Average Medicaid Pregnancy & Prenatal Care Payments in Knoxville, TN: $1,091
Avg. Paid
$1,091
Range
$0.01 – $1,951
Total Claims
6,858
Providers
24
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 Knoxville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Periclis Roussis
501 19Th St. |
$1,359 | 4,982 | 3,967 |
|
Shannon R Bodiford
2018 Western Ave |
$208.61 | 773 | 693 |
|
Wilfredo Nicolas Herrera
501 19Th St Ste 401 |
$99.11 | 288 | 261 |
|
Kristina Michelle Carter
1930 Alcoa Hwy Ste 435 |
$636.65 | 169 | 144 |
|
Brooke Elaine Rogers
1928 Alcoa Hwy Ste B127 |
$108.53 | 87 | 74 |
|
Cecil Tripp Huron Nelson
1930 Alcoa Hwy Ste 435 |
$963.17 | 67 | 52 |
|
Steven Anthony Andrade
501 19Th St Ste 401 |
$710.50 | 61 | 59 |
|
Susan H Hutchinson
1928 Alcoa Hwy |
$100.81 | 60 | 51 |
|
Erin G Black
939 Emerald Ave |
$362.37 | 59 | 55 |
|
Gary Wayne Stephens
501 19Th St. |
$1,951 | 44 | 43 |
|
Michael R Caudle
2018 Western Ave |
$421.03 | 36 | 36 |
|
Catherine Haynes Kingery
1928 Alcoa Hwy |
$109.20 | 35 | 28 |
|
Lynlee Marie Wolfe
1925 Alcoa Hwy |
$1,049 | 30 | 29 |
|
Heather Katherine Moss
4005 Fountain Valley Dr |
$723.00 | 29 | 29 |
|
Michelle Rene Lemberger
1621 W. Morris Blvd. |
$1,757 | 18 | 13 |
|
Audrey D Barry
1928 Alcoa Hwy |
$531.42 | 16 | 14 |
|
Walter W Schoutko
2018 Western Ave |
$768.00 | 15 | 14 |
|
Duy-Thu P. D. Martin
501 19Th St Ste 304 |
$1,137 | 15 | 14 |
|
Sarah Shelton
1928 Alcoa Hwy Ste 118 |
$718.72 | 13 | 13 |
|
Natalie Prejean Blache
1928 Alcoa Hwy |
$777.84 | 13 | 12 |
|
K. Paige K Johnson
1932 Alcoa Hwy |
$657.36 | 12 | 12 |
|
Elizabeth Altizer
1928 Alcoa Hwy |
$0.01 | 12 | 12 |
|
Angela Rose Seasely
501 19Th St Ste 401 |
$1,150 | 12 | 12 |
|
Donna Lynn Shine
501 19Th Street |
$0.92 | 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 Knoxville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Knoxville, TN is $1,091 per claim, based on 6,858 claims from 24 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 Knoxville, TN?
There are 24 Medicaid providers offering Pregnancy & Prenatal Care related services in Knoxville, TN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Knoxville, TN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Knoxville, TN ranges from $0.01 to $1,951 per claim, with an average of $1,091. 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 Knoxville, TN
Office Visit
Avg $45.18
3,462,740 claims
Blood Work & Lab Tests
Avg $4.36
3,232,027 claims
Case Management Services
Avg $11.55
1,534,932 claims
Emergency Room Visit
Avg $112.38
1,231,223 claims
Ambulance Transport
Avg $34.35
1,208,594 claims
Speech Therapy
Avg $48.14
1,179,507 claims
X-Ray
Avg $5.65
1,112,380 claims
Psychiatric Evaluation
Avg $54.43
1,063,759 claims