Average Medicaid Pregnancy & Prenatal Care Payments in Tucson, AZ: $598.99
Avg. Paid
$598.99
Range
$0.00 – $2,294
Total Claims
3,448
Providers
37
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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coleman Wade Davidson
5301 E Grant Rd |
$243.45 | 1,095 | 1,067 |
|
Mary Kay Durfee
2171 W Orange Grove Rd |
$265.12 | 353 | 348 |
|
Jeffrey David Johnson
6130 N La Cholla Blvd Ste 135A |
$861.30 | 312 | 308 |
|
Ai-Nhi Tran
5301 E Grant Rd |
$302.85 | 275 | 268 |
|
Hector C Streeter
1501 N Campbell Ave |
$792.70 | 167 | 167 |
|
P Douglas Young
5550 E Hampton St |
$495.61 | 157 | 153 |
|
Jose Rios
225 W Irvington Rd |
$861.06 | 139 | 137 |
|
Victor Th Chen
6261 N La Cholla Blvd Ste 277 |
$2,181 | 91 | 90 |
|
Lydia Wester
2300 N Rosemont Blvd |
$2,294 | 85 | 82 |
|
Sigrid Gardner Williams
655 E River Rd Ste 201 |
$250.42 | 81 | 79 |
|
Melissa R Bradley
6565 E. Carondelet Drive |
$846.39 | 71 | 69 |
|
Annette M Hernandez-Parkhurst
225 W Irvington Rd |
$844.58 | 58 | 58 |
|
John Thaddeus Decker
6452 E Carondelet Dr Ste 100 |
$1,263 | 58 | 48 |
|
Catherine M Westerband
6261 N La Cholla Blvd Ste 277 |
$1,580 | 56 | 53 |
|
Amy J Schneider
2424 N Wyatt Dr Fl 2 |
$1,766 | 54 | 54 |
|
Cynthia C Goldberg
2300 N Rosemont Blvd |
$53.28 | 30 | 16 |
|
Erin Sperry Sperry Schlueter
2424 N. Wyatt Drive |
$772.85 | 29 | 29 |
|
Amita Graham
839 W Congress St |
$56.16 | 28 | 25 |
|
Raquel M. Mercado Sepulveda
1500 N Wilmot Rd Ste C260 |
$907.27 | 27 | 26 |
|
Stephanie Chin
2300 N Rosemont Blvd |
$1,947 | 26 | 26 |
|
Michelle Lyn Larson
5301 E Grant Rd |
$229.55 | 26 | 26 |
|
Steven Rosenfeld
225 W Irvington Rd |
$899.10 | 25 | 25 |
|
Lori Lee Mcneal
4410 N Circulo De Las Chacras |
$88.35 | 17 | 16 |
|
Jessica Marie Serrano-Rodriguez
2300 S Houghton Rd Ste 240 |
$570.83 | 17 | 17 |
|
Marsha Ellen Brooks-Candela
2055 W Hospital Dr |
$959.78 | 15 | 15 |
|
Janet P Warner
655 E River Rd Ste 201 |
$0.00 | 15 | 13 |
|
Howard Eisenberg
6261 N La Cholla Blvd Ste 277 |
$0.00 | 15 | 14 |
|
Shahla Ighani
2300 N Rosemont Blvd |
$55.98 | 14 | 14 |
|
Christina K Rumph
6452 E Carondelet Dr Ste 100 |
$79.85 | 13 | 13 |
|
Shruti Bala
225 W Irvington Rd |
$775.17 | 13 | 12 |
|
Frank John Laudonio
8140 E Galinda Dr |
$1,645 | 13 | 13 |
|
David B Mainman
6452 E Carondelet Dr |
$1,456 | 13 | 12 |
|
Mary Olsen Connelly
5301 E Grant Rd |
$286.83 | 12 | 12 |
|
Darren Housel
10350 E Drexel Rd Ste 260 |
$959.78 | 12 | 12 |
|
Elya M Showalter
6950 E Golf Links Rd |
$772.57 | 12 | 12 |
|
Lili A Jordan
225 W Irvington Rd |
$843.97 | 12 | 12 |
|
Lori Ann Gebell
6862 E Fieldstone Ln |
$168.26 | 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 Tucson, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Tucson, AZ is $598.99 per claim, based on 3,448 claims from 37 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 Tucson, AZ?
There are 37 Medicaid providers offering Pregnancy & Prenatal Care related services in Tucson, AZ according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Tucson, AZ?
Medicaid reimbursement for Pregnancy & Prenatal Care in Tucson, AZ ranges from $0.00 to $2,294 per claim, with an average of $598.99. 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 Tucson, AZ
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Avg $33.22
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Avg $40.42
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Avg $46.43
5,463,316 claims
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Avg $2.95
2,730,604 claims
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Avg $181.32
2,175,875 claims
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Avg $160.21
2,175,628 claims
Physical Therapy
Avg $34.35
1,681,838 claims
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Avg $16.59
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