Average Medicaid Pregnancy & Prenatal Care Payments in Tyler, TX: $370.95
Avg. Paid
$370.95
Range
$85.20 – $543.62
Total Claims
3,373
Providers
11
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 Tyler, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James Louis Wasson
649 S Broadway Ave Ste 2 |
$85.20 | 905 | 871 |
|
Ralph James Turner
825 Medical Dr Ste A |
$500.85 | 620 | 592 |
|
Zareh H Khachikian
928 N Glenwood Blvd |
$510.38 | 464 | 430 |
|
Yasser F Zeid
1212 Clinic Dr |
$367.03 | 453 | 409 |
|
Rabiah Zafar
928 N Glenwood Blvd |
$512.83 | 346 | 320 |
|
Rachel Ann Everson
928 N Glenwood Blvd |
$543.62 | 271 | 262 |
|
Nicholas Paul Luzietti
928 N Glenwood Blvd |
$480.05 | 193 | 168 |
|
Roy Alan Mcclintock
825 Medical Dr Ste A |
$514.94 | 69 | 69 |
|
James Brant Buchinger
520 Douglas Blvd |
$88.90 | 27 | 27 |
|
Russell Forest Stanley
1100 E Lake St Ste 260 |
$309.67 | 13 | 13 |
|
Paul M Fanning
1720 S Beckham Ave Ste 104 |
$93.24 | 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 Tyler, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Tyler, TX is $370.95 per claim, based on 3,373 claims from 11 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 Tyler, TX?
There are 11 Medicaid providers offering Pregnancy & Prenatal Care related services in Tyler, TX according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Tyler, TX?
Medicaid reimbursement for Pregnancy & Prenatal Care in Tyler, TX ranges from $85.20 to $543.62 per claim, with an average of $370.95. 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
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San Bernardino, CA
Avg $92.56
105,560 claims · 25 providers
Other Procedures in Tyler, TX
Office Visit
Avg $44.43
469,139 claims
Emergency Room Visit
Avg $103.85
379,823 claims
Blood Work & Lab Tests
Avg $5.27
313,965 claims
Dental Cleaning & Exam
Avg $39.99
266,952 claims
X-Ray
Avg $7.49
188,695 claims
Vaccines & Immunizations
Avg $6.68
122,404 claims
Urinalysis & Urine Tests
Avg $2.44
97,259 claims
Ultrasound
Avg $64.23
94,613 claims