Average Medicaid Pregnancy & Prenatal Care Payments in Marion, IL: $707.56
Avg. Paid
$707.56
Range
$18.18 – $1,039
Total Claims
2,315
Providers
11
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 Marion, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael J. Schifano
3408 Office Park Dr |
$648.96 | 643 | 531 |
|
Elisabeth Gail Beyer-Nolen
3408 Office Park Dr |
$912.83 | 323 | 271 |
|
Pamela Jellen
3408 Office Park Dr |
$914.28 | 266 | 241 |
|
Michael A Covlin
3408 Office Park Dr |
$908.60 | 214 | 169 |
|
Heartland Women'S Healthcare Ltd
3408 Office Park Dr |
$901.70 | 191 | 168 |
|
Shawnee Health Service And Development Corp
1506 Sioux Dr |
$18.18 | 179 | 135 |
|
Heartland Women'S Healthcare Ltd
3408 Office Park Dr |
$23.73 | 177 | 128 |
|
Scott A. Joyner
3408 Office Park Dr |
$897.07 | 150 | 146 |
|
Marion Reyes
3408 Office Park Dr |
$1,039 | 131 | 89 |
|
Donna R Walters
3408 Office Park Dr |
$924.45 | 28 | 28 |
|
Patrick Sayavong
3331 W Deyoung St |
$926.58 | 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 Marion, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Marion, IL is $707.56 per claim, based on 2,315 claims from 11 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 Marion, IL?
There are 11 Medicaid providers offering Pregnancy & Prenatal Care related services in Marion, IL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Marion, IL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Marion, IL ranges from $18.18 to $1,039 per claim, with an average of $707.56. 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 Marion, IL
Office Visit
Avg $12.55
358,121 claims
Eye Exam
Avg $24.98
218,058 claims
Home Health Visit
Avg $6.40
195,321 claims
Speech Therapy
Avg $12.60
130,364 claims
Vaccines & Immunizations
Avg $1.73
92,173 claims
Blood Work & Lab Tests
Avg $18.16
76,873 claims
Emergency Room Visit
Avg $92.19
65,663 claims
Ultrasound
Avg $42.41
42,393 claims