Average Medicaid Pregnancy & Prenatal Care Payments in Irving, TX: $148.99
Avg. Paid
$148.99
Range
$31.65 – $910.49
Total Claims
6,056
Providers
22
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 Irving, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Summer Nadia Migoni
3501 N Macarthur Blvd |
$78.98 | 691 | 678 |
|
Elia Fanous
3501 N Macarthur Blvd |
$108.36 | 664 | 639 |
|
Brian Matthew Enggano
3501 N Macarthur Blvd |
$77.86 | 644 | 611 |
|
Jeffrey Wang
3501 N Macarthur Blvd Ste 500 |
$210.66 | 626 | 602 |
|
Kevin Patrick O'Neil
3501 N Macarthur Blvd |
$116.93 | 588 | 580 |
|
Anne Fuller
3501 N Macarthur Blvd Ste 500 |
$77.39 | 406 | 394 |
|
James Paul Carleo
3501 N Macarthur Blvd |
$150.23 | 400 | 385 |
|
Ungelica Rose Moses
6750 N Macarthur Blvd Ste 100 |
$31.65 | 377 | 300 |
|
Jennifer Anne Rockhold
3501 N Macarthur Blvd Ste 500 |
$351.96 | 360 | 350 |
|
Jeff Livingston
3501 N Macarthur Blvd Ste 500 |
$142.98 | 297 | 290 |
|
Stacey A Thomas
3501 N Macarthur Blvd Ste 500 |
$259.13 | 211 | 205 |
|
Janae Thomas
3501 N Macarthur Blvd Ste 500 |
$341.01 | 196 | 190 |
|
Alyssa Dawn Price
3501 N Macarthur Blvd Ste 500 |
$84.22 | 152 | 147 |
|
Allison Mcbrayer
3501 N Macarthur Blvd Ste 500 |
$167.33 | 93 | 89 |
|
Reshma Nanu Patel
3501 N Macarthur Blvd |
$156.15 | 93 | 91 |
|
Stephen Peter Sakovich
3501 N Macarthur Blvd |
$180.84 | 72 | 71 |
|
Martha Muniz Zavala
3501 N Macarthur Blvd Ste 500 |
$422.93 | 62 | 62 |
|
Erica Hutchins
3501 N Macarthur Blvd Ste 500 |
$71.20 | 39 | 38 |
|
Rebecca Ann Gray
3501 N Macarthur Blvd |
$565.66 | 32 | 31 |
|
Andrea Arguello
3501 N Macarthur Blvd Ste 500 |
$583.91 | 24 | 24 |
|
Kimberly Anne Sakovich
3501 N Macarthur Blvd |
$73.17 | 15 | 14 |
|
Ernest Ayuk Tako
5921 Kinwest Pkwy |
$910.49 | 14 | 14 |
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 Irving, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Irving, TX is $148.99 per claim, based on 6,056 claims from 22 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 Irving, TX?
There are 22 Medicaid providers offering Pregnancy & Prenatal Care related services in Irving, TX according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Irving, TX?
Medicaid reimbursement for Pregnancy & Prenatal Care in Irving, TX ranges from $31.65 to $910.49 per claim, with an average of $148.99. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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Avg $91.13
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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
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San Bernardino, CA
Avg $92.56
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Other Procedures in Irving, TX
Blood Work & Lab Tests
Avg $8.49
3,578,999 claims
Urinalysis & Urine Tests
Avg $4.09
737,053 claims
Vaccines & Immunizations
Avg $5.81
510,026 claims
Office Visit
Avg $39.93
507,595 claims
Culture & Microbiology Tests
Avg $5.28
424,288 claims
Dental Cleaning & Exam
Avg $40.91
331,811 claims
Pathology & Lab Services
Avg $22.82
198,259 claims
Emergency Room Visit
Avg $117.79
110,758 claims