Average Medicaid Pregnancy & Prenatal Care Payments in Modesto, CA: $102.12
Avg. Paid
$102.12
Range
$0.00 – $462.34
Total Claims
81,574
Providers
42
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 Modesto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher M. Grover
1441 Florida Ave |
$104.00 | 13,601 | 11,105 |
|
Silvia Margarita Diego
1317 Oakdale Rd |
$90.32 | 8,458 | 5,830 |
|
Esther June Tow-Der
1552 Coffee Rd |
$104.41 | 7,198 | 5,610 |
|
Rebecca J. Brock
1500 Florida Ave |
$93.95 | 6,207 | 4,737 |
|
Lloyd James Lee
1500 Florida Ave |
$267.67 | 4,433 | 3,930 |
|
James Yuen Kuen Yip
1552 Coffee Rd |
$78.30 | 4,140 | 2,950 |
|
Matthew Laurence Tilstra
1552 Coffee Rd |
$86.14 | 4,078 | 3,528 |
|
Kevin E Rine
1500 Florida Ave |
$122.14 | 3,585 | 2,875 |
|
David S Henry
1444 Coffee Road |
$96.27 | 3,483 | 2,333 |
|
Rocio Acera Pozzi
1401 Spanos Ct Ste 230 |
$102.55 | 3,468 | 2,991 |
|
Joseph Sammy Mansour
1401 Spanos Ct Ste 230 |
$72.84 | 3,437 | 2,689 |
|
Elaine Joy Tubayan Soriano
1510 Florida Ave |
$58.35 | 3,342 | 3,071 |
|
Carson Rodeffer
1552 Coffee Rd Fl 1 |
$77.85 | 2,256 | 1,969 |
|
Nicholas Holt Hopkins
1552 Coffee Rd |
$76.24 | 2,120 | 1,814 |
|
Fredric Warren Feist
2916 Palliser Ct |
$76.01 | 1,751 | 1,342 |
|
Ronald Gene Weakley
1401 Spanos Ct |
$80.83 | 1,583 | 853 |
|
Lisa Wynette Murphy
200 W Coolidge Ave |
$81.12 | 1,286 | 871 |
|
Casey Elizabeth Richardson
1552 Coffee Rd Fl 1 |
$82.48 | 1,235 | 1,078 |
|
Raeleigh Crawford Payanes
830 Scenic Dr |
$60.44 | 997 | 714 |
|
Catherine Sook Song
1500 Florida Ave |
$69.34 | 739 | 510 |
|
John Charles Pfeffer
1541 Florida Ave Ste 304 |
$72.43 | 637 | 500 |
|
Karen Ann P Rayos
2116 E Orangeburg Ave |
$60.48 | 489 | 362 |
|
County Of Stanislaus
1209 Woodrow Ave |
$77.56 | 386 | 298 |
|
Golden Valley Health Centers
1510 Florida Ave |
$462.34 | 348 | 344 |
|
Sabrina Jabeen Hussain
1209 Woodrow Ave Ste B10 |
$134.04 | 335 | 304 |
|
Alexander Phan
1209 Woodrow Ave Ste E |
$60.79 | 320 | 275 |
|
Juan Lopez Solorza
1209 Woodrow Ave |
$62.59 | 320 | 200 |
|
Hera Obgyn Medical Group, Inc.
1552 Coffee Rd |
$65.95 | 297 | 178 |
|
Family First Medical Care A Professional Corporation
1317 Oakdale Rd Ste 440 |
$49.68 | 204 | 135 |
|
Norman D. Low
200 W. Coolidge Avenue |
$79.30 | 135 | 118 |
|
Danielle Myers
1121 Hammond St |
$61.01 | 124 | 117 |
|
Maria Obispo
1441 Florida Ave |
$240.28 | 105 | 103 |
|
Naihsien David Chen
803 Coffee Rd Ste 6 |
$60.48 | 80 | 58 |
|
Juan Jorge Del Valle
1441 Florida Ave |
$173.55 | 74 | 74 |
|
Anika Godhwani
830 Scenic Dr |
$60.48 | 59 | 50 |
|
County Of Stanislaus
401 Paradise Rd |
$68.20 | 57 | 41 |
|
Richa Verma Thakur
1114 6Th St |
$60.48 | 56 | 50 |
|
Golden Valley Health Center
1510 Florida Ave |
$61.46 | 54 | 37 |
|
Mehri Khatibi
200 W Coolidge Ave |
$74.39 | 37 | 27 |
|
Randy Donnell Winter
1400 Florida Ave |
$179.67 | 29 | 29 |
|
Fred Adams
1400 Florida Ave |
$63.84 | 18 | 14 |
|
Golden Valley Health Center
1540 Florida Avenue |
$0.00 | 13 | 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 Modesto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Modesto, CA is $102.12 per claim, based on 81,574 claims from 42 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 Modesto, CA?
There are 42 Medicaid providers offering Pregnancy & Prenatal Care related services in Modesto, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Modesto, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Modesto, CA ranges from $0.00 to $462.34 per claim, with an average of $102.12. 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 Modesto, CA
Office Visit
Avg $28.79
2,335,494 claims
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Substance Abuse Treatment
Avg $58.76
737,923 claims
Physical Therapy
Avg $26.45
700,100 claims
Emergency Room Visit
Avg $82.65
624,564 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims