Average Medicaid Pregnancy & Prenatal Care Payments in Hazleton, PA: $1,089
Avg. Paid
$1,089
Range
$749.56 – $1,380
Total Claims
26
Providers
2
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 Hazleton, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott Douglas Muir
1000 Alliance Dr |
$1,380 | 14 | 14 |
|
Vadim Loshakov
1000 Alliance Dr |
$749.56 | 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 Hazleton, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Hazleton, PA is $1,089 per claim, based on 26 claims from 2 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 Hazleton, PA?
There are 2 Medicaid providers offering Pregnancy & Prenatal Care related services in Hazleton, PA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Hazleton, PA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Hazleton, PA ranges from $749.56 to $1,380 per claim, with an average of $1,089. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Hazleton, PA
Dental Cleaning & Exam
Avg $34.00
99,497 claims
Office Visit
Avg $47.66
95,425 claims
Speech Therapy
Avg $17.42
85,232 claims
Emergency Room Visit
Avg $99.23
72,608 claims
Chiropractic Care
Avg $11.64
52,897 claims
Physical Therapy
Avg $23.52
52,074 claims
Blood Work & Lab Tests
Avg $7.37
36,776 claims
Ambulance Transport
Avg $33.61
30,599 claims