Average Medicaid Pregnancy & Prenatal Care Payments in San Jose, CA: $24.07
Avg. Paid
$24.07
Range
$0.00 – $342.90
Total Claims
21,213
Providers
32
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 Jose, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth Phan
150 N Jackson Ave |
$7.23 | 3,843 | 2,762 |
|
Ranjani Chandramouli
3030 Alum Rock Ave |
$9.19 | 3,057 | 2,010 |
|
Athiya D Javid
125 N Jackson Ave |
$0.85 | 2,372 | 1,410 |
|
Nataliya Carlson
1066 S White Rd Ste 170 |
$13.89 | 2,357 | 2,002 |
|
Steven P. Vo
2114 Senter Rd Ste 10 |
$0.00 | 1,767 | 1,230 |
|
Preete Bhanot
260 International Cir |
$18.99 | 1,478 | 981 |
|
Bichvan Phan
200 Jose Figueres Ave |
$0.10 | 1,239 | 769 |
|
Giao Van Vu
1863 Alum Rock Ave |
$0.00 | 1,077 | 620 |
|
Hung V Ninh
1661 Burdette Dr |
$0.19 | 819 | 500 |
|
Christopher John Mele
160 E Virginia St |
$97.86 | 789 | 573 |
|
Elizabeth Joy Mccraven
1333 Meridian Ave |
$25.04 | 578 | 391 |
|
Carolyn Cruz Kerr
751 S Bascom Ave |
$318.11 | 458 | 455 |
|
Daljeet Rai
455 Oconnor Dr |
$63.14 | 292 | 216 |
|
Ingrid Bossen
751 S Bascom Ave |
$342.40 | 195 | 191 |
|
Suresh R Nayak
200 Jose Figueres Ave |
$0.00 | 144 | 83 |
|
Hsin-Pei Liu
55 E Julian St |
$59.88 | 144 | 117 |
|
Neil Granader
Regional Medical Center Of San Jose |
$76.99 | 89 | 88 |
|
My-Phuc Le
1642 E Capitol Expy |
$3.00 | 89 | 62 |
|
Julie Priest
1333 Meridian Ave |
$0.00 | 85 | 63 |
|
Miel Marie Vallejo-Brooks
751 S Bascom Ave |
$317.61 | 53 | 53 |
|
Grace Chen Yu
455 Oconnor Dr Ste 210 |
$64.04 | 51 | 40 |
|
Thuong-Thuong Nguyen
750 S Bascom Ave Ste 300 |
$239.10 | 46 | 46 |
|
Santa Clara Ob/Gyn Medical Group
2030 Forest Ave |
$60.48 | 43 | 33 |
|
Tammy S. Hwang
2506 Samaritan Ct |
$0.00 | 34 | 26 |
|
Joanne Marcelo
470 Blossom Hill Rd |
$0.00 | 19 | 17 |
|
Karen Geller Kohut
244 N Jackson Ave |
$0.00 | 16 | 16 |
|
Suk Moon Ko
455 Oconnor Dr Ste 210 |
$66.68 | 14 | 13 |
|
Jacqueline Fr Lou
751 S Bascom Ave |
$227.43 | 14 | 14 |
|
Jana Lynn Mannan
500 Tully Rd |
$342.90 | 13 | 13 |
|
Ariana Murray Dagdag
751 S Bascom Ave |
$320.29 | 13 | 13 |
|
Liliana Kossoy Hamlett
751 S Bascom Ave |
$268.68 | 13 | 12 |
|
Wilma Kyong-Sook Lee
1993 Mckee Rd |
$289.38 | 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 Jose, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in San Jose, CA is $24.07 per claim, based on 21,213 claims from 32 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 Jose, CA?
There are 32 Medicaid providers offering Pregnancy & Prenatal Care related services in San Jose, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in San Jose, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in San Jose, CA ranges from $0.00 to $342.90 per claim, with an average of $24.07. 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 Jose, CA
Office Visit
Avg $17.76
4,087,517 claims
Blood Work & Lab Tests
Avg $2.57
2,345,819 claims
Dental Cleaning & Exam
Avg $52.74
1,100,494 claims
Case Management Services
Avg $220.56
998,173 claims
Behavioral & Mental Health Therapy
Avg $198.51
836,218 claims
Vaccines & Immunizations
Avg $3.93
755,787 claims
X-Ray
Avg $7.17
627,443 claims
Substance Abuse Treatment
Avg $69.65
603,596 claims