Average Medicaid Pregnancy & Prenatal Care Payments in Sacramento, CA: $28.38
Avg. Paid
$28.38
Range
$0.00 – $776.99
Total Claims
124,581
Providers
68
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 Sacramento, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Edward Melchione
77 Cadillac Dr |
$14.45 | 59,219 | 44,668 |
|
Nathan Hale Allen
7237 E Southgate Dr |
$7.53 | 11,027 | 8,515 |
|
Khalil Jamal Carter
10470 Old Placerville Rd |
$34.37 | 5,583 | 5,016 |
|
Matthew James Susanka
77 Cadillac Dr |
$64.31 | 4,457 | 3,945 |
|
Mark Zhiming Zhang
1740 Fruitridge Rd Ste 103 |
$39.70 | 3,966 | 3,316 |
|
Lata Santhakumar
7601 Hospital Dr Ste 220 |
$7.61 | 3,848 | 3,050 |
|
Olga Petrovna Thorne
7601 Hospital Dr Ste 220 |
$5.27 | 2,933 | 2,151 |
|
Tanya Maagdenberg
77 Cadillac Dr |
$39.43 | 2,710 | 2,351 |
|
Chainaronk Limanon
7248 Southland Park Dr |
$11.43 | 2,454 | 1,782 |
|
Toral Trivedi Mehta
2725 Capitol Ave Dept 304 |
$60.98 | 2,354 | 1,559 |
|
Jo L Taylor
Sutter Medical Center, Sacramento |
$57.69 | 1,857 | 1,841 |
|
River City Medical Group, Inc.
7311 Greenhaven Drive |
$0.35 | 1,768 | 1,358 |
|
Gail A Russell
10470 Old Placerville Rd |
$95.59 | 1,751 | 1,286 |
|
Susan P Gorman
77 Cadillac Dr |
$19.81 | 1,723 | 1,572 |
|
Robert Alan Gordon
2425 Alhambra Blvd |
$10.70 | 1,709 | 1,200 |
|
Tiffany Dione Isles
7601 Hospital Dr Ste 220 |
$7.78 | 1,507 | 1,149 |
|
Seema Reddy Manchireddy
7601 Hospital Dr Ste 220 |
$3.44 | 1,381 | 1,065 |
|
Courtney Christine Baker
2315 Stockton Blvd |
$564.33 | 1,198 | 1,096 |
|
Nneoma Nwachuku Ojiaku
7601 Hospital Dr Ste 220 |
$53.41 | 1,189 | 810 |
|
Sutter Valley Medical Foundation
2700 Gateway Oaks Dr |
$3.75 | 1,075 | 932 |
|
Akiba Edo Green
3201 S St |
$59.07 | 1,057 | 701 |
|
Casey Phillips Lynch
1650 Response Rd |
$60.42 | 1,053 | 756 |
|
Freshta Kakar
7601 Hospital Dr Ste 220 |
$24.66 | 902 | 698 |
|
Laura Elizabeth Watters
77 Cadillac Dr Ste 230 |
$27.55 | 723 | 657 |
|
Wellspace Health
7601 Hospital Dr |
$22.25 | 645 | 473 |
|
Eva Holdbrook
7601 Hospital Dr |
$24.45 | 453 | 401 |
|
Bennye D. Rodgers
7601 Hospital Dr Ste 250 |
$4.70 | 433 | 343 |
|
Jane M Maloney
3000 Q St |
$105.85 | 432 | 428 |
|
Nivano Physicians, Inc.
1420 River Park Dr Ste 200 |
$0.00 | 422 | 302 |
|
Monte Winston Penner
2901 K St |
$20.33 | 360 | 224 |
|
Maria Raquel Kronen
7500 Hospital Dr |
$112.99 | 349 | 342 |
|
Capital Ob/Gyn, Inc.
77 Cadillac Dr |
$0.42 | 317 | 293 |
|
Stephen G Hiuga
2277 Fair Oaks Blvd |
$51.42 | 276 | 270 |
|
Nicole Hebert
77 Cadillac Dr Ste 230 |
$2.50 | 271 | 242 |
|
Kyla M Rice
4860 Y St |
$75.42 | 255 | 193 |
|
Health And Life Organization, Inc.
5524 Assembly Ct |
$0.00 | 250 | 186 |
|
Holly Deann Bracy
77 Cadillac Dr Ste 230 |
$88.53 | 220 | 220 |
|
Arminda Mauricio
3030 Explorer Dr |
$15.80 | 215 | 166 |
|
Deanne Manansala
4100 E Commerce Way Ste 110 |
$8.64 | 203 | 164 |
|
Susan F Wilson
77 Cadillac Dr Ste 230 |
$67.43 | 193 | 187 |
|
Nathaniel Gordon
1508 Alhambra Blvd Ste 200 |
$0.00 | 182 | 140 |
|
Carol Lynne Conrad-Forrest
7601 Hospital Dr |
$26.24 | 162 | 131 |
|
Anna Almonte
77 Cadillac Dr Ste 230 |
$7.56 | 143 | 141 |
|
Jeffrey P Ruderman
1792 Tribute Rd |
$776.99 | 141 | 131 |
|
Kasandra White
3000 Q St Fl 5 |
$11.52 | 126 | 100 |
|
Nikita V Mishra
77 Cadillac Dr |
$11.70 | 111 | 107 |
|
Dariush H Tonkaboni
5524 Assembly Ct |
$436.34 | 95 | 94 |
|
Joanna Chen Wong
77 Cadillac Dr Ste 230 |
$7.18 | 91 | 84 |
|
Wellspace Health
1820 J St |
$0.00 | 88 | 85 |
|
Jennifer Nicole Overbey
8120 Timberlake Way |
$0.00 | 87 | 52 |
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 Sacramento, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Sacramento, CA is $28.38 per claim, based on 124,581 claims from 68 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 Sacramento, CA?
There are 68 Medicaid providers offering Pregnancy & Prenatal Care related services in Sacramento, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Sacramento, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Sacramento, CA ranges from $0.00 to $776.99 per claim, with an average of $28.38. 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
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 Sacramento, CA
Blood Work & Lab Tests
Avg $3.77
18,102,975 claims
Office Visit
Avg $22.28
5,640,528 claims
Substance Abuse Treatment
Avg $25.46
4,355,222 claims
Urinalysis & Urine Tests
Avg $1.87
3,071,398 claims
Dental Cleaning & Exam
Avg $32.44
1,847,779 claims
Emergency Room Visit
Avg $137.25
1,743,927 claims
X-Ray
Avg $22.15
1,649,168 claims
Vaccines & Immunizations
Avg $1.91
1,382,181 claims