Average Medicaid Pregnancy & Prenatal Care Payments in Wilson, NC: $494.94
Avg. Paid
$494.94
Range
$2.94 – $1,277
Total Claims
276
Providers
4
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 Wilson, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arthur Henning Hanson
2500 Horton Blvd Sw |
$510.91 | 186 | 170 |
|
Daniel Peter Michalak
2500 Horton Blvd Sw |
$2.94 | 42 | 42 |
|
Tracy Salisbury Forrest
2500 Horton Blvd Sw |
$542.16 | 27 | 24 |
|
Suzanne Renee Fiscus
2500 Horton Blvd Sw |
$1,277 | 21 | 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 Wilson, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Pregnancy & Prenatal Care in Wilson, NC is $494.94 per claim, based on 276 claims from 4 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 Wilson, NC?
There are 4 Medicaid providers offering Pregnancy & Prenatal Care related services in Wilson, NC according to public payment data.
What is the price range for Pregnancy & Prenatal Care in Wilson, NC?
Medicaid reimbursement for Pregnancy & Prenatal Care in Wilson, NC ranges from $2.94 to $1,277 per claim, with an average of $494.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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Other Procedures in Wilson, NC
Personal Care Services
Avg $92.16
532,667 claims
Substance Abuse Treatment
Avg $125.52
477,537 claims
Office Visit
Avg $51.18
366,389 claims
Dental Cleaning & Exam
Avg $30.64
217,562 claims
Vaccines & Immunizations
Avg $14.38
151,821 claims
Speech Therapy
Avg $60.60
135,390 claims
Blood Work & Lab Tests
Avg $13.26
127,379 claims
Pathology & Lab Services
Avg $35.83
81,552 claims