Average Medicaid Pregnancy & Prenatal Care Payments in Upland, CA: $68.54
Avg. Paid
$68.54
Range
$56.14 – $342.15
Total Claims
25,737
Providers
10
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 Upland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monica Palma
600 N Mountain Ave Ste A104 |
$59.10 | 14,028 | 10,184 |
|
Mouhanad Mark Alwan
1310 San Bernardino Rd |
$63.26 | 5,556 | 3,780 |
|
Franklin Martin Johnson
1310 San Bernardino Rd |
$96.85 | 4,993 | 3,807 |
|
Thomas Way Lee
930 E Foothill Blvd |
$57.70 | 680 | 419 |
|
Toni Dung Vu
1310 San Bernardino Rd |
$170.15 | 158 | 140 |
|
Thomas W Lee Md Inc
930 E Foothill Blvd |
$59.88 | 147 | 86 |
|
Joanna Du
1310 San Bernardino Rd Ste 201 |
$104.23 | 108 | 95 |
|
Donald Mark Alpiner
999 San Bernardino Rd |
$219.20 | 37 | 37 |
|
Monica A. Valenzuela-Gamm
1310 San Bernardino Rd |
$56.14 | 16 | 15 |
|
Cecilia Phong
1310 San Bernardino Rd Ste 201 |
$342.15 | 14 | 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 Upland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Upland, CA is $68.54 per claim, based on 25,737 claims from 10 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 Upland, CA?
There are 10 Medicaid providers offering Pregnancy & Prenatal Care related services in Upland, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Upland, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Upland, CA ranges from $56.14 to $342.15 per claim, with an average of $68.54. 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
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Bakersfield, CA
Avg $112.46
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Fresno, CA
Avg $14.81
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New York, NY
Avg $147.67
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Sacramento, CA
Avg $28.38
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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
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Other Procedures in Upland, CA
Office Visit
Avg $44.57
715,468 claims
Blood Work & Lab Tests
Avg $8.30
467,774 claims
Emergency Room Visit
Avg $69.32
227,225 claims
Eye Exam
Avg $30.79
208,846 claims
X-Ray
Avg $12.71
148,970 claims
EKG / ECG (Electrocardiogram)
Avg $18.65
134,300 claims
Psychiatric Evaluation
Avg $104.62
120,656 claims
Dental Cleaning & Exam
Avg $46.20
118,688 claims