Average Medicaid Pregnancy & Prenatal Care Payments in San Mateo, CA: $159.71
Avg. Paid
$159.71
Range
$19.49 – $297.66
Total Claims
19,482
Providers
19
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 Mateo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William Scott Lock
222 W 39Th Ave |
$260.44 | 2,574 | 1,992 |
|
Justine Elise Della Fave
222 W 39Th Ave |
$80.44 | 2,401 | 1,580 |
|
Caroline Bowker
222 W 39Th Ave |
$102.83 | 2,113 | 1,500 |
|
Scott Oesterling
222 W 39Th Ave |
$220.70 | 2,005 | 1,553 |
|
Andrea Ruth Quintana
222 W 39Th Ave Fl 3 |
$297.66 | 1,964 | 1,498 |
|
Zelda Sarmiento De La Cruz
1 Baywood Ave Ste 7 |
$102.79 | 1,772 | 1,020 |
|
Zena Kharsa
222 W 39Th Ave |
$271.43 | 1,596 | 1,195 |
|
County Of San Mateo
222 W 39Th Ave |
$85.96 | 1,274 | 1,030 |
|
Katherine R Elsley
222 W 39Th Ave |
$74.02 | 1,188 | 842 |
|
Alla Sragets
101 S San Mateo Dr |
$19.49 | 972 | 677 |
|
Max David Farber
222 W 39Th Ave |
$131.99 | 693 | 604 |
|
Victoria Galanter
222 W 39Th Ave |
$74.38 | 424 | 314 |
|
Julie Aimee Birdsong
222 W 39Th Ave |
$95.58 | 178 | 132 |
|
Mary Teresa Ramirez
222 W 39Th Ave |
$74.15 | 79 | 53 |
|
Rubina Khilnani
1 Baywood Ave |
$101.77 | 78 | 39 |
|
James Rice Meier
222 W 39Th Ave |
$105.84 | 59 | 45 |
|
Ana Mummah
222 W 39Th Ave |
$105.84 | 58 | 45 |
|
John Anderson
222 W 39Th Ave |
$103.19 | 40 | 29 |
|
County Of San Mateo
222 W 39Th Ave |
$103.59 | 14 | 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 Mateo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in San Mateo, CA is $159.71 per claim, based on 19,482 claims from 19 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 Mateo, CA?
There are 19 Medicaid providers offering Pregnancy & Prenatal Care related services in San Mateo, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in San Mateo, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in San Mateo, CA ranges from $19.49 to $297.66 per claim, with an average of $159.71. 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 Mateo, CA
Blood Work & Lab Tests
Avg $9.15
708,827 claims
Vaccines & Immunizations
Avg $18.63
281,622 claims
Office Visit
Avg $50.22
249,879 claims
Case Management Services
Avg $223.69
159,131 claims
Urinalysis & Urine Tests
Avg $3.65
138,075 claims
Emergency Room Visit
Avg $59.55
90,910 claims
X-Ray
Avg $13.51
87,661 claims
Behavioral & Mental Health Therapy
Avg $289.85
76,791 claims