Average Medicaid Pregnancy & Prenatal Care Payments in Nashville, TN: $706.58
Avg. Paid
$706.58
Range
$0.00 – $1,883
Total Claims
5,211
Providers
52
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 Nashville, TN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth B Carter
330 23Rd Ave N Ste 250 |
$861.19 | 830 | 681 |
|
Michael Darren Hawkins
3601 The Vanderbilt Clinic |
$1,094 | 647 | 548 |
|
Floyd A Richard
2201 Murphy Ave |
$871.29 | 609 | 456 |
|
Alexandra Christine Mullins
419 Welshwood Dr |
$218.74 | 398 | 361 |
|
Ann Robin Tucker
3601 The Vanderbilt Clinic |
$589.44 | 306 | 270 |
|
Michael Conrad Gunn
300 20Th Ave N |
$1,113 | 213 | 182 |
|
Marcia Johana Mata Salinas
3601 The Vanderbilt Clinic |
$194.69 | 174 | 155 |
|
Anthony E Trabue
2201 Murphy Ave |
$594.15 | 153 | 143 |
|
Mary Karen Mcconkey
3601 The Vanderbilt Clinic |
$59.88 | 135 | 113 |
|
Linda Lee Johnson
3601 The Vanderbilt Clinic |
$1,435 | 133 | 114 |
|
Phillip L Bressman
300 20Th Ave N Ste 302 |
$281.55 | 133 | 85 |
|
Katherine Tucker Whitfield
3601 The Vanderbilt Clinic |
$1,130 | 133 | 118 |
|
Christa Patton
300 20Th Ave N Ste 302 |
$309.48 | 108 | 89 |
|
Angela Leverich
419 Welshwood Dr |
$192.77 | 83 | 55 |
|
Hailey Jaymes Conway
601 Benton Ave |
$131.94 | 81 | 62 |
|
Shannon Marie Madison
2011 Murphy Ave Ste 601 |
$627.84 | 78 | 71 |
|
Amanda Donaldson
2010 Church St |
$393.06 | 68 | 63 |
|
Donald R Barnett
210 23Rd Ave N |
$680.30 | 64 | 54 |
|
Letitia C Rainey
5201 Charlotte Ave |
$507.16 | 59 | 57 |
|
Emily Shriner Philpott
3601 The Vanderbilt Clinic |
$94.20 | 57 | 45 |
|
Elosha Johnson
3601 The Vanderbilt Clinic |
$260.04 | 55 | 37 |
|
Molly Shine
3601 The Vanderbilt Clinic |
$103.01 | 53 | 44 |
|
Christine Nicole Piana
3601 The Vanderbilt Clinic |
$87.10 | 49 | 38 |
|
Kimberly B Fortner
3601 Tvc |
$985.01 | 42 | 37 |
|
Shannice Mabandla
3601 The Vanderbilt Clinic |
$1,883 | 41 | 40 |
|
Holly Michelle Williams
107 Charles E Davis Blvd |
$379.28 | 40 | 38 |
|
Lauren Larkin Bratcher
3601 The Vanderbilt Clinic |
$102.62 | 36 | 28 |
|
John Arthur Morehead
2201 Murphy Ave Ste 407 |
$593.62 | 34 | 27 |
|
Grace Malave
2000 Church St |
$612.32 | 34 | 30 |
|
Nontawan Benja-Athonsirikul
330 23Rd Ave N Ste 604 |
$1,725 | 29 | 29 |
|
Richard Noble Thigpen
3601 The Vanderbilt Clinic |
$1,539 | 22 | 14 |
|
Manmeet Kaur Sandhu
3601 The Vanderbilt Clinic |
$559.17 | 22 | 14 |
|
Suzanne B Bryant
300 20Th Ave N Ste 302 |
$923.06 | 18 | 12 |
|
Damaris Olagundoye
345 24Th Ave N |
$377.11 | 18 | 12 |
|
Bruce Beyer
3601 Tvc |
$75.27 | 17 | 14 |
|
Sacara Danielle Shaw
2201 Murphy Ave Ste 407 |
$848.32 | 17 | 13 |
|
Belinda J Caldwell
3601 The Vanderbilt Clinic |
$108.04 | 17 | 16 |
|
Joanne Tennyson
3601 Tvc |
$0.00 | 16 | 16 |
|
Jacqueline R Reid
3601 The Vanderbilt Clinic |
$1,872 | 16 | 12 |
|
Leilani Jane Mason
719 Thompson Lane |
$1,649 | 15 | 12 |
|
Stephen Russ Clendenin
B-1100 Medical Ctr N |
$627.88 | 15 | 15 |
|
Kaitlin Finney
3601 The Vanderbilt Clinic |
$96.93 | 14 | 14 |
|
Jennifer Mcclellan
601 Benton Ave |
$97.77 | 14 | 12 |
|
Marissa Mclaughlin
3601 The Vanderbilt Clinic |
$126.53 | 14 | 14 |
|
Lydia Kelly
3601 The Vanderbilt Clinic |
$1,366 | 14 | 13 |
|
Sandra Jean Boxell
3601 The Vanderbilt Clinic |
$1,402 | 13 | 13 |
|
Brittney Bellamy
1818 Albion St |
$1,377 | 13 | 12 |
|
Susan Eades Mackey
1212 Belle Meade Blvd |
$1,187 | 13 | 12 |
|
Sherrie Anderson Richards
2201 Murphy Ave |
$673.89 | 12 | 12 |
|
Lastacia Evans
3601 The Vanderbilt Clinic |
$93.98 | 12 | 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 Nashville, TN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Nashville, TN is $706.58 per claim, based on 5,211 claims from 52 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 Nashville, TN?
There are 52 Medicaid providers offering Pregnancy & Prenatal Care related services in Nashville, TN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Nashville, TN?
Medicaid reimbursement for Pregnancy & Prenatal Care in Nashville, TN ranges from $0.00 to $1,883 per claim, with an average of $706.58. 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 Nashville, TN
Blood Work & Lab Tests
Avg $8.25
7,785,390 claims
Case Management Services
Avg $197.77
5,117,343 claims
Office Visit
Avg $46.51
4,188,840 claims
Emergency Room Visit
Avg $115.01
1,887,270 claims
X-Ray
Avg $6.44
1,428,718 claims
Vaccines & Immunizations
Avg $12.95
1,374,325 claims
Urinalysis & Urine Tests
Avg $2.86
953,202 claims
Psychiatric Evaluation
Avg $58.51
924,083 claims