Average Medicaid Pregnancy & Prenatal Care Payments in San Francisco, CA: $58.21
Avg. Paid
$58.21
Range
$0.00 – $1,184
Total Claims
22,823
Providers
42
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 Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
City & County Of San Francisco
1001 Potrero Ave |
$6.99 | 11,813 | 8,165 |
|
Samuel Young
1520 Stockton St |
$115.22 | 2,186 | 1,535 |
|
Sage Bearman
1286 Sanchez St |
$101.72 | 1,380 | 1,009 |
|
Robert Bradley Williams
240 Shotwell St |
$0.00 | 916 | 612 |
|
Sheryl Qianwen Tan
1520 Stockton St |
$0.00 | 869 | 854 |
|
Sara Whetstone
1001 Potrero Ave # 6D |
$119.44 | 695 | 521 |
|
Frederica S. Lofquist
3838 California St |
$35.97 | 674 | 538 |
|
Maureen O Khoo
1100 Van Ness Ave |
$32.65 | 484 | 316 |
|
Michele Baron
1001 Potrero Ave # 6D |
$852.30 | 468 | 422 |
|
Jennifer Hurley
Bella Health And Wellness Inc |
$78.62 | 425 | 320 |
|
Courtney Paige Ridley
2300 California St |
$113.57 | 360 | 297 |
|
Alissa Erogbogbo
1855 4Th St Fl 3 |
$481.65 | 312 | 312 |
|
Bonnie M Chu
1520 Stockton St |
$0.00 | 312 | 311 |
|
Chitra Akileswaran
1001 Potrero Ave # 6D |
$10.27 | 265 | 198 |
|
Michelle Denise Marieni
1580 Valencia St Ste 508 |
$49.51 | 194 | 147 |
|
Rachna Vanjani
2356 Sutter St Ste J140 |
$0.00 | 153 | 131 |
|
Elizabeth Witten
1300 Sanchez St |
$0.00 | 148 | 116 |
|
Amita Kachru
3555 Cesar Chavez Ste 112 |
$111.89 | 120 | 101 |
|
Deena Lakshmi Mallareddy
1580 Valencia St |
$162.11 | 108 | 99 |
|
Gabrielle Westergren
1001 Potrero Ave Rm 6D |
$0.00 | 99 | 68 |
|
Deirdre U Kato
1100 Van Ness Ave |
$27.30 | 93 | 93 |
|
Ricardo Alvarez
240 Shotwell St |
$0.00 | 91 | 63 |
|
James Frederick Verrees
1100 Van Ness Ave |
$60.48 | 74 | 46 |
|
Savanah Lee Washington
1001 Portrero Ave |
$0.00 | 68 | 54 |
|
Anthony Paul Mrgudich
1569 Sloat Blvd |
$60.48 | 65 | 53 |
|
Amy M. Autry
2356 Sutter St |
$0.00 | 56 | 51 |
|
Martha Alazar Tesfalul
1855 Fourth Street |
$90.72 | 45 | 42 |
|
City & County Of San Francisco
1001 Potrero Ave |
$0.00 | 45 | 44 |
|
Esther Hsuan-Hsin Chang
1520 Stockton St |
$0.00 | 44 | 44 |
|
Ben Chung Li
550 16Th Street |
$472.35 | 40 | 37 |
|
Katrina Pinkerton
1735 Mission St |
$53.23 | 33 | 27 |
|
Christine Borden
1100 Van Ness Ave |
$107.14 | 28 | 26 |
|
Laurel Kirby Bernstein
1580 Valencia St |
$43.47 | 28 | 25 |
|
Hannah Claire Goldstein Purkey
185 Berry St Lbby 2 |
$60.48 | 25 | 24 |
|
Cord Valentine
2425 Geary Blvd |
$4.27 | 17 | 16 |
|
Julie Ann Romero
1100 Van Ness Ave Fl 4 |
$95.96 | 15 | 13 |
|
Mzimeli Moikemisetsi Morris
1001 Potrero Ave # 6D |
$1,184 | 13 | 13 |
|
Dong Ha Hwang
1520 Stockton St |
$149.46 | 13 | 13 |
|
Sara A. Woolf
1525 Silver Ave |
$0.00 | 13 | 13 |
|
Feng Ping Yu
4150 Clement St |
$0.00 | 12 | 12 |
|
Karen Johana Lopez-Acero
1001 Potrero Ave Bldg 252Nd |
$228.36 | 12 | 12 |
|
Laurie Denise Jurkiewicz
1001 Potrero Ave |
$72.57 | 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 San Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in San Francisco, CA is $58.21 per claim, based on 22,823 claims from 42 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 Francisco, CA?
There are 42 Medicaid providers offering Pregnancy & Prenatal Care related services in San Francisco, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in San Francisco, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in San Francisco, CA ranges from $0.00 to $1,184 per claim, with an average of $58.21. 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 Francisco, CA
Office Visit
Avg $27.38
4,381,925 claims
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims