Average Medicaid Pregnancy & Prenatal Care Payments in Johnson City, TN: $260.59
Avg. Paid
$260.59
Range
$0.00 – $1,455
Total Claims
1,149
Providers
10
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 Johnson City, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brandy N Pearce
301 Med Tech Pkwy Ste 200 |
$3.12 | 339 | 276 |
|
Vanessa L Ailey
301 Med Tech Pkwy |
$73.53 | 251 | 192 |
|
Janet E O'Neal
301 Med Tech Pkwy Ste 200 |
$0.71 | 161 | 136 |
|
Molly Talcott Heinzen Oxford
325 N State Of Franklin Rd Fl 1 |
$1,183 | 123 | 119 |
|
Tara Vick
325 N State Of Franklin Rd Fl 1 |
$619.31 | 114 | 106 |
|
Jott C Hallman
301 Med Tech Pkwy |
$1.28 | 90 | 38 |
|
Bethany Loven Reynolds
325 N State Of Franklin Rd Fl 1 |
$1,312 | 27 | 26 |
|
Holly N Falin
301 Med Tech Pkwy |
$0.00 | 16 | 13 |
|
Ann Maria Gebka Rouse
325 N State Of Franklin Rd Fl 1 |
$1,455 | 15 | 13 |
|
Grover E May
301 Med Tech Pkwy |
$489.71 | 13 | 13 |
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 Johnson City, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Johnson City, TN is $260.59 per claim, based on 1,149 claims from 10 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 Johnson City, TN?
There are 10 Medicaid providers offering Pregnancy & Prenatal Care related services in Johnson City, TN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Johnson City, TN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Johnson City, TN ranges from $0.00 to $1,455 per claim, with an average of $260.59. 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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Avg $112.46
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Fresno, CA
Avg $14.81
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New York, NY
Avg $147.67
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Sacramento, CA
Avg $28.38
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Riverside, CA
Avg $77.93
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Fort Wayne, IN
Avg $74.47
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Other Procedures in Johnson City, TN
Office Visit
Avg $41.00
1,254,454 claims
Blood Work & Lab Tests
Avg $6.13
810,124 claims
Ambulance Transport
Avg $19.77
356,576 claims
Non-Emergency Medical Transportation
Avg $5.44
345,590 claims
Emergency Room Visit
Avg $90.83
331,961 claims
Psychiatric Evaluation
Avg $39.41
315,792 claims
Home Health Visit
Avg $80.06
306,249 claims
Nursing Facility Care
Avg $9.59
243,361 claims