Average Medicaid Pregnancy & Prenatal Care Payments in Santa Rosa, CA: $145.82
Avg. Paid
$145.82
Range
$0.00 – $673.00
Total Claims
6,801
Providers
29
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 Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ruth Pedraza
3569 Round Barn Cir Ste 200 |
$78.55 | 1,040 | 745 |
|
Shazah Khawaja
900 Sonoma Ave Ste 18 |
$111.76 | 857 | 649 |
|
Enrique Sanchez Mendez
401 Bicentennial Way |
$73.32 | 797 | 554 |
|
Joseph R Matel
34 Mark West Springs Rd Fl 2 |
$673.00 | 665 | 608 |
|
Santa Rosa Midwifery Center
4415 Sonoma Hwy Ste B |
$78.62 | 532 | 368 |
|
Adam Crawford Francis
3569 Round Barn Cir Ste 200 |
$60.48 | 308 | 218 |
|
Tara Corinne Bartlett
34 Mark West Springs Rd Fl 2 |
$111.72 | 306 | 239 |
|
Hannah Louise Stein Watson
751 Lombardi Ct |
$61.00 | 281 | 219 |
|
Hannah Rowena Kopp-Yates
583 Summerfield Rd |
$77.18 | 252 | 196 |
|
Elizabeth Pointer Smith
4415 Sonoma Hwy Ste B |
$78.38 | 237 | 197 |
|
Erin E Lund
3569 Round Barn Cir |
$77.89 | 200 | 158 |
|
Parker Andrew Duncan Diaz
751 Lombardi Ct |
$64.85 | 162 | 117 |
|
Susan C Logan
1111 Sonoma Avenue |
$111.89 | 154 | 124 |
|
Jennifer Ellen Johnson Byer
500 Doyle Park Dr |
$87.70 | 145 | 112 |
|
Lisa M. Ward
1110 N Dutton Ave |
$60.48 | 117 | 104 |
|
Lela M Emad
1111 Sonoma Avenue |
$348.94 | 106 | 93 |
|
Renee Dettloff
583 Summerfield Rd |
$77.86 | 103 | 92 |
|
Sutter Bay Hospitals
30 Mark West Springs Road |
$151.46 | 92 | 55 |
|
Barbara Ann Sinclair
144 Stony Point Rd |
$0.00 | 83 | 67 |
|
Deborah Donlon
751 Lombardi Ct Ste B |
$78.62 | 69 | 55 |
|
Jennifer Devries
751 Lombardi Ct |
$0.00 | 58 | 42 |
|
Mary Moya
751 Lombardi Ct Ste B |
$1.31 | 46 | 36 |
|
Estrelania S Williams
500 Doyle Park Dr Ste 103 |
$111.89 | 41 | 41 |
|
Rachel Latta
583 Summerfield Rd |
$0.00 | 36 | 36 |
|
Santa Rosa Community Health Centers
1300 N Dutton Ave |
$544.46 | 36 | 30 |
|
Gregory Neill Sacher
500 Doyle Park Dr |
$85.40 | 24 | 24 |
|
Jennifer Cecilia Fish
3883 Airway Dr Ste 202 |
$60.48 | 21 | 14 |
|
Ellie Rivkah Pritschet Wiener
3569 Round Barn Cir Ste 200 |
$60.48 | 18 | 12 |
|
Alexis Victoria Chaet-Lopez
751 Lombardi Ct |
$156.15 | 15 | 14 |
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 Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Santa Rosa, CA is $145.82 per claim, based on 6,801 claims from 29 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 Rosa, CA?
There are 29 Medicaid providers offering Pregnancy & Prenatal Care related services in Santa Rosa, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Santa Rosa, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Santa Rosa, CA ranges from $0.00 to $673.00 per claim, with an average of $145.82. 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 Rosa, CA
Office Visit
Avg $21.94
1,410,868 claims
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims