Average Medicaid Pregnancy & Prenatal Care Payments in Washington, DC: $267.89
Avg. Paid
$267.89
Range
$0.00 – $1,251
Total Claims
5,171
Providers
16
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 Washington, DC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kimberley Janet Farmer
2041 Georgia Ave Nw Ste 3400 |
$157.26 | 4,072 | 2,573 |
|
Colin Walters
1108 16Th St Nw |
$864.67 | 567 | 542 |
|
Shuna Isom
2041 Georgia Ave Nw |
$131.46 | 111 | 107 |
|
Medical Faculty Associates, Inc
2150 Pennsylvania Ave Nw |
$773.08 | 103 | 103 |
|
Jessica Portillo
3020 14Th St Nw |
$0.00 | 48 | 39 |
|
Quentin Bolton
2401 Georgia Ave Nw |
$268.04 | 47 | 44 |
|
Henry A Adegbulugbe
2041 Georgia Ave Nw |
$869.01 | 43 | 39 |
|
Vanessa J. Mcdonald
2041 Georgia Ave Nw |
$695.10 | 40 | 37 |
|
Christie Pitney
765 Kenilworth Ter Ne |
$47.81 | 28 | 27 |
|
Katherine Arnold
5255 Loughboro Rd Nw Bldg B |
$1,251 | 26 | 26 |
|
Sanlare Gordon
2041 Georgia Ave Nw Labor And Delivery |
$1,119 | 16 | 15 |
|
Kerry Lewis
2041 Georgia Ave Nw |
$715.94 | 16 | 12 |
|
George Samman
2021 K St Nw |
$149.02 | 15 | 13 |
|
Jeffrey Christopher Sellers
2041 Georgia Ave Nw Ste 1700 |
$538.74 | 14 | 12 |
|
Kevin S Smith
2041 Georgia Nwave 1700 |
$27.92 | 13 | 12 |
|
Frezghi Woldemichael Ghebreab
110 Irving St Nw |
$773.23 | 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 Washington, DC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Washington, DC is $267.89 per claim, based on 5,171 claims from 16 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 Washington, DC?
There are 16 Medicaid providers offering Pregnancy & Prenatal Care related services in Washington, DC according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Washington, DC?
Medicaid reimbursement for Pregnancy & Prenatal Care in Washington, DC ranges from $0.00 to $1,251 per claim, with an average of $267.89. 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 Washington, DC
Home Health Visit
Avg $134.65
9,995,071 claims
Behavioral & Mental Health Therapy
Avg $86.63
8,402,752 claims
Office Visit
Avg $76.54
4,461,887 claims
Substance Abuse Treatment
Avg $44.95
3,041,260 claims
Emergency Room Visit
Avg $153.94
2,354,612 claims
Blood Work & Lab Tests
Avg $3.91
2,038,554 claims
Dental Cleaning & Exam
Avg $40.35
1,310,251 claims
Physical Therapy
Avg $77.12
1,280,107 claims