Average Medicaid Pregnancy & Prenatal Care Payments in Merced, CA: $111.35
Avg. Paid
$111.35
Range
$63.12 – $371.85
Total Claims
85,269
Providers
19
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 Merced, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy Scott Johnston
3349 G St Ste F |
$144.89 | 14,453 | 9,635 |
|
George Samir Alkhouri
315 Mercy Ave Ste 400 |
$122.80 | 13,499 | 9,039 |
|
Yasser Salim Ratl Mrad
797 W Childs Ave |
$114.49 | 12,493 | 8,094 |
|
George M Savage
797 W Childs Ave |
$86.28 | 7,060 | 4,559 |
|
Ellen E Piernot
737 W Childs Ave |
$65.37 | 6,317 | 5,461 |
|
Monique T. Godbold Sanchez
797 W Childs Ave |
$95.34 | 6,153 | 3,882 |
|
Dignity Health
333 Mercy Ave |
$89.42 | 4,843 | 3,153 |
|
Samuel Loredo
139 West El Portal Drive |
$173.90 | 4,499 | 3,235 |
|
Abhilasha Sharma
847 W Childs Ave |
$93.03 | 3,210 | 2,583 |
|
James Richard Rabago
3393 G St Ste C |
$93.56 | 2,959 | 1,661 |
|
Serene Mahima Alexander
797 W Childs Ave |
$101.49 | 2,949 | 1,963 |
|
Eduardo Trinidad Villarama
847 W Childs Ave Ste C |
$63.12 | 1,658 | 1,472 |
|
Brian James Vierra
378 W Olive Ave |
$101.08 | 1,582 | 1,010 |
|
Eileen Hou
3940 Sandpiper Ave |
$104.07 | 1,208 | 806 |
|
Theresa Anne Schill
3393 G St Ste C |
$89.69 | 827 | 561 |
|
Kristina Mae Sogocio
360 E Yosemite Ave |
$84.05 | 637 | 416 |
|
Brian Kenji Sugimoto
3393 G St Ste C |
$89.16 | 562 | 388 |
|
Zoe Alexandra Anaman
3349 G St Ste F |
$90.65 | 314 | 208 |
|
Andrea Heyn
3349 G St Ste F |
$371.85 | 46 | 44 |
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 Merced, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Merced, CA is $111.35 per claim, based on 85,269 claims from 19 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 Merced, CA?
There are 19 Medicaid providers offering Pregnancy & Prenatal Care related services in Merced, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Merced, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Merced, CA ranges from $63.12 to $371.85 per claim, with an average of $111.35. 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 Merced, CA
Office Visit
Avg $28.40
2,195,639 claims
Blood Work & Lab Tests
Avg $11.11
448,682 claims
Physical Therapy
Avg $31.09
426,908 claims
Urinalysis & Urine Tests
Avg $3.09
310,116 claims
Vaccines & Immunizations
Avg $15.31
300,011 claims
Emergency Room Visit
Avg $84.49
249,697 claims
Dental Cleaning & Exam
Avg $51.73
249,023 claims
Substance Abuse Treatment
Avg $85.66
223,627 claims