Average Medicaid Pregnancy & Prenatal Care Payments in Raleigh, NC: $652.19
Avg. Paid
$652.19
Range
$0.00 – $1,109
Total Claims
12,730
Providers
32
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ernesto J F Graham
4420 Lake Boone Trl |
$1,109 | 1,914 | 1,483 |
|
Angela Brawley Gantt
3024 New Bern Ave |
$648.72 | 1,260 | 1,179 |
|
John A Lane
2301 Rexwoods Dr |
$438.88 | 1,229 | 941 |
|
Coryell Jade Perez
3024 New Bern Ave |
$648.34 | 1,188 | 1,106 |
|
Ritu Raj Sandhu
3024 New Bern Ave |
$652.87 | 1,156 | 1,085 |
|
Aileen Jenna Beckham
3024 New Bern Ave Ste 309 |
$642.52 | 1,114 | 1,035 |
|
Darlene Michelle Esper
3024 New Bern Ave |
$645.88 | 1,091 | 1,015 |
|
Marili Uno Witt
3024 New Bern Ave |
$645.47 | 1,036 | 966 |
|
Don M. Armstrong
3024 New Bern Ave |
$658.59 | 759 | 725 |
|
Tara Faye Brenner
3024 New Bern Ave Fl 2 |
$541.11 | 513 | 394 |
|
Dana Frances Conte
10 Sunnybrook Rd |
$119.04 | 307 | 292 |
|
Gregory John Mohs
3024 New Bern Ave |
$655.56 | 233 | 227 |
|
Stacey Elaine Colbert
2340 Spring Forest Rd |
$116.47 | 181 | 179 |
|
Deborah Ruth Norton
10 Sunnybrook Rd |
$124.51 | 173 | 166 |
|
Cathi E. Weatherly-Jones
10 Sunnybrook Rd |
$615.67 | 94 | 92 |
|
Carolyn Stokes
1O Sunnybrook Road |
$120.87 | 89 | 88 |
|
Stephanie Rodman-Agbejule
1001 Rock Quarry Rd |
$121.15 | 56 | 54 |
|
Lisa P Lewis
10 Sunnybrook Rd |
$630.25 | 52 | 52 |
|
Katherine Ellis Barrett
4414 Lake Boone Trail |
$104.23 | 40 | 28 |
|
Fatima Sayyeda Ahmed
4904 Majestic Prince Ct |
$158.22 | 31 | 29 |
|
Olatubosun Aloba
Wake County Human Services / Health Clinics |
$91.01 | 29 | 14 |
|
Kerstin M. C. Nygard
10 Sunnybrook Rd |
$663.44 | 27 | 27 |
|
Joann E Mcneal
10 Sunnybrook Rd |
$614.67 | 26 | 24 |
|
Rodrigo Daniel Munoz Dayaa
3024 New Bern Ave |
$418.76 | 20 | 14 |
|
Divya Phani Mallampati
4420 Lake Boone Trl |
$400.48 | 17 | 12 |
|
Tabitha Leclaire Tate
421 Fayetteville St Ste 1100 |
$0.00 | 16 | 12 |
|
Analisa Miranda Loewen
100 S Boylan Ave |
$0.00 | 15 | 12 |
|
Cassandra Kendrick Elder
9029 Old Creedmoor Rd |
$179.68 | 13 | 12 |
|
Robin Ann Lynn Kirk
10 Sunnybrook Rd |
$688.96 | 13 | 13 |
|
Kimberly Yvonne White Smith
10 Sunnybrook Rd |
$123.58 | 13 | 13 |
|
Tonya Lynn Crespo
2815 Cates Ave |
$688.96 | 13 | 13 |
|
Darlene Annette Wright
10 Sunnybrook Rd |
$688.96 | 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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Raleigh, NC is $652.19 per claim, based on 12,730 claims from 32 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 Raleigh, NC?
There are 32 Medicaid providers offering Pregnancy & Prenatal Care related services in Raleigh, NC according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Raleigh, NC?
Medicaid reimbursement for Pregnancy & Prenatal Care in Raleigh, NC ranges from $0.00 to $1,109 per claim, with an average of $652.19. 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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Emergency Room Visit
Avg $139.82
911,865 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims