Vaginal delivery (full package)
Facility: Centura St. Catherine-Dodge City
Billing Code: 59400 (CPT)
- CPT Billing Code: 59400
- Insurance Median: $2,127
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.96x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $2,214.42 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Kaiser | $2,127 | 96% |
| Aetna | $2,127 | 96% |
| Blue Cross Blue Shield | $2,127 | 96% |
| Medicare (plans) | $2,127 | 96% |
| Humana | $2,127 | 96% |
| Cigna | $2,127 | 96% |
| Kansas Health | $2,127 | 96% |
Consumer Guidance & Cost Commentary
For CPT code 59400, representing a vaginal delivery (full package), the facility's negotiated rates across seven payers, including Kaiser, Aetna, and Medicare, are consistently $2,127. This amount aligns exactly with the statewide median negotiated rate for this procedure. While commercial insurance contracts often include administrative overhead that can inflate prices, the facility's rates here match the benchmark for the region, avoiding the typical markup seen in some commercial agreements. It is important to note that while insurance provides a predictable ceiling, the actual out-of-pocket cost depends on your specific plan's deductible and copay structure; if your deductible has not been met, you may be responsible for the full negotiated amount even if the rate is fair.
Patients should be aware that cash-pay options are not listed for this specific service, meaning there is no direct cash price to compare against the insurance rate. However, many facilities offer prompt-pay discounts for those who choose to pay upfront or within a short window, which can significantly reduce the total cost by bypassing insurance billing cycles and administrative fees. Before scheduling, it is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, as these rates are often lower than the standard negotiated amounts. Additionally, if you have any balance billed charges after your visit, you have the right to request an itemized audit to ensure no errors or unbundled codes are included, as over 80% of hospital bills contain discrepancies that can be corrected.