Average Medicaid Pregnancy & Prenatal Care Payments in Hialeah, FL: $177.97
Avg. Paid
$177.97
Range
$46.66 – $968.67
Total Claims
8,303
Providers
14
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 Hialeah, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Francisco G Tudela
777 E 25Th St Ste 106 |
$165.26 | 2,134 | 1,454 |
|
Alberto Dominguez Bali
777 E 25Th St |
$361.56 | 1,832 | 1,609 |
|
Nasser Dabien
8814 Nw 180Th Ter |
$114.21 | 1,573 | 1,470 |
|
Olga Tudela
777 E 25Th St |
$95.19 | 914 | 491 |
|
Christine Marie Torres
4125 W 20Th Ave |
$54.69 | 760 | 623 |
|
Hugo M. Ferrara
2300 W 84Th St Ste 500 |
$80.76 | 373 | 346 |
|
Jorge Arturo Fernandez
7100 W 20Th Ave Ste 803 |
$99.06 | 262 | 253 |
|
Rafael E Garcia-Ocasio
2300 W 84Th St Ste 500 |
$168.74 | 191 | 173 |
|
Kenneth Strubbe
7100 W 20Th Ave Ste 314 |
$211.06 | 166 | 155 |
|
Hector Luis Fernandez
7150 W 20 Ave |
$46.66 | 33 | 33 |
|
Celestino P Castellon
777 E 25Th St |
$968.67 | 26 | 26 |
|
Bridgewater Women Center, Llc
16782 Nw 67Th Ave |
$81.34 | 14 | 12 |
|
Daniel Martinez Guzman
2300 W 84Th St Ste 500 |
$156.27 | 13 | 12 |
|
Rolando Gonzalez
7150 W 20 Ave |
$97.39 | 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 Hialeah, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Hialeah, FL is $177.97 per claim, based on 8,303 claims from 14 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 Hialeah, FL?
There are 14 Medicaid providers offering Pregnancy & Prenatal Care related services in Hialeah, FL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Hialeah, FL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Hialeah, FL ranges from $46.66 to $968.67 per claim, with an average of $177.97. 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 Hialeah, FL
Home Health Visit
Avg $45.78
6,110,568 claims
Personal Care Services
Avg $26.96
4,301,517 claims
Case Management Services
Avg $57.62
1,437,779 claims
Office Visit
Avg $31.22
1,061,174 claims
Behavioral & Mental Health Therapy
Avg $76.84
945,390 claims
Speech Therapy
Avg $57.69
603,545 claims
Physical Therapy
Avg $53.82
597,771 claims
Blood Work & Lab Tests
Avg $5.35
516,319 claims