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
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
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
Colton, CA
Avg $93.63
98,223 claims · 20 providers
Other Procedures in New York, NY
Home Health Visit
Avg $167.81
48,743,027 claims
Office Visit
Avg $81.86
23,551,154 claims
Blood Work & Lab Tests
Avg $8.39
10,014,709 claims
Psychiatric Evaluation
Avg $116.70
6,547,727 claims
Physical Therapy
Avg $39.29
5,089,280 claims
Emergency Room Visit
Avg $130.02
3,905,512 claims
Case Management Services
Avg $322.62
3,682,218 claims
Eye Exam
Avg $50.07
3,393,865 claims