Average Medicaid Pregnancy & Prenatal Care Payments in Mattoon, IL: $366.12
Avg. Paid
$366.12
Range
$170.02 – $401.10
Total Claims
234
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 Mattoon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott E Meyer
1000 Health Center Dr Ste 201 |
$401.10 | 116 | 101 |
|
Rick Miller
1000 Health Center Dr Ste 201 |
$394.53 | 85 | 77 |
|
Carlos Rafael Sierra-Rodriguez
1000 Health Center Dr Ste 201 |
$170.02 | 33 | 26 |
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 Mattoon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Mattoon, IL is $366.12 per claim, based on 234 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 Mattoon, IL?
There are 3 Medicaid providers offering Pregnancy & Prenatal Care related services in Mattoon, IL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Mattoon, IL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Mattoon, IL ranges from $170.02 to $401.10 per claim, with an average of $366.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Mattoon, IL
Office Visit
Avg $35.68
310,990 claims
X-Ray
Avg $8.11
138,137 claims
Emergency Room Visit
Avg $58.82
76,576 claims
EKG / ECG (Electrocardiogram)
Avg $8.84
52,818 claims
Dental Cleaning & Exam
Avg $30.65
37,575 claims
Physical Therapy
Avg $73.21
36,659 claims
Vaccines & Immunizations
Avg $6.99
36,150 claims
Pathology & Lab Services
Avg $31.44
29,344 claims