Average Medicaid Pregnancy & Prenatal Care Payments in Houston, TX: $368.81
Avg. Paid
$368.81
Range
$0.00 – $1,207
Total Claims
55,750
Providers
200
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 Houston, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicolas Phoebus Xydas
6500 North Fwy |
$332.03 | 13,810 | 11,441 |
|
Hany H. Ahmed
1919 North Loop W |
$399.85 | 2,777 | 2,734 |
|
Michael D Kelly
1125 Cypress Station Dr Ste C |
$317.72 | 2,249 | 2,116 |
|
Legacy Community Health Services, Inc
1415 California St |
$55.75 | 1,943 | 1,727 |
|
Elvis Torres
12000 Richmond Ave |
$264.94 | 1,861 | 1,635 |
|
Sean Blackwell
6410 Fannin, Suite 210 |
$701.39 | 1,793 | 1,758 |
|
Iyabode Munirat Ogunlade
13523 Hargrave Road |
$382.20 | 1,377 | 1,345 |
|
Carlos Carreno
6410 Fannin St |
$658.83 | 1,344 | 1,317 |
|
George T Kuhn
1315 St Joseph Pkwy |
$404.89 | 1,213 | 1,174 |
|
John Ibrahim Dogan
13221 Dotson Rd |
$282.46 | 1,121 | 1,077 |
|
George Eric Madjitey
2101 Crawford |
$268.68 | 851 | 540 |
|
George Russell Edwards
6410 Fannin Street |
$569.51 | 829 | 787 |
|
Adebayo Jerry Adesomo
3101 Richmond Ave Ste 250 |
$582.33 | 766 | 763 |
|
Carlos O. Mayo
6699 Rookin St |
$81.46 | 732 | 724 |
|
Nneka Okezie-Okeh
1415 California St |
$76.81 | 659 | 484 |
|
Marcos Hiroshi Ikeda
509 W Tidwell Rd |
$301.86 | 647 | 624 |
|
Konrad Paul Harms
1601 St Joseph Pkwy |
$523.81 | 637 | 616 |
|
Nelson Enrique Uzquiano
7737 Southwest Fwy |
$194.20 | 589 | 498 |
|
Oanh Ngoc Bui
10680 Jones Rd Ste 600 |
$279.76 | 576 | 539 |
|
Geoffrey Andrew Zimmerman
2222 Greenhouse Rd Ste 300 |
$322.51 | 571 | 558 |
|
Louay Zeid
4615 Southwest Fwy Ste 1000 |
$176.36 | 568 | 482 |
|
Suneet B Chauhan
6431 Fannin Street |
$683.65 | 507 | 493 |
|
Tahseen Qadeer
6410 Fannin St |
$493.73 | 490 | 486 |
|
Damilola Claudia Akinsipe
6200 Savoy Dr |
$95.71 | 486 | 481 |
|
Sara Brynn Holcombe
5656 Kelley St |
$652.09 | 473 | 464 |
|
Todd Miles Holt
929 Gessner Rd. |
$89.26 | 473 | 447 |
|
Angela Burgess
6410 Fannin St Ste 360 |
$652.41 | 468 | 461 |
|
Gregory S. Shelton
7900 Fannin St Ste 4000 |
$201.50 | 466 | 425 |
|
Denise I Leonard
14505 Torrey Chase Blvd Ste 325 |
$301.92 | 448 | 437 |
|
Megan Crystal Shepherd
6410 Fannin St Ste 360 |
$666.14 | 440 | 432 |
|
Kathleen Vandegiessen
7007 North Fwy |
$629.68 | 391 | 367 |
|
Christina Paula Garcia
4600 Gulf Fwy |
$90.55 | 386 | 374 |
|
Cristo Papasakelariou
1315 St Joseph Pkwy |
$563.02 | 364 | 349 |
|
Faye L. Bounds
700 N Sam Houston Pkwy W |
$76.68 | 356 | 353 |
|
Daniel O Mundy
6410 Fannin St |
$527.92 | 350 | 346 |
|
Nilka M. Dulan
1504 Taub Loop |
$0.00 | 346 | 224 |
|
Asian American Health Coalition Of The Greater Houston Area
7001 Corporate Dr |
$238.51 | 342 | 311 |
|
Christie E Obukofe
12871 East Freeway |
$378.63 | 341 | 261 |
|
Tally Krienke
700 N Sam Houston Pkwy W |
$73.04 | 332 | 330 |
|
Faranak Behnia
6431 Fannin St # 3.286 |
$725.54 | 320 | 315 |
|
Karin Anneliese Fox
6651 Main St |
$709.05 | 300 | 283 |
|
Breno Loureiro Miguel
6031 Airline Dr |
$477.87 | 279 | 271 |
|
Sarah Hoopes
18220 State Highway 249 Ste 475 |
$567.48 | 268 | 258 |
|
Priti Schachel
6550 Fannin St Ste 2221 |
$583.12 | 263 | 252 |
|
Ruth Diane Preece
929 Gessner Rd |
$92.55 | 260 | 258 |
|
Neelima Sukhavasi
One Baylor Plaza |
$700.64 | 259 | 248 |
|
Karen M Schneider
5656 Kelley St |
$657.69 | 244 | 240 |
|
Sayeed Nurul Iqbal
2500 Wilcrest Dr Ste 300 |
$48.28 | 243 | 188 |
|
Nwanyieze Amajoh
6410 Fannin St Ste 350 |
$667.42 | 237 | 229 |
|
Pamela Joyce Hicks
1504 Taub Loop |
$116.93 | 234 | 228 |
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 Houston, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Houston, TX is $368.81 per claim, based on 55,750 claims from 200 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 Houston, TX?
There are 200 Medicaid providers offering Pregnancy & Prenatal Care related services in Houston, TX according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Houston, TX?
Medicaid reimbursement for Pregnancy & Prenatal Care in Houston, TX ranges from $0.00 to $1,207 per claim, with an average of $368.81. 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 Houston, TX
Office Visit
Avg $48.27
8,766,644 claims
Vaccines & Immunizations
Avg $6.36
4,720,768 claims
Dental Cleaning & Exam
Avg $39.95
3,744,881 claims
Blood Work & Lab Tests
Avg $9.56
3,408,214 claims
Emergency Room Visit
Avg $183.70
2,360,699 claims
X-Ray
Avg $9.02
1,931,677 claims
Personal Care Services
Avg $67.63
1,546,221 claims
Urinalysis & Urine Tests
Avg $5.15
1,340,067 claims