Average Medicaid Pregnancy & Prenatal Care Payments in Phoenix, AZ: $777.75
Avg. Paid
$777.75
Range
$0.00 – $3,900
Total Claims
22,022
Providers
71
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Viki Louise Williams
9201 W Thomas Rd |
$150.51 | 1,862 | 1,781 |
|
Hetal C Shah
4700 N 51St Ave Ste 5 |
$1,555 | 1,859 | 1,784 |
|
Luminita Iacob
4550 N 51St Ave |
$177.08 | 1,765 | 1,724 |
|
Michael Jerome Hervey
1300 N 12Th St Ste 620 |
$219.02 | 1,296 | 867 |
|
Linda Baht
4308 E Nisbet Rd |
$147.79 | 1,138 | 1,081 |
|
Margaret Essex Castor
11209 N Tatum Blvd Ste 255 |
$71.83 | 1,063 | 737 |
|
Marneece Williams
635 E Baseline Rd |
$882.18 | 1,000 | 991 |
|
Kristin M. Williams
2620 N 3Rd St Ste 103 |
$80.48 | 951 | 698 |
|
William A Chavira
600 W Thomas Rd |
$1,099 | 944 | 889 |
|
Mani Tehranchi
650 W Maryland Ave |
$1,377 | 932 | 876 |
|
Fatima G. Raffoul
8410 W Thomas Rd |
$2,230 | 882 | 869 |
|
Matthew A Gibson
4539 N 22Nd St Ste N |
$158.41 | 577 | 551 |
|
Kellie Lorraine Cox
9201 W Thomas Rd |
$161.12 | 552 | 535 |
|
Denise Gentles
6601 W Thomas Rd |
$884.96 | 502 | 499 |
|
Jorden L Arnett
303 E Baseline Rd |
$922.47 | 441 | 438 |
|
Travis Joseph Powell
2601 E Roosevelt St |
$928.31 | 401 | 394 |
|
Charles Steven Plimpton
515 E Thomas Rd |
$1,757 | 344 | 324 |
|
Teinesha Marie Irvey
1111 E Mcdowell Rd |
$0.00 | 341 | 260 |
|
Neil Trachtenberg
635 E Baseline Rd |
$839.08 | 339 | 337 |
|
Lydia Ehlenberger
4616 N 51St Ave |
$843.59 | 321 | 316 |
|
Nicholas Karol Bujak
4338 W Thomas Rd |
$1,668 | 309 | 289 |
|
Bj Ho
10240 W Indian School Rd |
$1,644 | 277 | 269 |
|
John Morin Harpenau
6601 West Thomas Road |
$831.33 | 251 | 250 |
|
Chijioke Nnenna Soribe
3003 N Central Ave Ste 1600 |
$812.16 | 248 | 247 |
|
Natasha Michelle Makarova
1111 E. Mcdowell Rd Wt403 |
$915.64 | 247 | 245 |
|
Sarah Elizabeth Colwell
10240 W Indian School Rd |
$1,555 | 241 | 220 |
|
Sonam Singh
2601 E Roosevelt St |
$935.53 | 236 | 234 |
|
Robert Lipot Gallai
2330 N 75Th Ave |
$1,381 | 232 | 227 |
|
Mohammad Imtiaz Ahmad
635 East Baseline Road |
$820.30 | 229 | 222 |
|
Lauren Engler
303 E Baseline Rd |
$927.64 | 179 | 179 |
|
Raj Rathee
10240 W Indian School Rd |
$1,543 | 178 | 168 |
|
Maria Dileo
9305 W Thomas Rd |
$950.45 | 173 | 173 |
|
Jordan R. Oland
10240 W Indian School Rd |
$1,777 | 149 | 143 |
|
Alicia Willey
2601 E Roosevelt St |
$945.42 | 146 | 145 |
|
Patricia Habak
2601 E Roosevelt St |
$940.42 | 142 | 141 |
|
Florian T Walter
10240 W Indian School Rd |
$1,576 | 119 | 113 |
|
Hilary Eileen Rogers
1111 E Mcdowell Rd |
$59.94 | 113 | 101 |
|
Adedayo O. Onibokun
2601 E Roosevelt St |
$995.16 | 111 | 107 |
|
Saul Moroni Rivera
4338 W Thomas Rd |
$183.25 | 89 | 89 |
|
Simon Rozowsky
8410 W Thomas Rd Ste 134 |
$3,161 | 68 | 66 |
|
Mariana Amaya
600 W Thomas Rd |
$1,318 | 60 | 53 |
|
Pooja Doehrman
500 W Thomas Rd Ste 720And |
$840.90 | 57 | 52 |
|
Joseph Dennis Shea
1111 E Mcdowell Rd |
$555.09 | 53 | 39 |
|
Enriqueta M Porras
600 W Thomas Rd |
$1,617 | 50 | 49 |
|
Pavel Stoyanov Petkov
4212 N 16Th St |
$901.97 | 50 | 50 |
|
Joel Barkley
2601 E Roosevelt St |
$920.88 | 49 | 49 |
|
Laura T Mercer
500 W Thomas Rd Ste 720&730 |
$919.41 | 43 | 43 |
|
Sharon Thompson
926 E Mcdowell Rd Ste 134 |
$1,506 | 40 | 39 |
|
Thomas Q. Zheng
2601 E Roosevelt St |
$952.15 | 40 | 40 |
|
Kaitlin Nelson Elsenheimer
2601 E Roosevelt St |
$967.02 | 26 | 26 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Phoenix, AZ is $777.75 per claim, based on 22,022 claims from 71 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 Phoenix, AZ?
There are 71 Medicaid providers offering Pregnancy & Prenatal Care related services in Phoenix, AZ according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Phoenix, AZ?
Medicaid reimbursement for Pregnancy & Prenatal Care in Phoenix, AZ ranges from $0.00 to $3,900 per claim, with an average of $777.75. 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 Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims