CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Oroville Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $3,217
Cash Discount Price: $2,077
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Oroville Hospital is $3,217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,077. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.45x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$2,077

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,217

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)

Cash / Self-Pay: $2,077 (94%)

Insurance Median: $3,217 (145%)

Cash: $2,077 (94% of Medicare)

Ins. Median: $3,217 (145% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Shield Value Network	$936 - $1,299	42%
Blue Cross Blue Shield	$939 - $5,311	42%
Butte County	$1,211 - $1,681	55%
Cigna	$2,782 - $3,862	126%
Coventry Health Care	$2,782 - $3,862	126%
Health Net	$2,782 - $3,862	126%
Multiplan	$2,782 - $3,862	126%
Interplan	$2,956 - $4,104	133%
Three Rivers Provider Network	$2,956 - $4,104	133%
UnitedHealthcare	$2,956 - $4,104	133%
Beech Street	$3,130 - $4,345	141%
Healthstar	$3,130 - $4,345	141%
Health Payors Organization	$3,304 - $4,587	149%
Blue Shield Of California	$3,374 - $4,683	152%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,077.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59400.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oroville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 59400.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.