Average Medicaid Pregnancy & Prenatal Care Payments in Saint Louis, MO: $671.89
Avg. Paid
$671.89
Range
$42.94 – $1,575
Total Claims
1,222
Providers
20
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 Saint Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Micaela Erin O'Neil-Callahan
615 S New Ballas Rd |
$753.78 | 381 | 378 |
|
Sharman Maurissa Russell
1 Barnes Jewish Hospital Plz |
$950.21 | 126 | 117 |
|
Cory Scott Miller
1 Barnes Jewish Hospital Plz |
$965.39 | 123 | 121 |
|
Elizabeth A Shireman
3015 N Ballas Rd |
$509.18 | 116 | 114 |
|
Katie L Marlow
1027 Bellevue Ave Ste 205 |
$228.99 | 90 | 80 |
|
Mary Bridget Keegan
3930 S Broadway |
$1,042 | 78 | 77 |
|
Jeffrey F Peipert
4921 Parkview Pl |
$42.94 | 77 | 58 |
|
Megan L Serini
1027 Bellevue Ave Ste 205 |
$239.85 | 46 | 44 |
|
Manuela Mejia
2220 Lemp Ave |
$592.72 | 29 | 26 |
|
Katherine Ann Schell
1027 Bellevue Ave Ste 205 |
$266.09 | 27 | 26 |
|
Amanda S Mcintyre
1027 Bellevue |
$267.01 | 15 | 15 |
|
Lauren Elizabeth Holroyd
1 Barnes Jewish Hospital Plz |
$925.17 | 14 | 13 |
|
Nadia Muktar Gidia
1 Barnes Jewish Hospital Plz |
$1,029 | 13 | 13 |
|
Stephanie Marie Tsai
1 Barnes Jewish Hospital Plz |
$953.38 | 13 | 12 |
|
Kristina Wilson Mccormick
6420 Clayton Rd |
$819.81 | 13 | 12 |
|
Shannon Waller Davis
1031 Bellevue Ave Ste 400 |
$166.92 | 13 | 13 |
|
Laura Ann Fleming Bergin
5701 Delmar Blvd |
$1,575 | 12 | 12 |
|
Amy Loreen
915 N Grand Blvd |
$658.04 | 12 | 12 |
|
Jessica Norton
1 Barnes Jewish Hospital Plz |
$601.65 | 12 | 12 |
|
Richard Gerald Bolanos
4352 Manchester Ave |
$511.32 | 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 Saint Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Saint Louis, MO is $671.89 per claim, based on 1,222 claims from 20 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 Saint Louis, MO?
There are 20 Medicaid providers offering Pregnancy & Prenatal Care related services in Saint Louis, MO according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Saint Louis, MO?
Medicaid reimbursement for Pregnancy & Prenatal Care in Saint Louis, MO ranges from $42.94 to $1,575 per claim, with an average of $671.89. 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 Saint Louis, MO
Office Visit
Avg $61.54
2,573,779 claims
Behavioral & Mental Health Therapy
Avg $92.81
2,183,655 claims
Emergency Room Visit
Avg $128.84
1,505,298 claims
X-Ray
Avg $8.09
1,400,446 claims
Blood Work & Lab Tests
Avg $29.33
1,334,001 claims
Home Health Visit
Avg $111.76
658,871 claims
Substance Abuse Treatment
Avg $58.36
590,079 claims
EKG / ECG (Electrocardiogram)
Avg $13.59
515,605 claims