Average Medicaid Pregnancy & Prenatal Care Payments in Pensacola, FL: $101.38
Avg. Paid
$101.38
Range
$8.70 – $1,167
Total Claims
3,092
Providers
25
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 Pensacola, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Peterson
5045 Carpenter Creek Dr |
$1,167 | 12 | 12 |
|
Ileana Bernal-Blair
525 Brent Ln |
$583.43 | 13 | 13 |
|
Jack E Ricketts
8333 N Davis Hwy Fl 7 |
$392.04 | 15 | 12 |
|
Carlos Arauco
1657 Trinity Dr |
$40.34 | 15 | 13 |
|
Kayla D. Bodree
125 Baptist Way Ste 5A |
$8.70 | 16 | 12 |
|
Mary A. Johnston
5045 Carpenter Creek Dr |
$943.74 | 19 | 12 |
|
John Butler Grammer
2114 Airport Blvd |
$114.73 | 25 | 24 |
|
Lauren Burnham
2114 Airport Blvd Ste 1000 |
$44.82 | 25 | 24 |
|
Allessa Allison Smith
525 Brent Lane |
$90.89 | 28 | 25 |
|
Charles Shane Medlock
5153 N 9Th Ave Ste 207 |
$78.88 | 45 | 37 |
|
Kathryn Elizabeth Holland
5153 N 9Th Ave Ste 205 |
$16.04 | 52 | 26 |
|
Jairan Lois Duke Elmore
5153 N 9Th Ave |
$391.20 | 53 | 48 |
|
Janay Barnes
1657 Trinity Dr |
$43.48 | 57 | 54 |
|
Jennifer Elizabeth Payne
8333 N Davis Hwy |
$358.37 | 60 | 45 |
|
Jason Gronert
1657 Trinity Dr |
$18.54 | 61 | 36 |
|
Melissa Anne Shaw
5153 N 9Th Ave Ste 207 |
$30.56 | 63 | 53 |
|
Lydia Michelle Langston
5045 Carpenter Creek Dr |
$45.15 | 70 | 62 |
|
Emily Brannon Stilwell
5153 N 9Th Ave |
$40.60 | 82 | 72 |
|
Leslie D Bender
1657 Trinity Dr |
$547.97 | 84 | 62 |
|
Noelle Rose Turnbow
5153 N 9Th Ave Ste 205 |
$41.67 | 109 | 98 |
|
William R Lile
5153 N 9Th Ave |
$69.04 | 110 | 100 |
|
Suzanne Yancey Bush
5045 Carpenter Creek Dr |
$132.56 | 141 | 116 |
|
Megan Suzanne Voss
5045 Carpenter Creek Dr |
$23.32 | 233 | 178 |
|
Debra Taylor
1657 Trinity Dr |
$38.49 | 300 | 278 |
|
Carrie E Anderson
311 N Davis Hwy |
$77.15 | 1,404 | 925 |
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 Pensacola, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Pensacola, FL is $101.38 per claim, based on 3,092 claims from 25 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 Pensacola, FL?
There are 25 Medicaid providers offering Pregnancy & Prenatal Care related services in Pensacola, FL according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Pensacola, FL?
Medicaid reimbursement for Pregnancy & Prenatal Care in Pensacola, FL ranges from $8.70 to $1,167 per claim, with an average of $101.38. 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 Pensacola, FL
Office Visit
Avg $44.16
768,378 claims
Blood Work & Lab Tests
Avg $2.38
545,136 claims
Speech Therapy
Avg $6.78
402,648 claims
Emergency Room Visit
Avg $71.86
380,439 claims
Vaccines & Immunizations
Avg $4.21
324,759 claims
Personal Care Services
Avg $48.01
306,810 claims
Nursing Facility Care
Avg $15.05
234,998 claims
Behavioral & Mental Health Therapy
Avg $60.50
193,024 claims