Average Medicaid Pregnancy & Prenatal Care Payments in La Jolla, CA: $71.16
Avg. Paid
$71.16
Range
$48.38 – $874.41
Total Claims
5,659
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 La Jolla, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gladys Alexandra Ramos
9350 Campus Point Dr |
$52.50 | 1,793 | 1,362 |
|
Christine B Miller
9350 Campus Point Dr |
$61.47 | 803 | 643 |
|
Jamie Layne Resnik
9350 Campus Point Dr |
$58.32 | 612 | 465 |
|
Pamela Wertz Deak
8910 Villa La Jolla Dr |
$59.49 | 437 | 324 |
|
Maryam Tarsa
9350 Campus Point Dr |
$53.43 | 355 | 273 |
|
Daphne Yvette Lacoursiere
9350 Campus Point Dr |
$54.85 | 242 | 196 |
|
Mariana Ramos-Rivera
9300 Campus Point Dr |
$65.90 | 227 | 179 |
|
Maureen Christie Ries
8910 Villa La Jolla Dr |
$57.44 | 215 | 178 |
|
Douglas Andrew Woelkers
9350 Campus Point Dr |
$54.30 | 147 | 132 |
|
Maureen Erin Farrell
9300 Campus Point Dr |
$61.56 | 132 | 116 |
|
Richard Brian Wolf
9350 Campus Point Dr |
$48.38 | 126 | 125 |
|
Chrysten Elizabeth Cunningham
2386 Avenida De La Playa |
$48.47 | 100 | 77 |
|
Gina Reggiardo Frugoni
9350 Campus Point Dr |
$53.80 | 89 | 76 |
|
Gillian Mackay
8910 Villa La Jolla Dr |
$64.32 | 74 | 57 |
|
Shira Malka Varon
9300 Campus Point Dr |
$59.38 | 66 | 49 |
|
Teresa Nitti
9888 Genesee Ave |
$874.41 | 64 | 62 |
|
Erin Andrea Gross
9350 Campus Point Dr |
$60.96 | 35 | 28 |
|
Lindsey Ann Burnett
9444 Medical Center Dr |
$491.06 | 27 | 25 |
|
Unja Kim
9300 Campus Point Dr |
$561.17 | 25 | 25 |
|
Jenique Brianne Keys
9300 Campus Point Dr |
$72.58 | 25 | 25 |
|
Thomas R Moore
9350 Campus Point Dr |
$48.38 | 23 | 13 |
|
David Alan Klein
9300 Campus Point Dr |
$57.26 | 17 | 15 |
|
Amy Marie Whistler Driebe
9300 Campus Point Dr |
$63.22 | 13 | 12 |
|
Rachel Landgren Wiley
9300 Campus Point Dr |
$613.10 | 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 La Jolla, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in La Jolla, CA is $71.16 per claim, based on 5,659 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 La Jolla, CA?
There are 24 Medicaid providers offering Pregnancy & Prenatal Care related services in La Jolla, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in La Jolla, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in La Jolla, CA ranges from $48.38 to $874.41 per claim, with an average of $71.16. 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 La Jolla, CA
Office Visit
Avg $47.42
400,355 claims
X-Ray
Avg $9.48
195,991 claims
Emergency Room Visit
Avg $75.86
141,788 claims
Blood Work & Lab Tests
Avg $7.53
117,443 claims
EKG / ECG (Electrocardiogram)
Avg $12.31
77,431 claims
CT Scan (Computed Tomography)
Avg $57.83
61,848 claims
Psychiatric Evaluation
Avg $36.00
50,998 claims
Urinalysis & Urine Tests
Avg $2.93
49,341 claims