Average Medicaid Pregnancy & Prenatal Care Payments in Mesa, AZ: $1,454
Avg. Paid
$1,454
Range
$0.00 – $7,542
Total Claims
831
Providers
12
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 Mesa, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mily Nieves
1142 E Southern Ave Ste 101 |
$1,965 | 374 | 366 |
|
Elyssa Metas
950 E Main St |
$938.78 | 135 | 135 |
|
Lisa Shepard
609 S Clearview Ave |
$145.84 | 103 | 99 |
|
Andrew R Adamson
455 E 6Th St |
$840.47 | 83 | 83 |
|
Deborah S Rowan
10238 E Hampton Ave |
$1,691 | 29 | 27 |
|
Terry Arthur Huff
6242 E Arbor Ave Ste 107 |
$1,601 | 26 | 26 |
|
Willow Midwife Center For Birth And Wellness Az
2045 S Vineyard |
$7,542 | 15 | 14 |
|
Sidney Semrad
4566 E Inverness Ave |
$232.52 | 14 | 12 |
|
Adelante Healthcare, Inc.
1705 W Main St |
$0.00 | 13 | 13 |
|
Gregory J Marchand
10238 E Hampton Ave Ste 212 |
$1,550 | 13 | 12 |
|
Barbara J Newman
4540 E Baseline Rd Ste 114 |
$1,671 | 13 | 13 |
|
Logan Craig Walter
4824 E Baseline Rd Ste 129 |
$957.66 | 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 Mesa, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Mesa, AZ is $1,454 per claim, based on 831 claims from 12 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 Mesa, AZ?
There are 12 Medicaid providers offering Pregnancy & Prenatal Care related services in Mesa, AZ according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Mesa, AZ?
Medicaid reimbursement for Pregnancy & Prenatal Care in Mesa, AZ ranges from $0.00 to $7,542 per claim, with an average of $1,454. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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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
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San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Other Procedures in Mesa, AZ
Personal Care Services
Avg $128.56
5,487,878 claims
Office Visit
Avg $53.86
2,804,171 claims
Case Management Services
Avg $32.09
2,470,619 claims
Substance Abuse Treatment
Avg $90.57
1,911,573 claims
Blood Work & Lab Tests
Avg $3.74
1,313,074 claims
Physical Therapy
Avg $45.75
1,116,196 claims
Emergency Room Visit
Avg $212.76
1,012,467 claims
Behavioral & Mental Health Therapy
Avg $113.01
944,793 claims