Average Medicaid Pregnancy & Prenatal Care Payments in Lakeland, FL: $96.31
Avg. Paid
$96.31
Range
$19.90 – $1,217
Total Claims
4,668
Providers
20
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 Lakeland, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kayla Rae Nebelsick
1733 Lakeland Hills Blvd |
$72.46 | 1,387 | 880 |
|
Pamela S Hodges
215 Imperial Blvd Ste B2 |
$115.41 | 673 | 577 |
|
Kimona Baker
1729 Lakeland Hills Blvd |
$34.28 | 532 | 442 |
|
Suzanne Lena Lababidi
1324 Lakeland Hills Blvd |
$21.58 | 394 | 262 |
|
Tammy Hatcher
1729 Lakeland Hills Blvd |
$117.01 | 309 | 262 |
|
Amanda Sarah Mann
402 E Poinsettia St |
$30.48 | 243 | 195 |
|
Carolyn M Reneau
1729 Lakeland Hills Blvd |
$41.34 | 222 | 174 |
|
Juliette A Spence Segree
1525 Lakeland Hills Blvd |
$34.84 | 210 | 187 |
|
Sheri S Small
1729 Lakeland Hills Blvd |
$27.06 | 186 | 135 |
|
Madelyn Laboy
1755 N Florida Ave |
$43.66 | 100 | 45 |
|
Anne Holloman
1733 Lakeland Hills Blvd |
$36.00 | 99 | 75 |
|
Jill R Hendry
1733 Lakeland Hills Blvd |
$649.33 | 61 | 56 |
|
Lisa Marie Sanches
1733 Lakeland Hills Blvd |
$919.07 | 51 | 51 |
|
Jill Allison Young
1525 Lakeland Hills Blvd |
$32.66 | 42 | 38 |
|
Dawn M Palaszewski
1600 Lakeland Hills Blvd |
$533.25 | 38 | 25 |
|
Bryna Alyse Peplinski
1324 Lakeland Hills Blvd, |
$958.63 | 37 | 29 |
|
Ezer A Ojeda
1129 N Missouri Ave |
$35.09 | 36 | 26 |
|
Marianne Power
205 E Hibiscus Dr |
$19.90 | 23 | 12 |
|
Glenda Gail Parton
1129 N Missouri Ave |
$901.48 | 13 | 13 |
|
James Francis Murray
1324 Lakeland Hills Blvd |
$1,217 | 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 Lakeland, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Lakeland, FL is $96.31 per claim, based on 4,668 claims from 20 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 Lakeland, FL?
There are 20 Medicaid providers offering Pregnancy & Prenatal Care related services in Lakeland, FL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Lakeland, FL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Lakeland, FL ranges from $19.90 to $1,217 per claim, with an average of $96.31. 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 Lakeland, FL
Office Visit
Avg $48.57
789,264 claims
Blood Work & Lab Tests
Avg $1.32
732,559 claims
X-Ray
Avg $3.51
333,658 claims
Behavioral & Mental Health Therapy
Avg $63.79
321,190 claims
Vaccines & Immunizations
Avg $7.23
275,471 claims
Urinalysis & Urine Tests
Avg $1.10
251,368 claims
Emergency Room Visit
Avg $65.84
214,569 claims
Nursing Facility Care
Avg $6.01
199,921 claims