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Based on public Medicaid payment data.

Average Medicaid Pregnancy & Prenatal Care Payments in New York, NY: $147.67

Avg. Paid

$147.67

Range

$9.51 – $2,919

Total Claims

132,979

Providers

61

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 New York, NY

Provider Avg. Paid Claims Patients
Jonathan Lanzkowsky

1107 Fifth Avenue

$61.95 29,791 16,575
David Baruch Lubell

1107 5Th Ave Ste 1E

$171.98 29,297 16,998
Eric Ray Mitchell

1107 5Th Ave # 1E

$226.38 25,579 16,266
Victor M Grazi

1107 Fifth Avenue

$31.19 16,377 10,422
Andrew Ronald Kramer

1107 Fifth Ave

$74.43 16,136 10,165
Brooke Lindsley Davidson

1471 1St Ave

$44.63 5,040 2,759
Anna Kogan

171 E 74Th St

$57.71 2,509 1,821
Daniel F. Roshan

213 Madison Ave Ste 1A

$2,157 1,542 1,541
Melissa Elaine Groves

268 Canal St

$103.65 1,464 588
Sarah Williams

827 11Th Ave

$52.89 1,259 441
Joyce Griffin

10 Union Square East

$187.03 1,248 879
Laura Diane Shroyer

139 Centre St Ph 120

$83.76 418 368
Carrie Eng-Mazur

139 Centre St Ph 120

$28.50 418 369
Mount Sinai Hospital

1 Gustave L Levy Pl

$185.70 292 291
Shannon Lee Levi

5 E 98Th St

$73.30 266 244
Icahn School Of Medicine At Mount Sinai

5 E 98Th St

$746.07 167 167
Jason Harvey Kennedy

601 E 20Th St Apt 14E

$82.41 107 96
Thomas John Byrne

506 Malcolm X Blvd

$543.88 99 97
John Michael Migotsky

115 E 67Th St

$2,103 54 54
Inga Zilberstein

1317 3Rd Ave

$51.83 50 17
Shabani Ahluwalia

95 Chambers St # B

$9.51 46 27
Sharon A Mcdowall

1901 1St Ave

$68.71 45 45
Katarina Eisinger

161 Fort Washington Ave

$1,790 38 38
Susan Edna Pesci

425 East 117Th St

$1,509 38 38
Emma Simon

462 1St Avenue, Suite 9E2

$58.17 35 31
Marilinda Pascoe

95 Park Ter W

$61.41 29 24
John F.J. Clark

255 Central Park W

$73.55 28 24
Devon Madelyn Rupley

622 W 168Th St Fl 16

$1,741 27 27
Maria Giovanna Culotta

213 Madison Ave

$606.21 27 27
Ruth M. Barrow

622 W 168Th St

$1,713 26 25
Sarah Kelly

622 W 168Th St

$187.64 26 26
Cara Elise Dal Nogare

1901 1St Ave

$62.08 26 26
Sonja Sanae Howard

506 Lenox Avenue

$60.92 26 24
Marjon Mobasseri

110 E 40Th St Rm 801

$1,652 25 25
Sharon Patrick

800A 5Th Ave Ste 503

$1,475 25 24
Icahn School Of Medicine At Mount Sinai

1000 10Th Ave

$800.95 25 25
Yves Richard Jean-Gilles

506 Lenox Ave

$56.68 25 24
Saul Ruben Stromer

899 Park Ave

$2,768 24 24
Elizabeth Layliev

1126 Park Ave

$231.19 24 24
Andrew Pomrantz

10 Union Sq E

$87.60 18 13
Maria Kon

1000 10Th Ave

$1,027 17 17
Judith Lynn Chervenak

550 1St Ave

$61.50 16 12
Flory Angeles

525 E 68Th St

$149.33 15 13
St Lukes Roosevelt Hospital Center

1000 10Th Ave

$130.49 15 15
Casey Smith

645 E 14Th St Apt 5C

$64.33 15 15
Dara Matseoane-Peterssen

5141 Broadway

$1,771 14 14
Bruno J Caridi

5 E 98Th St Fl 2

$1,521 14 14
Charlene Shervonne Emmanuel

4781 Broadway

$39.43 14 14
Stephen Wan

217 Grand St Fl 2

$1,500 13 13
Swapna Nalgonda

5141 Broadway

$1,437 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 New York, NY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in New York, NY is $147.67 per claim, based on 132,979 claims from 61 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 New York, NY?

There are 61 Medicaid providers offering Pregnancy & Prenatal Care related services in New York, NY according to public payment data.

What is the price range for Pregnancy & Prenatal Care in New York, NY?

Medicaid reimbursement for Pregnancy & Prenatal Care in New York, NY ranges from $9.51 to $2,919 per claim, with an average of $147.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Pregnancy & Prenatal Care in Other Cities

Other Procedures in New York, NY