Average Medicaid Pregnancy & Prenatal Care Payments in Mcallen, TX: $303.59
Avg. Paid
$303.59
Range
$80.40 – $398.19
Total Claims
26,356
Providers
13
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 Mcallen, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Flor Aurora Limas
3220 Buddy Owens Ave Ste 300 |
$363.60 | 5,474 | 5,399 |
|
Alejandro A Tey
801 E Nolana St |
$308.61 | 4,164 | 3,963 |
|
Fernando Javier Otero
3401 N 23Rd St |
$326.60 | 4,148 | 4,028 |
|
Gholam A Kiani Khozani
5121 N Jackson Rd Ste 10 |
$398.19 | 3,783 | 3,521 |
|
Bertha Laura Rodriguez-Medina
721 Savannah Ave |
$177.53 | 3,523 | 3,224 |
|
Carlos Eduardo Puig
3001 N 23Rd St Ste 1 |
$284.91 | 3,078 | 2,715 |
|
Rene Immanuel Luna
501 Savannah Ave |
$197.18 | 904 | 844 |
|
Ramiro Leal
1900 S. Jackson Road |
$160.82 | 769 | 731 |
|
Hazem Bassam Kanaan
800 E Dove Ave Ste H |
$129.23 | 315 | 307 |
|
Roberto Prieto-Harris
4217 N Mccoll Rd Ste 700 |
$80.40 | 83 | 67 |
|
Laura Fonseca
4217 North Mccoll Rd Ste 700 |
$91.57 | 53 | 52 |
|
Norma Alejandra Garcia
3401 N 23Rd St |
$94.72 | 47 | 44 |
|
Erasto Canales
334 Lindberg Ave |
$259.00 | 15 | 14 |
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 Mcallen, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Mcallen, TX is $303.59 per claim, based on 26,356 claims from 13 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 Mcallen, TX?
There are 13 Medicaid providers offering Pregnancy & Prenatal Care related services in Mcallen, TX according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Mcallen, TX?
Medicaid reimbursement for Pregnancy & Prenatal Care in Mcallen, TX ranges from $80.40 to $398.19 per claim, with an average of $303.59. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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Other Procedures in Mcallen, TX
Office Visit
Avg $34.30
1,812,622 claims
Personal Care Services
Avg $63.38
875,432 claims
Blood Work & Lab Tests
Avg $6.37
629,855 claims
Physical Therapy
Avg $43.78
459,714 claims
Vaccines & Immunizations
Avg $6.56
436,231 claims
Urinalysis & Urine Tests
Avg $3.15
342,921 claims
Dental Cleaning & Exam
Avg $38.45
308,893 claims
Speech Therapy
Avg $83.20
295,326 claims