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 |
|---|---|---|---|
|
Kaycee Fiaseu
38400 Bob Wilson Dr |
$398.04 | 12 | 12 |
|
Suriti Kundu
2450 Craven St |
$0.00 | 12 | 12 |
|
Family Health Centers Of San Diego, Inc
3420 College Ave |
$544.28 | 13 | 13 |
|
Kathryn M Macaulay
200 W Arbor Dr |
$62.62 | 14 | 13 |
|
Lesley Lara
1601 Precision Park Ln |
$0.00 | 14 | 12 |
|
Advanced California Medical Center, Inc.
10737 Camino Ruiz |
$60.48 | 15 | 13 |
|
Katherine Coakley
200 W Arbor Dr |
$56.45 | 15 | 14 |
|
Louie Humberto Rodriguez
9455 Clairemont Mesa Blvd |
$0.00 | 15 | 14 |
|
Gary David Blake
8010 Frost St |
$0.00 | 16 | 14 |
|
Luz Yee Fernandez
2020 Genesee Ave |
$0.00 | 16 | 12 |
|
Aaron A Zaheer
4305 University Ave |
$60.48 | 28 | 24 |
|
Inge H Taylor
6973 Linda Vista Rd |
$60.48 | 28 | 25 |
|
Brian Grogan
6973 Linda Vista Rd |
$409.29 | 30 | 27 |
|
Adam Christopher Bortner
4168 Front St |
$0.00 | 30 | 29 |
|
Rebecca Mutascio Reimers
7910 Frost St |
$82.30 | 33 | 27 |
|
Abiade Christopher Short
3177 Ocean View Blvd |
$60.48 | 33 | 25 |
|
Madison Fish
7695 Cardinal Ct Ste 240 |
$442.16 | 38 | 38 |
|
Tereza Kryslova
4013 Camino Lindo |
$429.44 | 40 | 40 |
|
Kristin Joy Ament Brownell
5454 El Cajon Blvd |
$0.00 | 42 | 41 |
|
Scott Edward Musinski
3160 W Canyon Ave |
$66.79 | 44 | 33 |
|
David D' Arcy Dowling
12264 El Camino Real |
$181.86 | 45 | 45 |
|
Lauren Annette Prewitt
1809 National Ave |
$59.22 | 48 | 47 |
|
Jorge Luis Alvarado
4168 Front St |
$55.15 | 48 | 40 |
|
Debora Lundgren-Walls
3630 Enterprise St |
$72.58 | 54 | 50 |
|
Mai Phuong Hoang
4168 Front St |
$48.38 | 61 | 53 |
|
Amy Colleen French
7695 Cardinal Ct |
$59.88 | 65 | 40 |
|
Christina Buenrostro
200 W Arbor Dr |
$0.00 | 66 | 38 |
|
Shahram Sean Daneshmand
9333 Genesee Ave |
$87.02 | 72 | 51 |
|
Best Start Midwife Services
3630 Enterprise St |
$59.08 | 75 | 40 |
|
Marlissa Hinkle Ivers
2835 Camino Del Rio S Ste 210 |
$75.63 | 83 | 66 |
|
Christine Ann Cortes
200 W Arbor Dr |
$20.38 | 92 | 68 |
|
Mary Alice Acevedo
5454 El Cajon Blvd |
$37.72 | 93 | 87 |
|
Helena Okhotin Iarovicov
16950 Via Tazon |
$337.77 | 101 | 101 |
|
Julia Lucia Cormano
200 W Arbor Dr |
$52.00 | 104 | 89 |
|
Lisa Christine Underwood
7695 Cardinal Ct Ste 240 |
$58.74 | 105 | 69 |
|
Kim M Goodwin
7595 Cardinal Court |
$59.88 | 105 | 68 |
|
Alice Conner Sutton
4168 Front St |
$47.86 | 108 | 86 |
|
Sandrine Lee
1809 National Ave |
$0.00 | 120 | 106 |
|
Jasmine Lai
9333 Genesee Ave Ste 170 |
$76.55 | 123 | 103 |
|
Michael E Cardenas
7510 Hazard Center Dr Ste 607 |
$49.32 | 142 | 106 |
|
Aisha Maria Van Pratt Levin
1809 National Ave |
$0.00 | 142 | 125 |
|
Monica L Melgar
3705 Mission Blvd |
$0.00 | 143 | 136 |
|
Victoria K Young
11939 Rancho Bernardo Rd Ste 110 |
$646.18 | 144 | 144 |
|
Dora Jean Melber
7910 Frost St |
$77.01 | 144 | 119 |
|
Leah Michelle Lamale-Smith
4910 Directors Pl |
$54.62 | 162 | 127 |
|
Maria L Castillo
7930 Frost St Ste 103 |
$58.62 | 163 | 125 |
|
Sarah Tilford
Po Box 712197 |
$380.12 | 185 | 175 |
|
Colleen P Mcnally
8010 Frost St |
$59.88 | 190 | 120 |
|
Gioi Ngoc Smith-Nguyen
9040 Friars Rd |
$180.97 | 203 | 203 |
|
Erica Thi Vu Hill
200 W Arbor Dr |
$36.52 | 207 | 150 |
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