Average Medicaid Pregnancy & Prenatal Care Payments in South Bend, IN: $69.95
Avg. Paid
$69.95
Range
$54.27 – $486.59
Total Claims
23,386
Providers
47
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Carol Louise Sikorski
1901 W Western Ave |
$64.89 | 4,438 | 3,166 |
|
Patricia Ann Corbett
1708 High St |
$61.64 | 3,874 | 2,667 |
|
Kristin Joy Kile
621 Memorial Dr |
$71.22 | 1,743 | 1,403 |
|
Daphne Pontius
621 Memorial Dr Ste 403 |
$77.32 | 1,422 | 1,036 |
|
Laura Theresa Mabry
621 Memorial Dr Ste 403 |
$67.21 | 1,267 | 1,025 |
|
Emily Heasley
211 N Eddy St |
$72.11 | 1,024 | 711 |
|
Erica Garrett
621 Memorial Dr Ste 403 |
$65.82 | 1,011 | 769 |
|
Rachel Eleanor Whitcomb
1960 Northside Blvd |
$71.91 | 866 | 655 |
|
Daniel Francis Czarnecki
515 N Lafayette Blvd |
$78.30 | 771 | 609 |
|
Janel L. Charlton
714 N Michigan St |
$73.82 | 709 | 552 |
|
Tucker G. Balam
714 N Michigan St |
$72.72 | 611 | 478 |
|
Susana Diaz
621 Memorial Dr Ste 403 |
$59.74 | 463 | 382 |
|
Mark J Meekhof
211 N Eddy St |
$77.01 | 429 | 337 |
|
Matthew T. Dupre
714 N Michigan St |
$71.94 | 366 | 269 |
|
Michelle Scott
515 N Lafayette Blvd |
$86.42 | 362 | 284 |
|
Mackenzie Austgen
515 N Lafayette Blvd |
$70.95 | 360 | 251 |
|
Rachel Schuster
714 N Michigan St |
$74.33 | 305 | 230 |
|
Dayna Cox
515 N Lafayette Blvd |
$82.88 | 295 | 243 |
|
Edward J Durbin
714 N Michigan St |
$76.50 | 279 | 141 |
|
Jason Eric Marker
714 N Michigan St |
$67.15 | 244 | 169 |
|
Anton J Crepinsek
714 N Michigan St |
$67.20 | 243 | 195 |
|
Hannah Grace Yoder
621 Memorial Dr Ste 403 |
$75.64 | 229 | 182 |
|
Sloan Suzanne Shah
515 N Lafayette Blvd |
$80.57 | 205 | 161 |
|
Shannon L Roach
6301 University Commons Ste 310 |
$78.38 | 200 | 130 |
|
Carlos Rhashad Bolden
615 N Michigan St |
$125.16 | 168 | 111 |
|
Katharine Aileen Callaghan
714 N Michigan St |
$63.51 | 166 | 125 |
|
Rajendra Vito Shah
515 N Lafayette Blvd |
$75.24 | 158 | 118 |
|
Leonard Ferguson
6301 University Commons |
$80.92 | 140 | 107 |
|
Melissa E Holderread
621 Memorial Dr |
$68.29 | 108 | 97 |
|
Michelle L Wright
621 Memorial Dr Ste 403 |
$67.97 | 108 | 80 |
|
Jessica Marie Basham
515 N Lafayette Blvd |
$88.06 | 97 | 76 |
|
Natalie Fay Webster
6301 University Commons |
$85.08 | 97 | 64 |
|
Olivia Papai Price
6301 University Commons Ste 310 |
$67.00 | 94 | 50 |
|
Kelly Wayne Mcguire
6301 University Commons |
$76.46 | 91 | 68 |
|
Kimberly Rose Azelton
714 N Michigan St |
$54.27 | 80 | 54 |
|
Kristine Elizabeth Jennings
714 N Michigan St |
$81.76 | 69 | 56 |
|
Melanie Goldschmidt
6301 University Commons |
$68.61 | 42 | 24 |
|
Gerald W. Morris
714 N Michigan St |
$64.66 | 36 | 30 |
|
Tracy S Byrne
6301 University Commons |
$67.71 | 33 | 26 |
|
Emily-Rae Reed Singh
714 N Michigan St |
$85.51 | 32 | 29 |
|
Anthony Vincent Aspesi
234 Chapin St Ste I |
$56.38 | 32 | 24 |
|
Emilie Harvey
621 Memorial Dr Ste 403 |
$58.16 | 31 | 28 |
|
Dyllan Tiburzi
2235 Cleveland Rd |
$77.45 | 28 | 24 |
|
Charles Frederick Hagenow
714 N Michigan St |
$91.19 | 19 | 14 |
|
Janelle Ruth Blickensderfer
515 N Lafayette Blvd |
$90.77 | 15 | 13 |
|
Linda A Mansfield
1815 E Ireland Rd |
$69.76 | 14 | 14 |
|
Rebecca Rochelle Mckown
621 Memorial Dr Ste 403 |
$486.59 | 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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in South Bend, IN is $69.95 per claim, based on 23,386 claims from 47 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 South Bend, IN?
There are 47 Medicaid providers offering Pregnancy & Prenatal Care related services in South Bend, IN according to public payment data.
What is the price range for Pregnancy & Prenatal Care in South Bend, IN?
Medicaid reimbursement for Pregnancy & Prenatal Care in South Bend, IN ranges from $54.27 to $486.59 per claim, with an average of $69.95. 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 South Bend, IN
Office Visit
Avg $58.29
778,111 claims
Blood Work & Lab Tests
Avg $6.15
552,088 claims
Psychiatric Evaluation
Avg $67.17
188,449 claims
Emergency Room Visit
Avg $95.59
180,378 claims
Physical Therapy
Avg $31.56
170,960 claims
Vaccines & Immunizations
Avg $10.10
170,623 claims
Durable Medical Equipment (DME)
Avg $34.07
143,514 claims
Speech Therapy
Avg $58.84
113,674 claims