Average Medicaid Pregnancy & Prenatal Care Payments in Santa Cruz, CA: $75.81
Avg. Paid
$75.81
Range
$60.35 – $510.44
Total Claims
10,010
Providers
20
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 Santa Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Santa Cruz Community Health Centers
250 Locust St |
$60.73 | 2,358 | 1,739 |
|
Angela Lawson
2907 Chanticleer Ave |
$76.77 | 2,299 | 1,587 |
|
Santa Cruz Community Health Centers
1510 Capitola Rd |
$60.36 | 1,554 | 1,230 |
|
Julia Claire Burke
110 Cooper St # 500 |
$125.77 | 1,052 | 732 |
|
Karen L Wang
1156 High St |
$67.50 | 922 | 818 |
|
Michelle Marie Sablan
1505 Soquel Dr Ste 1 |
$65.94 | 613 | 528 |
|
Howard Salvay
2915 Chanticleer Ave |
$70.67 | 324 | 256 |
|
Carrie Coxwell Eisberg
250 Locust St |
$60.35 | 232 | 206 |
|
Lindsay Mooney
2907 Chanticleer Ave Fl 2 |
$69.74 | 152 | 125 |
|
Kimberly S Moreland
1505 Soquel Dr Ste 1 |
$67.06 | 149 | 123 |
|
Nicole M Steinmuller
200 7Th Ave |
$60.48 | 71 | 50 |
|
Michelle Sanchez
2907 Chanticleer Ave |
$126.74 | 58 | 39 |
|
Adwoa Christy
2907 Chanticleer Ave |
$510.44 | 57 | 56 |
|
Flavio Cornejo
550A Water St |
$90.72 | 48 | 43 |
|
Laetitia Marie-Jane Oderman
2907 Chanticleer Ave |
$68.94 | 33 | 27 |
|
Kelli Rae Beingesser
2907 Chanticleer Ave |
$67.72 | 23 | 15 |
|
Stephanie Hedy Yunchung Chang
1510 Capitola Rd |
$60.48 | 21 | 16 |
|
Casey A Kirkhart
1510 Capitola Rd |
$60.48 | 16 | 12 |
|
Salla Inkeri Hennessy
1510 Capitola Rd |
$60.48 | 14 | 13 |
|
Sneha Sri Bathina
1505 Soquel Dr Ste 1 |
$61.86 | 14 | 13 |
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 Santa Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Santa Cruz, CA is $75.81 per claim, based on 10,010 claims from 20 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 Santa Cruz, CA?
There are 20 Medicaid providers offering Pregnancy & Prenatal Care related services in Santa Cruz, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Santa Cruz, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Santa Cruz, CA ranges from $60.35 to $510.44 per claim, with an average of $75.81. 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 Santa Cruz, CA
Office Visit
Avg $33.23
980,453 claims
Substance Abuse Treatment
Avg $32.01
703,736 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Emergency Room Visit
Avg $85.44
235,236 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims