Average Medicaid Pregnancy & Prenatal Care Payments in Kailua Kona, HI: $44.00
Avg. Paid
$44.00
Range
$0.00 – $1,176
Total Claims
1,704
Providers
3
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 Kailua Kona, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ken R Clayton
78-6831 Alii Dr Ste 411 |
$43.14 | 1,411 | 1,140 |
|
Mark S. Rhee
74-517 Honokohau St |
$0.00 | 281 | 204 |
|
Harnath Christopher Holmes
78-6831 Alii Dr |
$1,176 | 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 Kailua Kona, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Kailua Kona, HI is $44.00 per claim, based on 1,704 claims from 3 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 Kailua Kona, HI?
There are 3 Medicaid providers offering Pregnancy & Prenatal Care related services in Kailua Kona, HI according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Kailua Kona, HI?
Medicaid reimbursement for Pregnancy & Prenatal Care in Kailua Kona, HI ranges from $0.00 to $1,176 per claim, with an average of $44.00. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Kailua Kona, HI
Office Visit
Avg $107.14
119,695 claims
Blood Work & Lab Tests
Avg $33.65
118,619 claims
Psychiatric Evaluation
Avg $87.08
62,221 claims
Physical Therapy
Avg $29.06
47,343 claims
Dental Cleaning & Exam
Avg $17.47
34,219 claims
Urinalysis & Urine Tests
Avg $0.79
26,345 claims
Substance Abuse Treatment
Avg $51.00
26,097 claims
Vaccines & Immunizations
Avg $4.15
19,547 claims