden, AL ranges from $0.00 to $1,998 per claim, with an average of $1,604. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Gadsden, AL
Office Visit
Avg $56.92
364,159 claims
Dental Cleaning & Exam
Avg $23.55
234,566 claims
Psychiatric Evaluation
Avg $64.34
114,843 claims
Blood Work & Lab Tests
Avg $7.57
113,693 claims
Emergency Room Visit
Avg $55.60
100,040 claims
Ambulance Transport
Avg $37.94
62,991 claims
Vaccines & Immunizations
Avg $19.60
56,882 claims
Urinalysis & Urine Tests
Avg $2.10
47,760 claims