Average Medicaid Pregnancy & Prenatal Care Payments in Goshen, IN: $65.99
Avg. Paid
$65.99
Range
$39.20 – $79.09
Total Claims
9,796
Providers
20
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 Goshen, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Lindemulder
1122 Professional Dr |
$69.37 | 1,588 | 1,165 |
|
James Nnuro Frimpong
1122 Professional Dr |
$66.03 | 1,487 | 1,183 |
|
Gregory L Todd
1111 Lighthouse Ln |
$66.88 | 1,217 | 862 |
|
Vernon Maes
1111 Lighthouse Lane |
$72.68 | 1,178 | 822 |
|
Lorraine E Weaver
1122 Professional Dr |
$60.01 | 944 | 678 |
|
Rebecca Gindelberger
1122 Professional Dr |
$67.86 | 851 | 631 |
|
Sharrell Eltreece Gibson
1122 Professional Dr |
$65.23 | 468 | 382 |
|
Karen Newcomer
2012 S Main St |
$51.83 | 419 | 292 |
|
Catherine E Binger
1111 Lighthouse Ln |
$79.09 | 343 | 284 |
|
Danae Eileen Bell
1122 Professional Dr |
$55.71 | 251 | 213 |
|
Rebecca E Johnson
808 N 3Rd St |
$51.25 | 217 | 151 |
|
Alison J Mattern
1122 Professional Dr |
$59.62 | 210 | 157 |
|
Greg M Mielke
1111 Lighthouse Ln |
$65.36 | 190 | 94 |
|
Kelly Jo Simpson
1122 Professional Dr |
$53.53 | 93 | 83 |
|
Steven Daniel Schrock
1720 W Lincoln Ave |
$71.98 | 90 | 77 |
|
Betsy Mccanse
111 W Washington St |
$70.69 | 82 | 68 |
|
Peter M Delneky
1122 Professional Dr |
$67.61 | 57 | 42 |
|
Hollyann Lambdin
1122 Professional Dr |
$60.93 | 55 | 47 |
|
Anna Weaver Grady
213 Middlebury St |
$55.88 | 38 | 24 |
|
Beverly A Lowther
1111 Lighthouse Ln |
$39.20 | 18 | 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 Goshen, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Goshen, IN is $65.99 per claim, based on 9,796 claims from 20 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 Goshen, IN?
There are 20 Medicaid providers offering Pregnancy & Prenatal Care related services in Goshen, IN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Goshen, IN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Goshen, IN ranges from $39.20 to $79.09 per claim, with an average of $65.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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New York, NY
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Sacramento, CA
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Riverside, CA
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Other Procedures in Goshen, IN
Psychiatric Evaluation
Avg $64.53
772,452 claims
Office Visit
Avg $69.06
382,179 claims
Behavioral & Mental Health Therapy
Avg $93.55
235,036 claims
Case Management Services
Avg $40.88
201,035 claims
Vaccines & Immunizations
Avg $9.48
60,591 claims
Blood Work & Lab Tests
Avg $6.34
37,296 claims
Physical Therapy
Avg $35.61
29,753 claims
Chiropractic Care
Avg $24.52
25,718 claims