Average Medicaid Pregnancy & Prenatal Care Payments in Memphis, TN: $504.85
Avg. Paid
$504.85
Range
$0.70 – $1,433
Total Claims
23,080
Providers
31
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 Memphis, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Corey Shane Mcglothan
1264 Wesley Dr |
$227.40 | 5,937 | 4,276 |
|
Ruchika P Sharma
6005 Park Ave |
$1,162 | 4,232 | 3,581 |
|
Dwight Melvyn Moore
1264 Wesley Dr |
$0.70 | 2,595 | 1,990 |
|
Stephen Eguabor Ehiremen
3337 Kirby Pkwy |
$1,134 | 1,933 | 1,542 |
|
Arie C Shaw
880 Madison Ave |
$118.97 | 1,893 | 762 |
|
Primary Care Group Llc
1211 Union Ave Ste 200 |
$64.42 | 1,532 | 1,059 |
|
Kingsley Ogonna Oraedu
6027 Walnut Grove Rd Ste 216 |
$443.12 | 1,287 | 1,103 |
|
Joseph Keith Lawrence
360 E Eh Crump Blvd |
$91.70 | 854 | 583 |
|
Carl F Pean
3530 Hickory Hill Rd |
$1,113 | 718 | 545 |
|
Melrose Ingle Blackett
6215 Humphreys Blvd Ste 300 |
$1,144 | 545 | 461 |
|
Robin Morehead Taylor
6215 Humphreys Blvd Ste 100 |
$87.04 | 515 | 340 |
|
Maria Del Carmen Fernandez
5366 Mendenhall Mall |
$830.78 | 320 | 288 |
|
Katherine Cherry Liu
2400 Poplar Ave |
$1,332 | 130 | 120 |
|
Riad I Homsi
6373 N Quail Hollow Rd |
$378.96 | 109 | 95 |
|
Katosha Andra Muse
6005 Park Ave Ste 501 |
$572.90 | 107 | 61 |
|
Samantha Howard Caldwell
1301 Primacy Pkwy |
$112.89 | 45 | 43 |
|
William M Rodney
3030 Covington Pike |
$101.23 | 40 | 21 |
|
Christ Community Health Services Inc
3362 S 3Rd St |
$1,297 | 37 | 34 |
|
Emma Frank
6745 Wolf River Blvd. |
$111.55 | 35 | 27 |
|
Margaret Beaudrot
877 Jefferson Ave |
$1,433 | 30 | 27 |
|
Deidrea Latrice Grandberry
7705 Poplar Ave |
$6.91 | 20 | 13 |
|
James Kendrick Patterson
2671 Appling Rd |
$832.64 | 20 | 13 |
|
Ashley Nicolle Matthews
1301 Primacy Pkwy |
$124.49 | 19 | 14 |
|
Laura Grese Willingham
877 Jefferson Ave |
$1,339 | 18 | 13 |
|
Baptist Memorial Medical Group Inc
8970 Winchester Rd |
$445.15 | 18 | 12 |
|
Heather Michelle Wherry
6745 Wolf River Blvd. |
$4.23 | 18 | 12 |
|
Laxmichaya Devendra Sawant
880 Madison Ave |
$1,001 | 16 | 12 |
|
Ashley Newsome
1301 Primacy Pkwy |
$88.74 | 15 | 12 |
|
Edna Marie Lewis
880 Madison Ave |
$1,052 | 14 | 12 |
|
Kerri Brackney
880 Madison Ave |
$629.98 | 14 | 14 |
|
Ramona C Phinehas
880 Madison Ave |
$791.12 | 14 | 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 Memphis, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Memphis, TN is $504.85 per claim, based on 23,080 claims from 31 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 Memphis, TN?
There are 31 Medicaid providers offering Pregnancy & Prenatal Care related services in Memphis, TN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Memphis, TN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Memphis, TN ranges from $0.70 to $1,433 per claim, with an average of $504.85. 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 Memphis, TN
Blood Work & Lab Tests
Avg $5.35
5,986,902 claims
Office Visit
Avg $39.77
3,737,410 claims
Non-Emergency Medical Transportation
Avg $6.39
3,250,438 claims
Ambulance Transport
Avg $27.73
3,045,894 claims
Emergency Room Visit
Avg $119.96
1,856,841 claims
Vaccines & Immunizations
Avg $13.34
1,628,731 claims
Dental Cleaning & Exam
Avg $29.71
1,289,070 claims
Urinalysis & Urine Tests
Avg $2.42
1,163,403 claims