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 |
|---|---|---|---|
|
Siderum Health Network, Llc
11321 Richmond Ave |
$1,207 | 12 | 12 |
|
Bonnie Lynn Hermann
6410 Fannin St Ste 350 |
$714.36 | 12 | 12 |
|
Brittney A Williams
6701 Fannin St |
$709.29 | 12 | 12 |
|
Lauren Jane Tharp
6410 Fannin St Ste 250 |
$706.62 | 12 | 12 |
|
Charles C Kilpatrick
5656 Kelley St |
$678.80 | 12 | 12 |
|
Lubna Chohan
6410 Fannin St |
$676.36 | 12 | 12 |
|
Jacqueline Parchem
6410 Fannin St Ste 360 |
$630.14 | 12 | 12 |
|
Raphny A Johnson
1 Baylor Plz # Bcm610 |
$615.54 | 12 | 12 |
|
Diana Herrera
1315 St Joseph Pkwy Ste 1818 |
$591.70 | 12 | 12 |
|
Michelle Alexandria Jones
6441 High Star Dr |
$291.62 | 12 | 12 |
|
Carla F Ortique
6620 Main St Suite H1300 |
$120.93 | 12 | 12 |
|
Maggie Le Richter
929 Gessner Rd Ste 1300 |
$114.91 | 12 | 12 |
|
Narmadha Peter
807 Orchard Peak Ct |
$75.23 | 12 | 12 |
|
Yasmin Natasha Lake
1500 Citywest Blvd |
$0.00 | 12 | 12 |
|
Jamie Katheryn Cornejo
1400 Broadfield Blvd Ste 200 |
$0.00 | 12 | 12 |
|
Samantha Elizabeth Martin
18220 State Highway 249 Ste 370 |
$924.45 | 13 | 13 |
|
Erin Susan Huntley
6410 Fannin St Ste 360 |
$718.92 | 13 | 13 |
|
Jenny Jean-Julien Duret-Uzodinma
6410 Fannin St Ste 350 |
$698.45 | 13 | 13 |
|
Sara Ostrosky Jacobs
6621 Fannin St |
$671.50 | 13 | 13 |
|
Joseph A Rodriguez
5656 Kelley St |
$668.93 | 13 | 12 |
|
Amanda Mei Wang
7400 Fannin St Ste 1145 |
$666.55 | 13 | 13 |
|
Natalie Tips Dodds
6400 Fannin St Ste 2900 |
$664.17 | 13 | 13 |
|
Alejandra Vega
7400 Fannin St Ste 755 |
$608.62 | 13 | 13 |
|
Michael Isam Balat
8575 Pitner Rd |
$592.89 | 13 | 13 |
|
Cindy Dodard
9700 Bissonnet St Ste 1000W |
$538.38 | 13 | 13 |
|
Andrea Albin
6410 Fannin St Ste 350 |
$66.94 | 13 | 13 |
|
Kylie Lee Klein
7500 Fannin St Ste 220 |
$65.60 | 13 | 13 |
|
Shavonia L. Gants
925 N Shepherd Dr |
$720.62 | 14 | 13 |
|
Sarah Kay Conrad
1 Baylor Plz |
$667.57 | 14 | 14 |
|
Ivvanee Martinez
6410 Fannin St |
$649.90 | 14 | 14 |
|
Randa Jalloul
6410 Fannin St Ste 250 |
$642.30 | 14 | 14 |
|
Lisette Zermeno
1504 Taub Loop |
$613.02 | 14 | 14 |
|
Shirley Woo
6651 Main St |
$578.19 | 14 | 13 |
|
Nima Patel-Agarwal
9700 Bissonnet St |
$499.92 | 14 | 14 |
|
Ahmed Abouseif
6410 Fannin St Ste 350 |
$454.92 | 14 | 14 |
|
Tram Pham
6565 Fannin St |
$126.81 | 14 | 14 |
|
Sameen Nooruddin
7900 Fannin St Ste 4000 |
$88.84 | 14 | 14 |
|
June Gabrielle Marshall
11307 Fm 1960 Rd W |
$548.88 | 15 | 14 |
|
Aida L Vigil-Sanchez
5616 Lawndale St Ste 108&A110 |
$506.06 | 15 | 15 |
|
Kathy Kaisee Lee-Ostermayer
7400 Fannin St Ste 1050 |
$488.96 | 15 | 15 |
|
Lily Yang
1818 Memorial Dr Ste 200 |
$465.91 | 15 | 13 |
|
Carol Huang Tran Cao
8901 Boone Rd |
$689.74 | 16 | 16 |
|
Chuong Hoang Pham
18220 State Highway 249 Ste 210 |
$91.37 | 16 | 14 |
|
Sarah Detlefs
1504 Taub Loop |
$789.57 | 17 | 17 |
|
Jamise Johnson
6651 Main St |
$118.71 | 17 | 17 |
|
Ilia Ayub
14947 Camino Rancho Dr |
$0.00 | 18 | 15 |
|
Theresa L Robinson
7580 Fannin St |
$415.34 | 19 | 14 |
|
Alexandra Berra
1 Baylor Plz # Bcm610 |
$587.12 | 20 | 15 |
|
Eugene Chuck Toy
6410 Fannin |
$675.39 | 24 | 24 |
|
Jessian Louis Munoz
1504 Taub Loop |
$637.83 | 24 | 24 |
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