Average Medicaid Pregnancy & Prenatal Care Payments in Glens Falls, NY: $47.69
Avg. Paid
$47.69
Range
$37.07 – $53.35
Total Claims
5,869
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 Glens Falls, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jocelyn Paige Edens
90 South St |
$45.67 | 853 | 750 |
|
Nicole Marie Bennett
90 South St |
$47.11 | 840 | 739 |
|
Gabriela E Diaz
90 South St |
$46.05 | 742 | 667 |
|
Savanna Rose West
90 South St |
$50.99 | 526 | 446 |
|
Jessica R Nelson
90 South St |
$47.06 | 518 | 478 |
|
Lynette M Biss
90 South St |
$52.45 | 461 | 415 |
|
Carly Michelle Koelsch
90 South St |
$52.75 | 385 | 341 |
|
Madison Mckenna Barrett
90 South St |
$50.48 | 363 | 328 |
|
Ayresleigh Rowland
90 South Street |
$44.45 | 255 | 229 |
|
Elizabeth J Cooney
90 South St |
$44.57 | 245 | 220 |
|
Cassie Elaine Leonard
90 South St |
$49.34 | 203 | 181 |
|
Elizabeth Glory Mcandrew
90 South Street |
$40.01 | 171 | 155 |
|
Sereena C Coombes
90 South St |
$45.42 | 170 | 133 |
|
Ashley Alissa Kleinerman
90 South St |
$41.17 | 44 | 43 |
|
Diana Marie Sustar
90 South St |
$52.82 | 41 | 37 |
|
Amanda Leigh Clements
90 South St |
$45.82 | 26 | 25 |
|
Susan B Brown
90 South St |
$53.35 | 14 | 13 |
|
Danielle K Goertzen
90 South St |
$37.07 | 12 | 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 Glens Falls, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Glens Falls, NY is $47.69 per claim, based on 5,869 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 Glens Falls, NY?
There are 18 Medicaid providers offering Pregnancy & Prenatal Care related services in Glens Falls, NY according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Glens Falls, NY?
Medicaid reimbursement for Pregnancy & Prenatal Care in Glens Falls, NY ranges from $37.07 to $53.35 per claim, with an average of $47.69. 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
123,836 claims · 33 providers
Fort Wayne, IN
Avg $74.47
106,706 claims · 71 providers
San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Other Procedures in Glens Falls, NY
Office Visit
Avg $80.63
342,629 claims
Blood Work & Lab Tests
Avg $8.55
314,156 claims
Dental Cleaning & Exam
Avg $40.75
194,684 claims
Psychiatric Evaluation
Avg $83.69
101,231 claims
Emergency Room Visit
Avg $112.05
78,866 claims
Vaccines & Immunizations
Avg $13.45
73,889 claims
Physical Therapy
Avg $66.58
45,102 claims
Durable Medical Equipment (DME)
Avg $41.67
42,711 claims