Average Medicaid Pregnancy & Prenatal Care Payments in San Diego, CA: $62.05
Avg. Paid
$62.05
Range
$0.00 – $646.18
Total Claims
95,677
Providers
106
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 San Diego, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alan James Zieg
1809 National Ave |
$20.70 | 11,162 | 9,517 |
|
Deena S Tajran
10737 Camino Ruiz |
$67.34 | 9,467 | 5,406 |
|
Charlene Ann Buechner
1809 National Ave |
$19.91 | 6,477 | 5,823 |
|
Lysistrati Ann Alimonos
1809 National Ave |
$37.26 | 4,931 | 4,319 |
|
Michael C. Wong
4282 Genesee Ave |
$124.24 | 4,926 | 3,111 |
|
Beatriz Margarita Folch-Hayek
4060 Fairmount Ave |
$33.49 | 4,168 | 3,397 |
|
Lac Vu
5555 Reservoir Dr Ste 205 |
$65.60 | 3,448 | 2,086 |
|
Mandy Marie Anderson
4077 Fifth Ave |
$51.41 | 3,252 | 2,304 |
|
Eimaneh Mostofian
34800 Bob Wilson Dr |
$67.51 | 3,019 | 2,146 |
|
Jennifer Janine Winesburg
1809 National Ave |
$35.48 | 2,703 | 2,535 |
|
Sonia Vipin Sapra
1809 National Ave |
$33.45 | 2,665 | 2,488 |
|
Iara Del Mar Melendez Berrios
4060 Fairmount Ave |
$35.64 | 2,201 | 1,988 |
|
Rashmi Singh
1809 National Ave |
$30.68 | 1,914 | 1,790 |
|
Diego Mendez
4282 Genesee Ave Ste 201 |
$95.08 | 1,816 | 1,420 |
|
Thomas F Kelly
200 West Arbor Drive |
$52.81 | 1,571 | 1,232 |
|
Raheleh Esfandiari
3003 Health Center Dr |
$43.95 | 1,527 | 1,093 |
|
Wade D Schwendemann
8010 Frost St |
$80.16 | 1,505 | 1,123 |
|
Family Health Centers Of San Diego, Inc
1809 National Ave |
$510.09 | 1,486 | 1,475 |
|
Jerasimos Ballas
200 W Arbor Dr |
$52.57 | 1,461 | 1,128 |
|
Priya Chakrabarti
1809 National Ave |
$36.92 | 1,127 | 1,054 |
|
La Maestra Family Clinic, Inc.
4060 Fairmount Ave |
$2.13 | 1,111 | 813 |
|
Deirdre Maureen Mccullough
7910 Frost St |
$78.93 | 1,068 | 937 |
|
Ashley Lian Doruelo
1809 National Ave |
$38.20 | 1,067 | 996 |
|
Sandra Marissa Cervantes
2120 Landis St |
$31.44 | 1,012 | 954 |
|
Tevy Tith
7910 Frost Street |
$79.85 | 998 | 840 |
|
Lisa Susan Lipschitz
1809 National Ave |
$36.98 | 996 | 939 |
|
Daley Cie Portillo
9685 Via Excelencia |
$54.91 | 963 | 760 |
|
Alvie C. Richardson
7910 Frost St Ste 140 |
$81.24 | 924 | 733 |
|
Marisa C Gonzalez
1809 National Ave |
$31.42 | 908 | 822 |
|
Anmar Afif Mansour
7695 Cardinal Court |
$56.14 | 897 | 535 |
|
Najwan Noori Al Ani
5454 El Cajon Blvd |
$0.00 | 781 | 716 |
|
Melissa Louise Westermann
7910 Frost St |
$78.75 | 653 | 567 |
|
Jessica Mary Kingston
200 W Arbor Dr |
$61.55 | 634 | 564 |
|
Leland Dale Lapp
4060 Fourth Avenue |
$60.37 | 601 | 392 |
|
Lauren Elyse Hanley
1809 National Ave |
$37.24 | 596 | 570 |
|
Valerian Anthony Catanzarite
7910 Frost St |
$78.31 | 596 | 552 |
|
Todd M Larocque
4077 5Th Ave |
$199.13 | 566 | 461 |
|
Teah Oetting Caine Flores
3544 30Th St |
$0.00 | 562 | 492 |
|
Rebecca Recker Adami
7910 Frost St |
$83.50 | 543 | 452 |
|
Craig S. Saffer
7695 Cardinal Ct |
$369.78 | 530 | 530 |
|
Holly Lynn Casele
8010 Frost St |
$80.18 | 498 | 439 |
|
Elizabeth Cerrone
3003 Health Center Dr |
$91.34 | 488 | 414 |
|
Aichel Nateras Arreola
5454 El Cajon Blvd |
$0.00 | 382 | 334 |
|
Mylien Ho
5555 Reservoir Dr Ste 205 |
$57.26 | 364 | 274 |
|
Uyen-Thao Phuong Tran
5379 El Cajon Blvd |
$0.00 | 335 | 308 |
|
Ariel Shuckett
7695 Cardinal Ct |
$13.08 | 319 | 248 |
|
Rachel Elisabeth Ely-Konoske
200 W Arbor Dr |
$72.53 | 313 | 256 |
|
Joanna Eva Adamczak
8010 Frost St |
$74.77 | 301 | 266 |
|
Cindy Margarita Jaime
1809 National Avenue |
$35.75 | 291 | 274 |
|
Ariana Liz Melendez
200 W Arbor Dr |
$56.07 | 269 | 219 |
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 San Diego, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in San Diego, CA is $62.05 per claim, based on 95,677 claims from 106 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 San Diego, CA?
There are 106 Medicaid providers offering Pregnancy & Prenatal Care related services in San Diego, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in San Diego, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in San Diego, CA ranges from $0.00 to $646.18 per claim, with an average of $62.05. 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 San Diego, CA
Blood Work & Lab Tests
Avg $4.97
35,607,223 claims
Office Visit
Avg $33.35
6,429,225 claims
Urinalysis & Urine Tests
Avg $1.06
5,271,070 claims
Speech Therapy
Avg $16.23
4,362,220 claims
X-Ray
Avg $14.53
2,038,180 claims
Emergency Room Visit
Avg $104.48
1,987,395 claims
Culture & Microbiology Tests
Avg $1.81
1,568,174 claims
Substance Abuse Treatment
Avg $88.82
1,360,427 claims