Average Medicaid Pregnancy & Prenatal Care Payments in Tulare, CA: $42.38
Avg. Paid
$42.38
Range
$12.07 – $483.73
Total Claims
11,110
Providers
9
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 Tulare, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Abraham N Betre
1134 E Cartmill Ave |
$78.18 | 4,465 | 3,188 |
|
Christian J Borberg Franceschi
1134 E Cartmill Ave |
$12.31 | 2,357 | 1,710 |
|
Ivan Sarria
1134 E Cartmill Ave |
$21.42 | 2,331 | 1,889 |
|
Kin Man Pang
1134 E Cartmill Ave |
$12.07 | 1,744 | 1,255 |
|
Faustino Raul Resendiz Rios
1201 N Cherry St |
$27.29 | 82 | 68 |
|
Parul Gupta
858N Cherry St F |
$186.52 | 56 | 49 |
|
Tina Mary Paul
979 N Gem St |
$59.88 | 50 | 35 |
|
Julianne Renee Coelho Longo
263 S West St |
$23.76 | 13 | 12 |
|
Lan Thuy Truong
1101 N Cherry St |
$483.73 | 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 Tulare, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Tulare, CA is $42.38 per claim, based on 11,110 claims from 9 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 Tulare, CA?
There are 9 Medicaid providers offering Pregnancy & Prenatal Care related services in Tulare, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Tulare, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Tulare, CA ranges from $12.07 to $483.73 per claim, with an average of $42.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Pregnancy & Prenatal Care in Other Cities
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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
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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
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San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Other Procedures in Tulare, CA
Office Visit
Avg $8.83
776,121 claims
Substance Abuse Treatment
Avg $17.92
311,374 claims
Urinalysis & Urine Tests
Avg $2.02
171,597 claims
Blood Work & Lab Tests
Avg $5.11
139,987 claims
Dental Cleaning & Exam
Avg $45.94
131,010 claims
Vaccines & Immunizations
Avg $0.85
114,179 claims
X-Ray
Avg $12.44
89,934 claims
Behavioral & Mental Health Therapy
Avg $170.70
67,680 claims