Based on public Medicaid payment data.

Average Medicaid Pregnancy & Prenatal Care Payments

Typical Medicaid Pregnancy & Prenatal Care reimbursement across 2,086 cities

Avg. Medicaid Paid

$194.17

Price Range

$0.00 – $5,861

Total Claims

7.2M

Cities

2086

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.

About This Procedure

Prenatal care services monitor the health of the mother and developing baby throughout pregnancy, including routine exams, ultrasounds, and lab work.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City	Avg. Paid	Min / Max	Claims	Providers
Canton, NY	$1,993	$1,993 – $1,993	12	1
Delray Beach, FL	$81.60	$81.60 – $81.60	12	1
Hacienda Heights, CA	$544.28	$544.28 – $544.28	12	1
Galion, OH	$664.29	$664.29 – $664.29	12	1
Little River, SC	$144.42	$144.42 – $144.42	12	1
Silvis, IL	$564.44	$564.44 – $564.44	12	1
College Park, MD	$126.98	$126.98 – $126.98	12	1
Puyallup, WA	$1,879	$1,879 – $1,879	12	1
Winter Garden, FL	$906.47	$906.47 – $906.47	12	1
Edison, NJ	$565.47	$565.47 – $565.47	12	1
Keene, NH	$82.92	$82.92 – $82.92	12	1
Truckee, CA	$78.62	$78.62 – $78.62	12	1
Bolivia, NC	$1,085	$1,085 – $1,085	12	1
Caldwell, ID	$1,396	$1,396 – $1,396	12	1
Broken Arrow, OK	$1,636	$1,636 – $1,636	12	1
Weatherford, OK	$1,774	$1,774 – $1,774	12	1
Westlake, OH	$700.64	$700.64 – $700.64	12	1
Deltona, FL	$300.00	$300.00 – $300.00	12	1
Scottsboro, AL	$0.00	$0.00 – $0.00	12	1
Mena, AR	$605.00	$605.00 – $605.00	12	1
Bloomsburg, PA	$132.83	$132.83 – $132.83	12	1
York, ME	$72.61	$72.61 – $72.61	12	1
Newport, KY	$841.00	$841.00 – $841.00	12	1
Waltham, MA	$168.72	$168.72 – $168.72	12	1
Lighthouse Point, FL	$44.16	$44.16 – $44.16	12	1
Jbsa Lackland, TX	$0.00	$0.00 – $0.00	12	1
Russellville, AL	$0.00	$0.00 – $0.00	12	1
Menifee, CA	$534.76	$534.76 – $534.76	12	1
Charlton, MA	$857.55	$857.55 – $857.55	12	1
Fredericksbrg, VA	$1,659	$1,659 – $1,659	12	1
Lakeway, TX	$793.68	$793.68 – $793.68	12	1
Sicklerville, NJ	$451.91	$451.91 – $451.91	12	1
Carson City, MI	$172.66	$172.66 – $172.66	12	1
Breinigsville, PA	$1,370	$1,370 – $1,370	12	1
Pendleton, IN	$72.55	$72.55 – $72.55	12	1
New Orleasns, LA	$90.48	$90.48 – $90.48	12	1

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.