Average Medicaid Pregnancy & Prenatal Care Payments in Mission Viejo, CA: $66.19
Avg. Paid
$66.19
Range
$53.55 – $77.55
Total Claims
6,614
Providers
14
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 Mission Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Leon Joseph Baginski
27800 Medical Center Rd Ste 310 |
$67.94 | 1,443 | 842 |
|
Bryan H Tran Md Inc
27800 Medical Center Road |
$60.45 | 1,198 | 851 |
|
Tiffany U Tran Md Inc
27800 Medical Center Road |
$64.85 | 1,067 | 749 |
|
Thomas Sample Bailey
26800 Crown Valley Pkwy |
$77.55 | 784 | 442 |
|
Laurence Michael Fakinos
27800 Medical Center Rd |
$53.55 | 439 | 271 |
|
Scott Edward Capobianco
26800 Crown Valley Pkwy |
$71.33 | 320 | 180 |
|
Craig Allen Salcido
26800 Crown Valley Pkwy |
$70.83 | 302 | 201 |
|
Soodabeh Abravesh
26800 Crown Valley Pkwy |
$59.67 | 298 | 200 |
|
Kathryn Marie Cvar
26800 Crown Valley Pkwy |
$72.70 | 257 | 156 |
|
Sara Aurora Ramirez
26800 Crown Valley Pkwy |
$63.39 | 234 | 143 |
|
Kathleen Mary Pollock
26800 Crown Valley Pkwy |
$69.29 | 137 | 87 |
|
Edward Alan Stadler
26800 Crown Valley Pkwy |
$66.26 | 96 | 58 |
|
Kurt Douglas Miller
26800 Crown Valley Pkwy |
$66.44 | 21 | 13 |
|
Vivien L Pan
27800 Medical Center Rd |
$60.43 | 18 | 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 Mission Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Mission Viejo, CA is $66.19 per claim, based on 6,614 claims from 14 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 Mission Viejo, CA?
There are 14 Medicaid providers offering Pregnancy & Prenatal Care related services in Mission Viejo, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Mission Viejo, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Mission Viejo, CA ranges from $53.55 to $77.55 per claim, with an average of $66.19. 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 Mission Viejo, CA
Office Visit
Avg $48.74
366,207 claims
Blood Work & Lab Tests
Avg $6.01
185,160 claims
X-Ray
Avg $7.43
112,984 claims
Urinalysis & Urine Tests
Avg $1.98
102,641 claims
Psychiatric Evaluation
Avg $59.33
80,891 claims
Eye Exam
Avg $28.87
68,595 claims
Emergency Room Visit
Avg $76.89
68,153 claims
CT Scan (Computed Tomography)
Avg $50.15
67,005 claims