Average Medicaid Pregnancy & Prenatal Care Payments in Visalia, CA: $49.41
Avg. Paid
$49.41
Range
$0.00 – $498.02
Total Claims
22,437
Providers
17
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 Visalia, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elizabeth L Enderton
501 N Bridge St |
$79.79 | 5,182 | 4,476 |
|
Robert M Ayers
501 North Bridge Street |
$35.82 | 3,109 | 2,397 |
|
Christopher D Bencomo
501 North Bridge Street |
$27.64 | 2,512 | 1,914 |
|
Juan C Sabogal Tamayo
501 North Bridge Street |
$78.35 | 1,950 | 1,519 |
|
Hoang U Le
2611 N. Dinuba Blvd |
$4.22 | 1,418 | 962 |
|
David J. Borge
501 North Bridge Street |
$24.46 | 1,403 | 930 |
|
Ankita Luthra
305 E Center Ave |
$50.97 | 1,354 | 1,046 |
|
Rodolfo Eduardo Vicente
501 N. Bridge Street |
$70.47 | 1,290 | 1,067 |
|
Karen M Barbosa
2611 N Dinuba Blvd |
$0.06 | 1,071 | 532 |
|
Nicholai J Weibell
1700 S Court St |
$97.68 | 1,058 | 761 |
|
Martha Monica Rivera
401 E School Ave |
$4.03 | 936 | 715 |
|
Eva Hirwe
400 East Oak Street |
$33.35 | 657 | 539 |
|
Independence Medical Group Of Central California, Inc.
100 Willow Plz |
$92.31 | 286 | 205 |
|
County Of Tulare
2611 N Dinuba Blvd |
$0.00 | 134 | 84 |
|
Jeff Seidenrose
501 North Bridge Street |
$0.00 | 39 | 37 |
|
Sheena Edmonds
401 E School Ave |
$0.00 | 26 | 26 |
|
Family Healthcare Network
401 E School Ave |
$498.02 | 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 Visalia, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Visalia, CA is $49.41 per claim, based on 22,437 claims from 17 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 Visalia, CA?
There are 17 Medicaid providers offering Pregnancy & Prenatal Care related services in Visalia, CA according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Visalia, CA?
Medicaid reimbursement for Pregnancy & Prenatal Care in Visalia, CA ranges from $0.00 to $498.02 per claim, with an average of $49.41. 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 Visalia, CA
Office Visit
Avg $11.38
2,887,946 claims
Substance Abuse Treatment
Avg $24.52
968,925 claims
Blood Work & Lab Tests
Avg $12.53
724,693 claims
Physical Therapy
Avg $14.15
414,953 claims
Urinalysis & Urine Tests
Avg $1.59
412,660 claims
X-Ray
Avg $9.84
404,561 claims
Emergency Room Visit
Avg $50.70
373,478 claims
Behavioral & Mental Health Therapy
Avg $125.43
312,957 claims