Average Medicaid Pregnancy & Prenatal Care Payments in Monterey, CA: $75.42
Avg. Paid
$75.42
Range
$60.48 – $97.73
Total Claims
3,315
Providers
7
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 Monterey, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anisha Sai Sarma
23845 Holman Hwy Ste 227 |
$64.88 | 1,166 | 980 |
|
Bradley J Keith
337 El Dorado St |
$91.19 | 667 | 361 |
|
Michael Robert Gorman
2 Upper Ragsdale Dr Bldg A |
$61.63 | 509 | 371 |
|
Elizabeth Louise Clark
23845 Holman Hwy Ste 227 |
$91.38 | 449 | 287 |
|
Daphne C. Papathomas
23845 Holman Hwy Ste 227 |
$71.25 | 334 | 223 |
|
Amy Nichole Hjort
23845 Holman Hwy |
$97.73 | 157 | 91 |
|
John Michael Fejes
2 Upper Ragsdale Dr Ste B280 |
$60.48 | 33 | 31 |
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 Monterey, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Monterey, CA is $75.42 per claim, based on 3,315 claims from 7 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 Monterey, CA?
There are 7 Medicaid providers offering Pregnancy & Prenatal Care related services in Monterey, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Monterey, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Monterey, CA ranges from $60.48 to $97.73 per claim, with an average of $75.42. 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 Monterey, CA
Office Visit
Avg $64.35
364,712 claims
Blood Work & Lab Tests
Avg $7.31
206,868 claims
Emergency Room Visit
Avg $81.64
188,389 claims
Physical Therapy
Avg $30.52
183,667 claims
Speech Therapy
Avg $78.52
103,318 claims
Psychiatric Evaluation
Avg $97.85
85,301 claims
X-Ray
Avg $21.81
71,739 claims
Behavioral & Mental Health Therapy
Avg $152.04
69,039 claims