Average Medicaid Pregnancy & Prenatal Care Payments in Silver Spring, MD: $377.23
Avg. Paid
$377.23
Range
$4.52 – $924.05
Total Claims
2,408
Providers
17
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 Silver Spring, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rafiq A Mian
1400 Forest Glen Rd |
$429.69 | 909 | 843 |
|
Ann Bishop Burke
1500 Forest Glen Rd |
$144.33 | 790 | 681 |
|
Roy Gergi Khoury
1400 Forest Glen Rd |
$814.48 | 185 | 161 |
|
Sarah Morelli
10750 Columbia Pike Ste 700 |
$62.68 | 109 | 105 |
|
Roberta Y Ackom
11890 Healing Way |
$511.36 | 79 | 76 |
|
Katelin Torres
8630 Fenton St Ste 1204 |
$111.36 | 54 | 46 |
|
Andrew B Block
2101 Medical Park Dr Ste 200E |
$766.93 | 45 | 39 |
|
Eric Martin Ashkin
2101 Medical Park Dr Ste 200E |
$837.95 | 39 | 38 |
|
Tamara Elmira Coates
1400 Forest Glen Rd |
$924.05 | 37 | 37 |
|
Pierrette Genia Latimore
1400 Forest Glen Rd Ste 525 |
$834.39 | 31 | 31 |
|
Dara Nassoma King
12201 Plum Orchard Dr |
$778.32 | 30 | 26 |
|
Lisa Kirsten Ely
1400 Forest Glen Rd Ste 500 |
$128.24 | 29 | 26 |
|
David A. Wagar
10313 Georgia Ave Ste 202 |
$724.21 | 19 | 16 |
|
Professional Services Of Holy Cross
1500 Forest Glen Rd |
$4.52 | 13 | 13 |
|
Leslie Michelle Simmons
1111 Spring St |
$858.66 | 13 | 13 |
|
Erin Del Ninno
1400 Forest Glen Rd |
$863.38 | 13 | 12 |
|
Ebony Simpson
10313 Georgia Ave Ste 202 |
$717.60 | 13 | 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 Silver Spring, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Silver Spring, MD is $377.23 per claim, based on 2,408 claims from 17 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 Silver Spring, MD?
There are 17 Medicaid providers offering Pregnancy & Prenatal Care related services in Silver Spring, MD according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Silver Spring, MD?
Medicaid reimbursement for Pregnancy & Prenatal Care in Silver Spring, MD ranges from $4.52 to $924.05 per claim, with an average of $377.23. 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 Silver Spring, MD
Office Visit
Avg $83.74
1,106,108 claims
Dental Cleaning & Exam
Avg $39.56
562,274 claims
Psychiatric Evaluation
Avg $94.09
468,812 claims
Nursing Facility Care
Avg $18.02
318,176 claims
Blood Work & Lab Tests
Avg $7.58
195,775 claims
Physical Therapy
Avg $38.75
156,524 claims
X-Ray
Avg $8.16
151,102 claims
Ultrasound
Avg $69.33
142,698 claims