Pennsylvania free rate reference
Pennsylvania doula rate calculator
Use this free rate reference to understand the state payment model before estimating a claim.
Start here
Short answer
Use this free rate reference to understand the state payment model before estimating a claim.
Next step
Basic payment model
Use this as a starting point. The payer still checks eligibility, documentation, timing, and claim details.
Do not enter private client information.
Do not enter client names, dates of birth, Medicaid IDs, claim numbers, service dates tied to a person, visit notes, screenshots with client details, or other private client information here. This public tool is for general planning only.
Prenatal visit (minimum 30 minutes)
$100
T1032 + U7
Postpartum visit (minimum 30 minutes)
$100
T1032 + U8
Other doula services/support (minimum 30 minutes)
$175
T1032 + U9
Labor and delivery support (in-person; delivery must occur)
$1,000
T1033 without modifier
Pennsylvania estimate pay is a saved tool
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Payment estimate
Estimate payment from state rates and service type.
Saves payment estimates by state and label.
Still free
- State billing rules and source links
- Denial guides
- Educational Medicaid doula billing pages
- Printable packet worksheet